Body Mass Index, or BMI, is one of the most common tools used worldwide to assess whether someone is at a healthy weight. But many people wonder if their BMI should change as they get older, and what numbers they should actually be aiming for. This guide breaks down everything you need to know about BMI and age, backed by research and medical evidence.
What Is BMI and How Is It Calculated?
BMI is a simple calculation that uses your height and weight to estimate body fat. The formula divides your weight in kilograms by your height in metres squared. For example, if you weigh 70 kilograms and are 1.75 metres tall, your BMI would be 22.9.
Medical professionals use BMI as a screening tool because it’s quick, inexpensive, and doesn’t require special equipment. While it’s not perfect, research shows it correlates reasonably well with body fat percentage for most people.
What Should My BMI Be for My Age?
The standard BMI ranges remain the same for all adults aged 18 and over. A healthy BMI falls between 18.5 and 24.9, regardless of whether you’re 25 or 65 years old. This might surprise you, but the World Health Organization and most health authorities don’t adjust BMI targets based on age for adults.
Here are the standard BMI categories:
- Underweight: Below 18.5
- Healthy weight: 18.5 to 24.9
- Overweight: 25.0 to 29.9
- Obese: 30.0 and above
Research from the American College of Sports Medicine confirms these ranges apply across adult age groups. A 2019 study published in Circulation found that maintaining a BMI in the healthy range throughout adulthood reduces risks of heart disease, type 2 diabetes, and early death.
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Does BMI Change Naturally With Age?
Your BMI often does increase as you age, but this doesn’t mean it should. Studies show that adults typically gain 0.5 to 1 kilogram per year between ages 20 and 60. This weight gain happens because muscle mass decreases while body fat increases, a process called sarcopenia.
However, this natural tendency doesn’t make it healthy. Research demonstrates that people who maintain a stable, healthy BMI throughout their lives have better health outcomes than those who gain weight with age. The key is building muscle through resistance training and staying active, which helps prevent the muscle loss that typically occurs after age 30.
Why Don’t BMI Targets Change With Age?
Medical evidence shows that health risks associated with excess weight don’t decrease as you get older. In fact, carrying extra weight in your 50s, 60s, and beyond increases your risk of:
- Cardiovascular disease
- Type 2 diabetes
- High blood pressure
- Osteoarthritis
- Certain cancers
- Reduced mobility and independence
A 2018 study in the Journal of the American Medical Association tracked over 24,000 adults and found that those who maintained a BMI between 18.5 and 24.9 throughout middle age had significantly lower mortality rates than those whose BMI increased into the overweight or obese categories.
Are There Special Considerations for Older Adults?
While the BMI ranges stay the same, there are some important factors to consider for people over 65. Research suggests that being slightly overweight (BMI 25-27) may actually be protective for older adults, particularly those over 75. This is sometimes called the “obesity paradox.”
The reason is that older adults with a bit of extra weight may have more reserves to draw on during illness or recovery from surgery. However, this doesn’t mean obesity is healthy at any age. A BMI over 30 still increases health risks even in older adults.
What Are BMI’s Limitations?
BMI has several important limitations you should know about:
- It doesn’t distinguish between muscle and fat
- It doesn’t measure where fat is stored on your body
- It may not be accurate for very muscular people
- It doesn’t account for bone density
- It may underestimate body fat in older adults who have lost muscle mass
Athletes and people who do regular strength training often have higher BMIs because muscle weighs more than fat. A bodybuilder with very low body fat might have a BMI in the overweight or even obese range, but this doesn’t mean they’re unhealthy.
What Other Measurements Should You Consider?
Health professionals recommend looking at multiple measurements alongside BMI:
Waist circumference is particularly important because it indicates abdominal fat, which is more dangerous than fat stored elsewhere. For men, a waist measurement over 94 centimetres increases health risks. For women, the threshold is 80 centimetres.
Waist-to-hip ratio divides your waist measurement by your hip measurement. A ratio above 0.90 for men or 0.85 for women indicates increased health risks.
Body composition testing measures your actual percentage of body fat versus lean muscle mass. This gives a much more accurate picture than BMI alone.
How Can You Achieve a Healthy BMI?
Reaching and maintaining a healthy BMI requires a combination of proper nutrition and regular physical activity. Research shows that losing just 5 to 10 percent of your body weight can significantly improve your health, even if you don’t reach the “healthy” BMI range.
The most effective approach includes:
- Eating a balanced diet with plenty of vegetables, fruits, whole grains, and lean proteins
- Reducing processed foods high in sugar and saturated fat
- Doing at least 150 minutes of moderate-intensity exercise per week
- Including strength training twice per week to build and maintain muscle
- Getting adequate sleep (7-9 hours per night)
- Managing stress through healthy coping strategies
A 2021 study in Diabetes Care found that people who combined diet changes with regular exercise were three times more likely to maintain weight loss over five years compared to those who only changed their diet.
Should Children and Teenagers Use the Same BMI Ranges?
No. BMI calculations for children and teenagers aged 2 to 18 are different because their bodies are still growing and developing. Doctors use BMI-for-age percentile charts that compare a child’s BMI to others of the same age and sex.
For children, healthy weight is defined as:
- Underweight: Below the 5th percentile
- Healthy weight: 5th to 85th percentile
- Overweight: 85th to 95th percentile
- Obese: 95th percentile and above
These percentiles account for the normal changes in body composition that occur during growth and puberty.
When Should You Talk to a Doctor About Your BMI?
You should consult a healthcare professional if:
- Your BMI is outside the healthy range
- You’ve gained or lost significant weight without trying
- You have health conditions affected by weight, such as diabetes or high blood pressure
- You’re struggling to lose weight despite diet and exercise efforts
- You’re considering weight loss medication or surgery
A doctor can assess your overall health, not just your BMI, and help you develop a safe, effective plan for reaching a healthy weight. They can also check for underlying medical conditions that might be affecting your weight.
Frequently Asked Questions
Does BMI apply to all ethnic groups?
Research shows that BMI thresholds may need adjustment for some populations. People of Asian descent tend to have higher health risks at lower BMI levels. Some health organizations recommend using a BMI of 23 as the upper limit of healthy weight for Asian adults, rather than 25.
Can you be healthy with a high BMI?
Some people with BMIs in the overweight range are metabolically healthy, meaning they don’t have high blood pressure, high cholesterol, or insulin resistance. However, research shows that most people with high BMIs will eventually develop health problems, even if they seem healthy now.
Is it harder to maintain a healthy BMI as you age?
Yes, maintaining a healthy weight becomes more challenging with age due to hormonal changes, decreased muscle mass, and often reduced activity levels. However, it’s not impossible. Regular strength training and staying active can help you maintain muscle mass and a healthy metabolism.
Should I focus on BMI or body fat percentage?
Body fat percentage gives a more accurate picture of your health than BMI alone. However, BMI is easier to measure and still provides useful information for most people. Ideally, consider both measurements along with waist circumference for the most complete assessment.
How quickly should I try to change my BMI?
Safe, sustainable weight loss is typically 0.5 to 1 kilogram per week. Losing weight too quickly can lead to muscle loss, nutritional deficiencies, and makes it more likely you’ll regain the weight. Slow, steady changes to your eating and exercise habits produce the best long-term results.
The Bottom Line
The answer to “What should my BMI be for my age?” is straightforward: for adults 18 and over, a healthy BMI remains between 18.5 and 24.9 regardless of age. While your body composition naturally changes as you get older, maintaining a healthy BMI throughout your life reduces your risk of chronic diseases and helps you stay active and independent.
Remember that BMI is just one tool for assessing health. It works best when combined with other measurements like waist circumference and body composition, along with regular check-ups with your doctor. Focus on building healthy habits around nutrition and exercise rather than obsessing over a single number. These lifestyle changes will benefit your health at any age, regardless of where your BMI currently sits.


