BMI Explained: How to Calculate It and What It Means

BMI is your weight in kilograms divided by your height in metres squared. It is a quick screening tool, not a diagnosis, and works best alongside a waist measurement.

By Trends Editorial

Published 4 min read

In brief

How to calculate your body mass index in metric or imperial units, what the BMI categories mean, why lower cut-offs are used for Asian populations, and the limits of BMI as a health measure.

The short answer

Body mass index (BMI) = weight in kilograms ÷ (height in metres × height in metres)

For someone who weighs 70 kg and is 1.75 m tall: 70 ÷ (1.75 × 1.75) = 70 ÷ 3.06 = 22.9.

A BMI between 18.5 and 24.9 is classed as a healthy weight for most adults. BMI is a quick screening tool: useful for spotting possible risk, but not a diagnosis of health on its own.

How to calculate BMI

Metric:

  1. Square your height in metres (multiply it by itself).
  2. Divide your weight in kilograms by that number.

Imperial:

BMI = 703 × weight in pounds ÷ (height in inches × height in inches)

For 154 lb and 5 ft 9 in (69 inches): 703 × 154 ÷ (69 × 69) = 108,262 ÷ 4,761 = 22.7.

Many health services offer an official online BMI calculator if you prefer not to do the maths.

What the numbers mean

The World Health Organization's categories for adults:

BMICategory
Below 18.5Underweight
18.5 to 24.9Healthy weight
25 to 29.9Overweight
30 to 34.9Obesity class I
35 to 39.9Obesity class II
40 or aboveObesity class III

These apply to adults aged 18 and over, and are not used during pregnancy.

Lower cut-offs for some ethnic groups

People of South Asian, Chinese, other Asian, Middle Eastern, Black African and African-Caribbean backgrounds tend to develop type 2 diabetes and heart disease at a lower BMI than white European populations.

A WHO expert consultation suggested additional public health action points of 23 and 27.5 for Asian populations. Some national guidelines, such as the UK's NICE guidance, use a BMI of 23 to indicate increased risk and 27.5 to indicate high risk for these groups. Several Asian countries use their own lower cut-offs too.

What BMI does not tell you

BMI is simple and cheap, which is why it is widely used. But it has real limits:

  • It does not measure body fat directly. Muscle weighs more than fat for its size, so athletes can register as "overweight".
  • It does not show where fat is stored. Fat around the waist and organs (visceral fat) carries more health risk than fat on the hips and thighs.
  • It can miss risk in people with a "normal" BMI who carry excess weight around the middle.
  • It changes meaning with age. Older adults lose muscle, so the same BMI can mean more body fat.

That is why it is best used alongside other measures.

Waist measurement: a useful second check

A simple guide used by several health authorities: keep your waist to less than half your height (a waist-to-height ratio below 0.5).

  • Height 170 cm: aim for a waist under 85 cm.
  • Height 5 ft 6 in (66 in): aim for under 33 inches.

How to measure: find the point halfway between your lowest rib and the top of your hip bone, wrap a tape measure around it, breathe out normally, and read the number. Do not pull the tape tight.

What to do with your result

  • Healthy range: keep up regular activity and a balanced diet.
  • Above the healthy range: even a modest loss, of around 5 to 10 percent of body weight, can lower blood pressure, blood sugar and cholesterol. Small, sustainable changes work better than crash diets. Our guides to daily calorie needs and the benefits of walking are good starting points.
  • Below the healthy range: talk to a doctor, particularly if you have lost weight without trying.
  • Any result, with other risk factors (high blood pressure, family history of diabetes, a large waist): ask for a health check. Blood pressure and blood sugar tests give a much fuller picture. See how to lower blood pressure naturally.

Children and teenagers

Children's BMI is calculated the same way but interpreted differently: it is compared with growth charts for age and sex to give a percentile. Use a calculator designed for children, or ask a doctor or school nurse.

Key takeaways

  • BMI = kg ÷ m². A healthy adult range is 18.5 to 24.9.
  • Risk starts at lower BMIs for many Asian and other ethnic groups, often from 23.
  • BMI cannot distinguish muscle from fat or show where fat sits.
  • Check your waist too: aim for less than half your height.

This article is general information, not medical advice. Speak to a doctor or other health professional about your own weight and health.

Questions readers ask

What is a healthy BMI?

For adults, the World Health Organization classes a BMI of 18.5 to 24.9 as a healthy weight range. For people of South Asian, Chinese and some other Asian backgrounds, health risks start to rise at lower BMIs, so some health authorities use 23 rather than 25 as the point where risk increases.

Is BMI accurate for muscular people?

Not always. BMI cannot tell muscle from fat, so very muscular people, such as athletes, may have a high BMI while carrying little body fat. In these cases, waist measurement or a body composition test gives a better picture.

Can I use the adult BMI chart for children?

No. Children and teenagers are still growing, so their BMI is compared with growth charts for their age and sex, giving a percentile. A doctor, nurse or official online calculator for children should be used instead.

What waist size is healthy?

A simple guide is to keep your waist to less than half your height. For example, someone 170 cm tall should aim for a waist under 85 cm. Measure halfway between the bottom of your ribs and the top of your hips, after breathing out normally.

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