What is my body mass index (BMI) given a height of 5 feet 3 inches and a weight of 154 pounds?

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Your BMI is 27.3 kg/m², which places you in the overweight category

BMI Calculation

For your height of 5 feet 3 inches (63 inches or 160 cm) and weight of 154 pounds (69.9 kg), your calculated BMI is 27.3 kg/m². 1, 2

  • The formula used is: weight (kg) / [height (m)]² = 69.9 / (1.60)² = 27.3 kg/m² 3
  • Alternatively in imperial units: [weight (pounds) / height (inches)²] × 703 = [154 / (63)²] × 703 = 27.3 kg/m² 2

What This Means for Your Health

Your BMI of 27.3 kg/m² falls into the "overweight" category (BMI 25.0-29.9 kg/m²), which is associated with increased health risks compared to the healthy weight range of 18.5-24.9 kg/m². 4, 1

Health Risk Implications

  • Being overweight increases your risk for cardiovascular disease, type 2 diabetes, hypertension, certain cancers (including breast, colon, and endometrial), and stroke 4, 1
  • The American Heart Association notes that health risk increases progressively at higher BMI levels, even within the overweight range 4
  • Mortality risk increases approximately log-linearly once BMI exceeds 25.0 kg/m², with a hazard ratio of 1.07-1.20 for the overweight range 5

When Weight Loss Treatment Is Indicated

You should pursue weight loss if you have any of the following cardiovascular risk factors or obesity-related conditions: 4, 2

  • Diabetes or prediabetes
  • Hypertension (high blood pressure)
  • Dyslipidemia (abnormal cholesterol levels)
  • Elevated waist circumference (>35 inches or 88 cm for women; >40 inches or 102 cm for men)
  • Sleep apnea
  • Osteoarthritis
  • Gastroesophageal reflux disease

If you do not have any of these conditions, you should focus on preventing further weight gain rather than necessarily losing weight. 4, 2

Additional Assessment Needed

BMI alone does not tell the complete story—you should also measure your waist circumference for a more accurate cardiovascular risk assessment. 4, 1, 2

  • A waist circumference >35 inches (88 cm) for women or >40 inches (102 cm) for men indicates increased cardiovascular risk, even if BMI is in the overweight rather than obese range 4, 1
  • Central (abdominal) fat carries greater health risks than fat distributed elsewhere 2

Important Caveats

  • BMI does not distinguish between muscle mass and fat mass, so individuals with high muscle mass may be misclassified as overweight 1, 2
  • BMI has good specificity (90%) but low sensitivity (50%) for diagnosing excess body fat 2
  • For Asian populations, lower BMI thresholds apply: overweight is defined as BMI ≥23.0 kg/m² and obesity as BMI ≥25.0 kg/m² due to higher body fat percentages and visceral adiposity at lower BMI values 1, 3

Recommended Actions

If you have cardiovascular risk factors, aim for a 5-10% weight loss through diet, physical activity, and behavioral changes. 4

  • A 5-10% weight reduction (approximately 8-15 pounds for you) can meaningfully improve blood pressure, cholesterol, and blood sugar control 4, 1
  • Target a slow, steady weight loss of 1-2 pounds per week for sustainable results 4

If you do not have risk factors, focus on preventing additional weight gain by: 4, 2

  • Monitoring your weight regularly (weekly or monthly)
  • Adjusting food intake if you gain more than a few pounds
  • Engaging in at least 150 minutes per week of moderate-intensity physical activity 2
  • Limiting portion sizes and calorie-dense foods 1

References

Guideline

BMI Requirements for Healthy Weight

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline‑Recommended Comprehensive Obesity Risk Assessment

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

BMI Calculation and Classification for Adults

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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