Beginners How to Calculate Your Child's BMI By Vincent Iannelli, MD Vincent Iannelli, MD Facebook Vincent Iannelli, MD, is a board-certified pediatrician and fellow of the American Academy of Pediatrics. Dr. Iannelli has cared for children for more than 20 years. Learn about our editorial process Medically reviewed by Vanessa Nzeh, MD Medically reviewed by Vanessa Nzeh, MD on December 01, 2020 Facebook Twitter Vanessa Nzeh, MD, is an internal medicine and pediatrics physician who is passionate about patient advocacy, the integration of maternal and child health, as well as increasing diversity and inclusion in medical education. Learn about our Medical Review Board on December 01, 2020 Print Body mass index (BMI) is an important measurement used to determine whether your child is overweight, underweight, or at an ideal weight for his or her age. So important is BMI in monitoring your child's health that the U.S. Preventive Services Task Force currently recommends the routine tracking of BMI in all children over the age of two. Child vs. Adult BMI Calculations Unlike adults for whom a BMI of 25 to 30 is considered overweight and a BMI is classified as obese, children require a different standard of evaluation given that their bodies change so rapidly. The calculation starts with a standard BMI based on your child's height and weight. BMI doesn't measure body fat but rather the volume of tissue (including muscle, fat, and bone) in your child's body. The value is then used to determine where your child falls, percentage-wise, among children of the same sex and age group. That percentile value will be used to determine your child's weight category (underweight, normal, overweight, obese). Getting the Right Measurements Jamie Grill/Getty Images To get an accurate BMI calculation, you will need to ensure the accurate height and weight measurements each and every time. To do so: Remove your child's shoes, outer clothing, and hair ornaments. Get an accurate height by having the child stand with his or her feet together on an uncarpeted floor with the head, shoulders, back, buttocks, and heels placed against a flat wall surface. Be sure your child neither slouches nor lifts the heels. Use a digital scale placed on a level, uncarpeted floor. Have the child place both feet on the center of the scale without moving. Avoid spring-loaded bathroom scales that can wear out over time. Always try to use the same tools for measurement and perform the measurements at the same time of day (such as in the morning just before breakfast or in the afternoon right before dinner). Calculating Your Child's BMI VStock LLC/Klaus Tiedge/Getty Images The standard formula to calculate BMI is weight ÷ (height x height) x 703. To calculate this with imperial (pounds and inches) measurements: Measure the child's weight in pounds.Measure the child's height in inches.Calculate the BMI by dividing the weight by the height squared and multiplying that total by 703. The metric formula to calculate BMI is weight ÷ (height x height) x 10,000. To calculate this: Measure the child's weight in kilograms (not grams). This may be expressed in a decimal value, such as 12.7 kilograms.Measure the child's height in centimeters (not meters). This would be expressed, for example, as 105 centimeters and not 1.05 meters.Calculate the BMI by dividing the weight by the height squared and multiplying that total by 10,000. Or, give our BMI calculator a try to help simplify the process. BMI Percentiles for Children CDC The BMI percentile allows us to categorize your child's BMI based where he or she falls in comparison to other boys or girls of the same age group. The classification system was established in 1977 to categorize a child's development based on weight-for-height percentiles. The value is expressed not as a percentage (such as 85%) but rather as a percentile (such as the 85th percentile of all children of that sex and age group). If your child is, say, in the 75th percentile, that would mean that he or she is higher than 75% of children in the group. In terms of weight, higher percentile values correspond to higher weight categories, while lower percentile values correspond to lower weight categories. Your child's BMI percentile can be determined by plotting the BMI on a BMI chart. Weight Categories for Children Blend Images/Jose Luis Pelaez Inc/Getty Images Once you have established your child's BMI and percentile, you can then see exactly where he or she falls within the expected range. The BMI-for-age weight categories were based on recommendations from an expert committee organized by the American Medical Association (AMA), the Centers for Disease Control and Prevention (CDC), and the Human Resources Services Administration (HRSA). The weight categories for children are defined as follows: Underweight: BMI of less than the 5th percentile Normal weight: BMI from the 5th percentile to below the 85th percentile Overweight: BMI above the 85th percentile to below the 95th percentile Obese: BMI greater than or equal to the 95th percentile Was this page helpful? Thanks for your feedback! Get exercise tips to make your workouts less work and more fun. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Fit uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. U.S. Preventive Services Task Force. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;317(23):2417-26. DOI: 10.1001/jama.2017.6803. Centers for Disease Control and Prevention National Center for Health Statistics. Growth Charts. Centers for Disease Control and Prevention. Defining Childhood Obesity. Additional Reading Centers for Disease Control and Prevention. Using the CDC BMI-for-age Growth Charts to Assess Growth in the United States Among Children and Teens Aged 2 Years to 20 Years. Atlanta, Georgia; updated September 9, 2014. U.S. Preventive Services Task Force. Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. JAMA. 2017;317(23):2417-26. DOI: 10.1001/jama.2017.6803.