BMI


 BMI stands for Body Mass Index which is an estimate of body fat based on a calculation using height and weight that really applies to adult men and women.

In adults for example, if your BMI is < 18, you are considered underweight, and if > 25 you are considered overweight.

The following is the actual mathmatical formula to calculate  BMI or you can use our calculator to the left:

 

BMI Calculator



However, the concept of BMI is extremely difficult to grasp and frankly in many instances misused for children when tracking risk for overweight and obesity. Unlike adults, a calculated BMI value does not tell you if your child is already overweight or at risk becoming overweight. For example, a BMI of 17 maybe considered underweight for an adult woman, but for a 5 year old girl, she is actually is considered being overweight!

How can this be? Many parents and even health professionals become very confused when tracking BMI values for the purpose of obesity prevention and education.

It is my aim in this section to clarify how BMI maybe used in children.  In children, BMI percentiles is used rather than an interger value calculated from height and weight. There's an additional stem, and you can use the 2 BMI charts below from the CDC to figure out where your child's BMI is based on his or her age and BMI value.

 
 
Why is a BMI value tracking not helpful and in children?

If you follow the BMI graph, you will find that as children grow, their height and weight distribution does not have a linear progression as in adults. This is partially due to continued height growth and increased muscle gain. The graph almost looks like a NIKE swoosh logo, where between ages 2 to 5 there's a slight dip, and then rapidly accelerates into children's school years. Therefore, in children, we, pediatricians track their BMI % rather than a calculated BMI #.

To find the %, for a 5 year old girl with BMI of 17, first follow the age at the bottom (X axis) and then intersect with  BMI of 17 (Y axis - on left and right side of the graph). This intersection represented by the blue dot places her on the 3rd red thick line. Trace this line towards the right,  which places her on the 85% for her BMI.

So our 5 year old girl has a 85% for BMI, what does that mean?


source: CDC.gov



Using the classification system for BMI percentiles, now you can find out what 85% means for a given child.

Using the chart to the left, BMI of 85% classifies this 5 year old girl as overweight.

 A useful tool I often use to figure out BMI percentiles in my daily practice can be found on: http://pediatrics.about.com/cs/usefultools/l/bl_bmi_calc.htm.

Or you can use the BMI percentile calculator for boys and girls on the right side.

Note:  after clicking "Submit" a new pop-up window will take you to Pediatrics.About.Com to give you the final % value.



In conclusion, if your child BMI % is greater than 85%, I would strongly recommend making life style changes first, such as having good healthy food choices and getting plenty of activities. However if their BMI % continues to creep up, a visit with your pediatrician then become highly advised
 
 
Let's do another BMI calculation.

This time it is for a 13 year old boy who's calculated BMI is 25, which is considered at risk for overweight for adults.

As we find his BMI % by intersecting point of his age (x-axis) and his BMI of 25 (y-axis) we find his BMI to land on the top curve, represented by the red dot.

A BMI of 95% for children is classified not just overweight, but actually obese.

This makes this 13 year old child already obese and I strong encourage aggressive life style changes plus a consultation with your doctor.