As children grow and their bodies change, it's not always easy for parents to tell if a child falls within a healthy weight range. Body mass index, or BMI, is a way of describing height and weight in one number that can help tell if someone's weight is healthy.
The CDC and the American Academy of Pediatrics recommend BMI screenings for all kids ages 2 and older. Here's what you need to know about checking on your child's BMI and what to do once you know it.
What Is BMI for Kids?
BMI estimates how much body fat you have. It's based on height and weight. But for kids, height and weight alone aren't as accurate as they are for adults. Why? Because kids' body fat percentages change as they grow. Their BMIs vary based on their age and gender.
That's why when health care professionals talk about a child's BMI, you won't usually hear a plain number, like 25, but rather a percentile, like 75th. They show how a child's BMI compares to other children of the same age and gender. To calculate the BMI percentile -- which is also called "BMI for age" -- a health care provider or an online tool like WebMD’s FIT Kids BMI Calculator takes a kid's BMI (along with age and gender) and looks it up on a pediatric growth curve. This gives the child's BMI percentile.
BMI percentiles are grouped into weight categories:
- Underweight: below the 5th percentile
- Healthy Weight: 5th percentile to the 85th percentile
- Overweight: 85th percentile to the 95th percentile
- Obese: 95th percentile or higher
For example, a 6-year-old boy with a 75th percentile BMI has a higher BMI than 75 out of 100 6-year-old boys. That’s in a healthy weight range.
Talking With Your Pediatrician About BMI
Many parents assume that if their child had a high BMI, their pediatrician would tell them. But that's not always the case. Sometimes doctors may not bring up weight issues with parents. So if you're interested in your child's BMI percentile, it's best to ask directly.
Some school districts have started to measure all children's BMIs in school. The school then sends home a report card to alert parents to any weight issues. Although some parents don't like the idea of schools sending reports of their child's BMI, experts say that the point is not to embarrass anyone. It's to let parents know about a health problem with serious consequences.
Studies from the U.K. show that children's BMI report cards can work. One study found that after getting the report, about 50% of the parents with overweight children made some healthy changes to their lifestyle.