How BMI is calculated
BMI was designed to compare groups of people, and it is still the standard first check used by doctors and public health bodies. Read the full background in Body mass index explained.
BMI for men
Many people search for a "BMI calculator for men" expecting a different formula. There isn't one: adult men and women use the same equation and the same categories. The difference is in what the number means. Men usually carry more muscle and less fat at the same BMI, so a muscular man can read as overweight while being lean. A 92 kg, 180 cm man who lifts weights has a BMI of 28.4, which the chart calls overweight, even if his body fat is low.
That is why this calculator adds two checks a plain BMI tool leaves out: your waist-to-height ratio, and a link to estimate body fat. For calories rather than categories, go to the TDEE calculator.
Asian cut-off points
A World Health Organization expert consultation found that many Asian populations have higher body fat and higher risk of type 2 diabetes and heart disease at lower BMIs than European populations. It suggested extra action points for public health: risk starts to rise from a BMI of 23, and is high from 27.5. The UK's National Institute for Health and Care Excellence (NICE) also uses lower thresholds for people of South Asian, Chinese, other Asian, Middle Eastern, Black African and African-Caribbean backgrounds.
| BMI | WHO standard | Asian action points |
|---|---|---|
| Under 18.5 | Underweight | Underweight |
| 18.5–22.9 | Healthy | Healthy |
| 23–24.9 | Healthy | Increased risk |
| 25–27.4 | Overweight | Increased risk |
| 27.5–29.9 | Overweight | High risk |
| 30 and over | Obesity | High risk |
Where BMI falls short
- It ignores muscle. Athletes and lifters often score as overweight.
- It ignores where fat sits. Fat around the waist carries more health risk than fat on the hips and thighs.
- It shifts with age. Older adults lose muscle, so the same BMI can hide more fat.
- It does not apply to children, or during pregnancy.
Waist-to-height ratio
NICE advises adults with a BMI under 35 to also measure their waist-to-height ratio, and to keep their waist to less than half their height. A ratio of 0.5 to 0.59 means increased health risk, and 0.6 or more means high risk. It needs only a tape measure, and it picks up belly fat that BMI misses.
Related
Sources
- World Health Organization. Obesity: preventing and managing the global epidemic. WHO Technical Report Series 894. Geneva: WHO; 2000. iris.who.int
- WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157–163. PubMed 14726171
- National Institute for Health and Care Excellence. Obesity: identification, assessment and management (CG189), waist-to-height ratio recommendations, 2022 update. nice.org.uk