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Ideal Body Weight is defined as the weight one should maintain to maximize health and minimize disease states. Although the term originated for use with medications dosages for hospitalized patients, it is now used widely for assessing a healthy body.
While Body Mass Index (BMI) is a ratio of weight to height, ideal body weight (IBW) accounts for height and gender (and assumes a healthy fat-to-muscle ratio) and helps gain a more individualized view of body weight in practice with other anthropometric measures.
IBW is helpful in establishing reasonable weight values for healthcare and performance goals for fitness-related physical activity, even though it does not differentiate between muscle mass, bone density or fat distribution.
Here are some widely used formulas to calculate Ideal Body Weight:
Formula | Male | Female |
Devine | 50 + 2.3 × (height in inches – 60) | 45.5 + 2.3 × (height in inches – 60) |
Hamwi | 48 + 2.7 × (height in inches – 60) | 45.5 + 2.2 × (height in inches – 60) |
Robinson | 52 + 1.9 × (height in inches – 60) | 49 + 1.7 × (height in inches – 60) |
Miller | 56.2 + 1.41 × (height in inches – 60) | 53.1 + 1.36 × (height in inches – 60) |
These formulas are most accurate for adults over 18 years and are commonly used in clinical settings.
Evaluating weight status when BMI may be skewed by muscle mass or bone density
Though IBW is not classified in ranges like BMI, one can estimate their weight status by comparing their actual weight to IBW:
Weight Status | % of IBW |
Underweight | <90% |
Normal Weight | 90% – 110% |
Overweight | 110% – 120% |
Obese | >120% |
These percentages help individuals assess how close or far their weight is from the calculated ideal body weight.
While IBW provides a general estimate, it can be refined based on individual differences. These include body frame size, muscle mass, age, and gender. These adjustments enhance the accuracy of weight assessments.
Frame size influences how much weight a person should ideally carry. People with larger skeletal frames tend to have higher healthy weight ranges due to increased bone mass.
To estimate frame size:
Wrist Circumference Method (in inches):
Height | Small Frame | Medium Frame | Large Frame |
Women < 5’2″ | >5.5 | 5.5–5.75 | <5.75 |
Women 5’2″–5’5″ | >6 | 6–6.25 | <6.25 |
Women > 5’5″ | >6.25 | 6.25–6.5 | <6.5 |
Men | >7.5 | 6.5–7.5 | <6.5 |
Adjustment:
Subtract 10% for a small frame
Ideal Body Weight (IBW) continues to be a simple defining metric for identifying an individual’s ideal healthiest weight range. IBW is a useful descriptor for both individuals and healthcare providers to assess their health-related goals with regard to maintaining a healthy weight when used with BMI, body fat percentage, and waist measurements. As with BMI, using IBW optimally requires the involvement of trained healthcare providers who can contextualize the metrics and numbers related to the individual’s physical fitness, their health status, and lifestyle.
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