The BMI formula divides body weight in kilograms by the square of height in metres. For imperial inputs (pounds, inches), the formula multiplies by 703 to keep the same numeric scale. The result lands in one of four standard categories under the WHO global framework: Underweight (under 18.5), Normal (18.5-24.9), Overweight (25-29.9), Obese (30+). The Asian-Indian framework shifts these down by 2 units: Overweight at 23+, Obese at 25+ - reflecting the increased disease risk South Asian populations carry at lower body weights.
BMI is not a measure of body composition. It can't distinguish between muscle, fat, bone or water - it's simply a weight-for-height ratio. A 1.75m tall, 80kg muscular athlete has the same BMI (26.1) as a 1.75m tall, 80kg sedentary office worker, even though their body compositions are wildly different. For most non-athletic adults aged 20-65, BMI correlates well with body fat percentage. For competitive athletes, bodybuilders, the elderly (with sarcopenia), and pregnant women, BMI is unreliable - use body fat percentage, waist circumference, or DEXA scan instead.
Beyond BMI, two related measurements add critical context: waist circumference and waist-to-hip ratio. WHO recommends waist circumference under 90cm for men and 80cm for women in South Asia. The Indian Diabetes Federation considers waist over 90cm (men) or 80cm (women) as a key metabolic syndrome criterion. Even normal-BMI individuals with high waist circumference carry elevated cardio-metabolic risk - the so-called 'skinny fat' phenotype common among urban Indians.