Body mass index to assess body weight

The BMI is a measure of general adiposity. It is calculated using the following formula:

Obesity is classified according to BMI (see Classification of weight according to body mass index). BMI should be interpreted with caution in groups where muscle or fat mass varies significantly (eg very muscular people, older people).

Table 1. Classification of weight according to body mass index

Classification

BMI (kg/m2) [NB1]

Risk of obesity-related comorbidities

underweight

less than 18.5

low (but the risk of other clinical problems is increased)

healthy

18.5 to 24.9

average

overweight

25 to 29.9

increased

obese

30 or more

greatly increased, particularly in association with central fat deposition

  • class I

30 to 34.9

high

  • class II

35 to 39.9

very high

  • class III

40 or more

extremely high

Note:

BMI = body mass index

NB1: These figures have been determined from population studies. They are based on mortality data for Caucasians and may not be appropriate for other population groups. Lower BMI cut-offs may be considered in Asian populations, including South Asian, Chinese and Japanese people (who may have a higher proportion of body fat), and Aboriginal Australians (who have a high limb-to-trunk ratio). Higher BMI cut-offs may be considered in Pacific peoples, including Māori and Torres Strait Islander peoples (who generally have a higher proportion of lean body mass)World Health Organization (WHO), 2011.