How to Calculate BMI for Children and Adolescents
BMI for children and adolescents (ages 2-18) is calculated using the same formula as adults -- weight divided by height squared -- but is interpreted entirely differently, using age- and sex-specific percentiles.
Why Percentiles Are Needed
During growth, BMI naturally changes: it decreases in the first years of life, reaches a minimum around ages 5-6 (the so-called "adiposity rebound"), and then rises during puberty. A BMI of 17 is normal at age 5 but indicates underweight at age 15.
CDC Classifications
The Centers for Disease Control and Prevention (CDC) classifies pediatric BMI by percentile:
- Underweight: below the 5th percentile
- Normal weight: 5th to 85th percentile
- Overweight: 85th to 95th percentile
- Obese: above the 95th percentile
Childhood Obesity
According to WHO data, childhood obesity has become a global epidemic. Overweight and obese children face increased risks of adult obesity, type 2 diabetes, cardiovascular problems, and psychological issues. Early intervention with improved nutrition and increased physical activity is key.
When to Be Concerned
A single BMI value is less important than the trend over time. If the child's BMI crosses percentile lines upward at successive visits, consult a pediatrician. Never put a child on a restrictive diet without medical supervision.