How do I know if I am overweight?

The degree to which a person is overweight is generally described by Body Mass Index. Overweight is defined as a BMI of 25 or more, thus it includes pre-obesity defined as a BMI between 25 and 30 and obesity as defined by a BMI of 30 or more. Pre obese and overweight however are often used interchangable thus giving overweight a common definition of a BMI of between 25 -30. There are however several other common ways to measure the amount of adiposity or fat present in an individual's body.

Body Mass Index
The Body Mass Index, or BMI is a measure of a person's weight taking into account their height. It is given by the formula:


BMI = weight x 4.88/(height x height)

With: weight in lb and height in ft

BMI provides a significantly more accurate representation of body fat content than simply measuring a person's weight. It is highly correlated with both body fat percentage and body fat mass. It does not take into account certain factors such as pregnancy or bodybuilding; however, the BMI is an accurate reflection of fat percentage in the majority of the adult population.

Body Fat Index
In combination to the BMI, the so-called Body Fat Index can be used to better define a condition of overweight or obesity.

Simple Weighing
The person's weight is measured and compared to an estimated ideal weight. This is the easiest and most common method, but by far the least accurate, as it only measures one quantity (weight) and often does not take into account many factors such as height, body type, and relative amount of muscle mass.

Skinfold Calipers or "pinch test"
The skin at several specific points on the body is pinched and the thickness of the resulting fold is measured. This measures the thickness of the layers of fat located under the skin, from which a general measurement of total amount of fat in the body is calculated. This method can be reasonably accurate for many people, but it does assume particular patterns for fat distribution over the body which may not apply to all individuals, and does not account for fat deposits which may not be directly under the skin. Also, as the measurement and analysis generally involves a high degree of practice and interpretation, for an accurate result it must be performed by a professional and cannot generally be done by patients themselves.

Bioelectrical impedance analysis
A small electrical current is passed through the body to measure its electrical resistance. As fat and muscle conduct electricity differently, this method can provide a direct measurement of the body fat percentage, in relation to muscle mass. In the past, this technique could only be performed reliably by trained professionals with specialized equipment, but it is now possible to buy home testing kits which allow people to do this themselves with a minimum of training. Despite the improved simplicity of this process over the years, however, there are a number of factors which can affect the results, including hydration and body temperature, so it still needs some care when taking the test to ensure that the results are accurate.

Hydrostatic Weighing
Considered one of the more accurate methods of measuring body fat, this technique involves complete submersion of a person in water, with special equipment to measure the person's weight while submerged. This weight is then compared with "dry weight" as recorded outside the water to determine overall body density. As fat is less dense than muscle, careful application of this technique can provide a reasonably close estimate of fat content in the body. This technique does, however, require expensive specialized equipment and trained professionals to administer it properly.


DEXA (Dual Energy X-ray Absorptiometry)
Originally developed to measure bone density, DEXA imaging has also come to be used as a precise way to determine body fat content by using the density of various body tissues to identify which portions of the body are fat. This test is generally considered to be very accurate, but requires a great deal of expensive medical equipment and trained professionals to perform.


The most common method for discussing this subject and the one used primarily by researchers and advisory institutions is BMI. Definitions of what is considered to be overweight vary by ethnicity. The current definition proposed by the US National Institutes of Health (NIH) and the World Health Organization (WHO) designates whites, Hispanics and blacks with a BMI of 25 or more as overweight. For Asians, overweight is a BMI between 23 and 29.9 and obesity for all groups is a BMI of 30 or more.

BMI, however, does not account extremes of muscle mass, some rare genetic factors, the very young, and a few other individual variations. Thus it is possible for an individuals with a BMI of less than 25 to have excess body fat, while others may have a BMI that is significantly higher without falling into this category. Some of the above methods for determining body fat are more accurate then BMI but come with added complexity.
If an individual is overweight and has excess body fat it could cause health risks.