BMI
GeneralBody Mass Index
A simple numerical measure of body fat based on height and weight, used to classify individuals as underweight, normal weight, overweight, or obese.
Definition
BMI (Body Mass Index) is a screening index that estimates body fat based on a person's weight and height. Developed by Belgian statistician Adolphe Quetelet in the 19th century, BMI provides a simple, non-invasive way to classify individuals into weight categories associated with various health risks.
BMI = Weight (kg) / Height (m)ยฒ
BMI is widely used by healthcare providers and epidemiologists to identify population-level obesity trends and screen individuals for weight-related health risks. However, BMI is a population screening tool โ it provides a signal, not a diagnosis. It cannot distinguish muscle from fat, nor does it measure fat distribution, which is increasingly recognised as critical for metabolic health.
For Indian and South Asian populations specifically, research shows that health risks (type 2 diabetes, cardiovascular disease, metabolic syndrome) begin at lower BMI values than traditional WHO cut-offs โ making adjusted BMI thresholds important for this population.
Formula
BMI = Weight (kg) / [Height (m)]ยฒ
Or using centimetres:
BMI = Weight (kg) ร 10,000 / [Height (cm)]ยฒ
WHO BMI Categories (adjusted for South Asians):
| BMI Range | Global Category | Indian/South Asian Category |
|---|---|---|
| < 18.5 | Underweight | Underweight |
| 18.5โ22.9 | Normal | Normal |
| 23โ24.9 | Normal (global) | Overweight |
| 25โ29.9 | Overweight | Obese Class I |
| โฅ 30 | Obese | Obese Class II+ |
Worked Example
Rohit: Weight 78 kg, Height 1.72 m (172 cm)
BMI = 78 / (1.72)ยฒ = 78 / 2.9584 = 26.4
Global WHO classification: Overweight (25โ29.9) Indian-adjusted classification: Obese Class I (>25 triggers higher risk category)
Sunita: Weight 55 kg, Height 1.60 m (160 cm)
BMI = 55 / (1.60)ยฒ = 55 / 2.56 = 21.5
Global and Indian classification: Normal weight
Use the BMI calculator to calculate your BMI and see personalised guidance, and the ideal weight calculator to see your healthy weight range.
Key Things to Know
- Waist circumference adds critical context: BMI doesn't capture where fat is stored. Abdominal (visceral) fat around internal organs is significantly more harmful than subcutaneous fat (fat under the skin). Indian adults with BMI in the "normal" range (18.5โ22.9) can still carry dangerous amounts of visceral fat โ the "thin fat" or TOFI (Thin Outside, Fat Inside) phenotype is particularly common among South Asians. Waist circumference targets: Men < 90 cm, Women < 80 cm for Indian adults.
- BMR and TDEE provide action guidance: While BMI tells you where you are, BMR (Basal Metabolic Rate) and TDEE (Total Daily Energy Expenditure) tell you what to do about it. If your BMI indicates overweight, calculating your TDEE reveals your maintenance calories โ creating a 15โ20% caloric deficit while maintaining protein intake facilitates healthy fat loss. Use BMI as the diagnostic; TDEE as the intervention framework.
- BMI and disease risk: Indian research shows the risk inflection for type 2 diabetes occurs at BMI 22โ23 (significantly lower than the global 25 threshold). The Indian Council of Medical Research and diabetes specialists recommend Indians treat BMI 23+ as overweight and BMI 25+ as obese. For cardiovascular risk screening, BMI combined with waist circumference and metabolic markers (HbA1c, lipid panel) provides a far more complete risk picture than BMI alone.
- Athletes and BMI inaccuracy: Muscle tissue is denser than fat โ a 100 kg professional athlete with 8% body fat and extensive muscle mass will have a "obese" BMI above 30. For individuals with high muscle mass from resistance training, body fat percentage (measured via DEXA or calipers) or waist-to-height ratio (<0.5 is healthy) are more accurate health indicators than BMI.
- BMI and children โ growth charts matter: Adult BMI categories should never be applied to individuals under 18. Children's BMI must be interpreted against age- and sex-specific growth charts. A BMI of 21 could be healthy for a 15-year-old boy but the same value might be "underweight" for an adult. Use age-specific percentile charts from the Indian Academy of Pediatrics for accurate paediatric assessment.