Dr. Prabhat AryaMD · Internal Medicine
ConditionsKnow your condition

Your BMI, your risks, and your timeline.

Type your height and weight to see your BMI on the Indian cut-offs, what it means for your health, and how long a weight target may take: with food and activity alone, or with a weight-loss medicine added.

Reviewed by Dr. Prabhat Arya, MBBS, MD (Internal Medicine)

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Book a video consultationWork out my BMI

Work out your BMI.

Your height and weight are enough. Add your waist for a truer picture. Nothing you type leaves this phone.

Height
Weight
Waist (if you know it)

Measure midway between the lowest rib and the top of the hip bone, after breathing out gently.

What each BMI band means.

Body mass index is your weight in kilograms divided by your height in metres, squared. These are the cut-offs for Indian adults.

BMI Below 18.5

Underweight

Too little reserve. Weakness, getting ill more often, anaemia and thin bones are more likely. Losing weight without trying needs a check.

  • Weakness and tiredness
  • Infections more often
  • Anaemia
  • Thin bones (osteoporosis) in later life

BMI 18.5 to 22.9

Healthy weight

Weight itself adds little risk here. The waist still matters: fat around the tummy raises sugar and BP even at a healthy BMI.

  • Keep your waist below 90 cm (men) or 80 cm (women)
  • Keep active, and keep an eye on sugar and BP from 30

BMI 23 to 24.9

Overweight

Risk is starting to rise. For Indians this is where sugar, BP and liver fat begin to climb, earlier than on Western charts.

  • Prediabetes and type 2 diabetes
  • High BP
  • Fatty liver
  • High cholesterol and triglycerides

BMI 25 to 29.9

Obesity, grade 1

Risk is clearly raised. Losing 5 to 10 percent of your weight brings much of it down.

  • Type 2 diabetes
  • High BP, heart attack and stroke
  • Fatty liver
  • Snoring and sleep apnoea
  • Knee and back pain
  • PCOS and difficulty conceiving, in women
  • Gallstones

BMI 30 or more

Obesity, grade 2

Risk is high, and rises further with every step up. This is where medicines, and sometimes surgery, are worth discussing.

  • Everything in the band above, more often
  • Breathlessness and heart failure
  • Kidney damage
  • Some cancers, such as of the womb, bowel and breast
  • A shorter life, on average

The waist often says more than the scale: 90 cm (about 35 inches) or more in men, or 80 cm (about 31½ inches) or more in women, points to fat around the organs, even when the BMI looks normal. More on weight gain, waist and the tests worth doing.

The ways weight comes down.

From the first step everyone takes to the last that only a few need. Each step adds to the ones before it; none replaces them.

  1. FoodEating about 500 calories a day less than you use takes off roughly half a kilo a week. In an Indian kitchen that usually means smaller portions of rice, roti and sweets, more dal, curd, eggs or paneer, and fewer fried snacks and sugary drinks. A one-page diet chart.
  2. Movement and sleepA brisk 30-minute walk on most days, and some strength work twice a week to keep muscle. Seven hours of sleep: short sleep makes you hungrier.
  3. MedicinesWeekly injections such as semaglutide and tirzepatide quieten hunger. In studies they took off two to three times as much weight as food changes alone. In India they are approved for adults with a BMI of 30 or more, or 27 or more with an illness such as diabetes or high BP. How they work.
  4. SurgeryWeight-loss (bariatric) surgery, for severe obesity when other steps have not been enough, or when diabetes is hard to control. Decided with a surgical team.

What to expect.

In the large studies, people changing food and activity with regular follow-up lost about 5 to 7 percent of their weight in the first year. On semaglutide they lost about 15 percent over 68 weeks, and on tirzepatide about 21 percent over 72 weeks, alongside the same food and activity advice.

Weight comes off fastest in the first months and then levels off. That plateau is the body defending its weight, not failure.

When the medicines are stopped, most of the weight usually returns within a year. For most people they are a long-term treatment, like a BP medicine.

Questions people ask.

  1. What is a healthy BMI for Indians?

    18.5 to 22.9. For Indian adults a BMI of 23 to 24.9 counts as overweight and 25 or more as obesity, lower than the 25 and 30 on Western charts.

  2. Why are the Indian cut-offs lower?

    At the same weight and height, Indians tend to carry more body fat, and more of it around the organs. Diabetes and heart disease start at a lower BMI, so the cut-offs are set lower to catch the risk in time.

  3. Is BMI always right?

    No. It cannot tell muscle from fat, so a muscular person can read high. It reads less well in older people, in pregnancy, and it is not used the same way for children. That is why the waist matters as well.

  4. How fast is it safe to lose weight?

    About half a kilo to one kilo a week, on food and activity alone. Faster loss on a crash diet is mostly water and muscle, and comes back quickly.

  5. How much do I need to lose to feel the benefit?

    Less than most people think. Losing 5 to 10 percent of your weight, for example 5 to 10 kg from 100 kg, often brings sugar, BP and liver fat down noticeably.

  6. Can I get help with my weight online?

    Yes. On a video call Dr. Arya can go through your weight history, food, sleep, medicines and reports, plan the tests, and follow you up month by month. You weigh yourself at home and share the readings. How an online consultation works.

Where the numbers come from

  1. Consensus statement on BMI and waist cut-offs for Asian Indians (JAPI, 2009)
  2. Diabetes Prevention Program: food and activity changes (NEJM, 2002)
  3. STEP 1: semaglutide 2.4 mg in adults with overweight or obesity (NEJM, 2021)
  4. SURMOUNT-1: tirzepatide in adults with obesity (NEJM, 2022)
  5. STEP 1 extension: what happened in the year after stopping semaglutide (Diabetes, Obesity and Metabolism, 2022)

Study numbers are averages. One person can lose more or less than the average, and studies are not a promise of any result.

Talk it through with a doctor.

Bring your weight, height and waist, your reports, and every medicine you take. Dr. Arya, an internal medicine physician, goes through them with you and plans what fits your body and your life.

Book a video consultation

Dr. Prabhat Arya · MBBS, MD (Internal Medicine)