Ideal Weight Range for Asian Women of Average Height
For an Asian woman of average height (approximately 157-160 cm), the ideal weight range is 48-60 kg, corresponding to a BMI of 18.5-23.9 kg/m², with particular attention to maintaining waist circumference below 80 cm. 1, 2
Weight Calculation Based on Asian-Specific BMI Standards
Asian populations require lower BMI thresholds than Western populations due to higher body fat percentages and greater visceral adiposity at equivalent BMI levels. 1, 2, 3
For Average Height Asian Women (157-160 cm):
- Normal/healthy weight range: 48-60 kg (BMI 18.5-23.9 kg/m²) 1, 4
- Overweight threshold begins at 60 kg (BMI ≥23 kg/m²) 1, 2
- Obesity threshold begins at 65 kg (BMI ≥25 kg/m²) 1, 2, 3
Modified Devine Formula Application:
Using the modified Devine formula for women: 48.67 kg + 1.65 kg/inch of height >5 feet, an Asian woman of 5'2" (157 cm) would have an ideal body weight of approximately 52 kg. 5
Critical Distinction: Asian vs. Western Standards
The World Health Organization and American Diabetes Association recommend ethnicity-specific cutoffs for Asian populations because Asians develop cardiometabolic disease at BMI levels 2-3 kg/m² lower than Caucasians. 1, 2, 3
Key Differences:
- Western overweight threshold: BMI ≥25 kg/m² 6
- Asian overweight threshold: BMI ≥23 kg/m² 1, 2, 4
- Western obesity threshold: BMI ≥30 kg/m² 6
- Asian obesity threshold: BMI ≥25 kg/m² 1, 2, 3
Essential Complementary Measurement: Waist Circumference
BMI alone is insufficient for Asian women—waist circumference must be measured to identify metabolically obese normal weight (MONW) phenotype. 2
Waist Circumference Thresholds for Asian Women:
Asian women can have "normal" BMI (18.5-22.9 kg/m²) yet carry excess visceral fat and demonstrate insulin resistance, making waist circumference measurement mandatory. 2
Clinical Rationale for Lower Thresholds
Body Composition Differences:
- Asians have 2-3 kg/m² lower BMI for the same body fat percentage as Caucasians 2, 3
- Preferential visceral fat accumulation occurs in Asian populations, particularly South Asians 2
- Insulin resistance manifests even in lean Asian individuals 2
Disease Risk Profile:
- Cardiovascular disease, type 2 diabetes, and metabolic syndrome develop at BMI 22-25 kg/m² in Asian populations 3, 7
- The proportion of Asian people with high risk of type 2 diabetes and cardiovascular disease is substantial at BMIs lower than 25 kg/m² 3
Practical Application Algorithm
Step 1: Calculate BMI
Step 2: Assess Against Asian-Specific Standards
- BMI <18.5: Underweight 5, 1
- BMI 18.5-22.9: Normal weight (ideal range) 1, 4
- BMI 23.0-24.9: Overweight 1, 2
- BMI ≥25.0: Obese 1, 2, 3
Step 3: Measure Waist Circumference
- Measure at midpoint between superior iliac crest and lower margin of last rib 2
- If ≥80 cm: Increased risk regardless of BMI 1, 2, 4
- If ≥85 cm: High risk requiring intervention 4
Step 4: Screen for Metabolic Complications
- Fasting glucose, lipid panel (triglycerides, HDL-cholesterol), blood pressure 2
- Screen for insulin resistance markers even in lean individuals 2
Common Pitfalls to Avoid
Do not apply Western BMI standards (25/30 kg/m² cutoffs) to Asian women—this will miss 40-50% of individuals at increased cardiometabolic risk. 2, 3
Do not rely on BMI alone—a "normal weight" Asian woman with waist circumference ≥80 cm may have metabolically obese normal weight phenotype with significant health risks. 2
Do not assume all Asian populations are identical—South Asians demonstrate even greater insulin resistance and visceral adiposity than East Asians at equivalent BMI levels. 2