Are you overweight?

 | September 1, 2006

Are you overweight?

Health care providers use body mass index (BMI), an approximate measure of body fat based on a person's height and weight, to determine whether a person's weight falls within a healthy range (see below). Another simple measurement is waist circumference. There are also several methods of estimating the percentage of your weight that is fat, including skin-fold measurement, bioelectric impedance, and underwater weighing.

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What's your BMI?

To calculate your BMI, follow these four steps:

Measure your height in inches (without shoes) and your weight in pounds (without clothing).

Multiply your weight by 703.

Divide that number by your height.

Divide again by your height.

You can also use a Web-based calculator at

If your BMI is lower than 18, you are considered underweight. Underweight people also have higher death rates than people of normal weight do, but many people in this category are underweight because they already have a severe illness, such as cancer, chronic infections, or anorexia.

Table 1: What's your body mass index?

The body mass index (BMI) is an index of weight by height. The definitions of normal, overweight, and obese were established after researchers examined the BMIs of millions of people and correlated them with rates of illness and death. These studies found that the BMI range associated with the lowest rate of illness and death is 19–25.

Height

Weight in pounds

4'10"

91

96

100

105

110

115

119

124

129

134

138

143

167

191

4'11"

94

99

104

109

114

119

124

128

133

138

143

148

173

198

5'0"

97

102

107

112

118

123

128

133

138

143

148

153

179

204

5'1"

100

106

111

116

122

127

132

137

143

148

153

158

185

211

5'2"

104

109

115

120

126

131

136

142

147

153

158

164

191

218

5'3"

107

113

118

124

130

135

141

146

152

158

163

169

197

225

5'4"

110

116

122

128

134

140

145

151

157

163

169

174

204

232

5'5"

114

120

126

132

138

144

150

156

162

168

174

180

210

240

5'6"

118

124

130

136

142

148

155

161

167

173

179

186

216

247

5'7"

121

127

134

140

146

153

159

166

172

178

185

191

223

255

5'8"

125

131

138

144

151

158

164

171

177

184

190

197

230

262

5'9"

128

135

142

149

155

162

169

176

182

189

196

203

236

270

5'10"

132

139

146

153

160

167

174

181

188

195

202

209

243

278

5'11"

136

143

150

157

165

172

179

186

193

200

208

215

250

286

6'0"

140

147

154

162

169

177

184

191

199

206

213

221

258

294

6'1"

144

151

159

166

174

182

189

197

204

212

219

227

265

302

6'2"

148

155

163

171

179

186

194

202

210

218

225

233

272

311

6'3"

152

160

168

176

184

192

200

208

216

224

232

240

279

319

6'4"

156

164

172

180

189

197

205

213

221

230

238

246

287

328

BMI

19

20

21

22

23

24

25

26

27

28

29

30

35

40

 

NORMAL

OVERWEIGHT

OBESE

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What's your body shape?

Your body shape depends largely on where you tend to carry your weight, usually centered on either your waist or your hips and thighs. If you carry fat mainly around the middle of your body (known as "apple-shaped"), you're more likely to develop diabetes and related health problems than if you tend to be heavier around your hips and thighs ("pear-shaped"; see Figure 1). To measure your waist circumference, place a cloth tape measure around your bare abdomen just above your hipbones. Make sure the tape is snug and parallel to the floor. A waist circumference of more than 35 inches for women and more than 40 inches for men indicates a higher than normal risk. (See "Do you have metabolic syndrome?")

Figure 1: Apples and pears

Figure 1: Apples and pears

People who are "apple-shaped," or who store fat in the abdomen rather than the hips, are more prone to diabetes and cardiovascular disease than are those who are "pear-shaped," who tend to store fat in the hips and thighs.

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What's your body fat percentage?

You can estimate your body fat percentage by several different methods, but be aware that these tools aren't always accurate and doctors don't consider them useful to guide treatment. In general, these methods tend to be less accurate in people with obesity than in people who are slightly overweight or at a normal weight. But some athletes and people who are trying to tone their bodies while losing weight may find it motivates them to keep tabs on their body fat percentage. Healthy adult men have body fat percentages between 10% and 25%, whereas the range for women is between 18% and 32%. Higher percentages are considered abnormal and consistent with obesity. In children, body fat percentages above 25% in boys and 30% in girls are associated with being overweight.

Skin-fold thickness. A technician or health professional uses calipers, a measuring instrument, to gauge the thickness of a fold of skin on the body at several different sites, such as the upper arms, waist, and thighs. The measurements are entered into a formula to produce an estimate of body fat percentage. This method gives a reasonable estimate, but results often vary when different people take the measurements, making this test not very reliable.

Bioelectric impedance. This test uses a small, harmless electrical current to measure the electrical resistance of the body, based on the principle that lean body mass conducts electricity faster than fat body mass. Special "body fat" scales that use this principle in combination with your height and weight can calculate your body fat percentage. Results can vary with the amount of water in your body and are considered unreliable in people with obesity.

Underwater weighing. This test, based on the principle that fat tissue is less dense than muscle and bone, uses a special bathtub-sized tank to weigh a person underwater. That weight is then compared to the person's weight on land; a formula identifies the percentage of body fat that would account for the difference. Underwater weighing is considered the most accurate method, but it is generally available only at universities and research facilities.

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Review Date: 2006-09-01

Harvard Medical School does not endorse products or services.

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