What Is BMI?
Body Mass Index is a number calculated from your height and weight. It was developed by Belgian mathematician Adolphe Quetelet in the 19th century and is now the most widely used population-level screening indicator for weight status.
Metric: BMI = weight (kg) ÷ height (m)²
Imperial: BMI = 703 × weight (lbs) ÷ height (in)²
For example, a person who is 170 cm tall and weighs 70 kg has a BMI of 70 ÷ 1.70² = 24.2 — in the normal range.
BMI Categories
The World Health Organization and the National Heart, Lung, and Blood Institute classify adult BMI as follows:
| Category | BMI |
|---|---|
| Underweight | Below 18.5 |
| Normal weight | 18.5 – 24.9 |
| Overweight | 25.0 – 29.9 |
| Obese (Class I) | 30.0 – 34.9 |
| Severely Obese (Class II+) | 35.0 and above |
These thresholds apply to adults aged 18 and older and are the same for men and women.
Limitations of BMI
BMI is useful at the population level but has well-known limitations when applied to individuals:
- Muscle vs fat — BMI measures total mass relative to height, not body composition. A muscular athlete may register as overweight despite having low body fat.
- Fat distribution — BMI says nothing about where fat is stored. Abdominal fat carries greater health risk than fat in other areas; measures like waist-to-height ratio capture this directly.
- Age and sex — Older adults tend to carry more body fat at the same BMI. Women typically have more body fat than men at the same BMI value.
- Ethnicity — Research shows elevated metabolic risk at lower BMI values in people of Asian descent. Adjusted thresholds (overweight ≥ 23.0, obese ≥ 27.5) are recommended for these populations.
When to Use BMI
BMI is a quick, free screening tool for potential weight-related health issues and requires no special equipment. It correlates with cardiometabolic risk across large populations and is routinely used as one input in clinical health assessments.
For a more complete picture, BMI should be read alongside other measures such as waist circumference, waist-to-height ratio, blood pressure, and blood lipid levels. No single number replaces a full clinical assessment.
Sources
- National Heart, Lung, and Blood Institute (NHLBI). Calculate Your Body Mass Index.
- World Health Organization. Obesity and overweight.
- Centers for Disease Control and Prevention (CDC). About Adult BMI.
- Nuttall FQ. Body mass index: obesity, BMI, and health — a critical review. Nutr Today. 2015;50(3):117–128.