Body mass index is your weight in kilograms divided by the square of your height in metres. It was devised in the 1830s by the Belgian statistician Adolphe Quetelet as a way of describing populations, not individuals — and that origin explains both its usefulness and its limits. Across a large group, average BMI tracks reasonably well with average body fatness and with rates of conditions like type 2 diabetes and cardiovascular disease. Applied to one person, it is a crude proxy that can be badly wrong in either direction.
How to measure yourself properly
Weigh yourself in the morning, after using the bathroom and before eating or drinking, wearing little or nothing, on the same scale each time. Body weight swings by one to two kilograms (two to four pounds) across a day from food, fluid and salt, so a single reading is noisy; the weekly average is the signal. For height, stand without shoes, heels together, back against a wall, looking straight ahead — most adults have lost a little height since the number on their driving licence was recorded, and using an old figure quietly inflates BMI.
What changes it
BMI moves when weight moves, and weight responds to energy balance over weeks and months rather than days. Strength training can raise it while body composition improves, which is one of the clearest illustrations of why the number alone is not the goal. Some medicines — corticosteroids, several antipsychotics and antidepressants, insulin, some seizure medicines — cause weight gain that has nothing to do with effort. Thyroid disease, fluid retention from heart or kidney conditions, and pregnancy all move weight for reasons a BMI band cannot interpret.
What to look at alongside it
Waist circumference tells you about abdominal fat, which is the deposit most closely tied to metabolic risk. Blood pressure, fasting glucose or HbA1c, and a lipid panel tell you what is happening inside. Fitness matters independently: people who are active carry lower risk at every BMI. If your BMI sits outside the healthy band, the productive next step is a conversation about those measures, not a target weight pulled from a chart.