What is the Body Mass Index (BMI) of a 23-year-old female who is 157 cm tall and weighs 87 kg?

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BMI Calculation for 23-Year-Old Female

The BMI is 35.3 kg/m², which corresponds to answer C (35), placing this patient in obesity class II. 1

Calculation Method

The BMI formula is straightforward: weight in kilograms divided by height in meters squared 1:

  • Weight: 87 kg
  • Height: 1.57 m (157 cm converted to meters)
  • Calculation: 87 ÷ (1.57)² = 87 ÷ 2.4649 = 35.3 kg/m²

Clinical Classification

This BMI of 35.3 kg/m² falls into obesity class II (BMI 35.0-39.9 kg/m²), which carries "very high" disease risk for type 2 diabetes, hypertension, and cardiovascular disease. 1

The standard adult BMI categories are 1:

  • Normal weight: 18.5-24.9 kg/m²
  • Overweight: 25.0-29.9 kg/m²
  • Obesity class I: 30.0-34.9 kg/m²
  • Obesity class II: 35.0-39.9 kg/m² (this patient)
  • Obesity class III (severe): ≥40 kg/m²

Health Risk Implications

At this BMI level, mortality risk increases substantially, and cardiovascular disease risk is classified as "very high." 1 The patient's young age (23 years) is particularly concerning, as obesity established in young adulthood strongly predicts lifelong obesity and associated complications 2.

Even a 10% weight loss (approximately 8.7 kg) would significantly reduce chronic disease risk factors including hypertension, hyperlipidemia, and hyperglycemia. 1

Additional Assessment Considerations

While BMI alone provides the answer to this question, comprehensive obesity assessment should include waist circumference measurement, as abdominal obesity (>88 cm in women) further stratifies cardiovascular risk independent of BMI 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Weight Centile Assessment in Adolescents

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 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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