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Is a BMI of 45 obese?

A BMI of 45 is higher than over 99% of men worldwide and over 99% of American men. For women it is above the 99th percentile worldwide, and the WHO files it under "obese".

Percentile
>99%
of men worldwide have a BMI below 45
BMI 45

ObeseWHO category. BMI is a comparison with a population, not a diagnosis: it does not know muscle from fat, or where the weight sits.

BMI 45 by group

Men

Share of men with a BMI under 45, by country
GroupMeanBMI below yours1 in X
World24.5>99%under 1 in 10,000
India21.8>99%under 1 in 10,000
China24.3>99%under 1 in 10,000
United States29.0>99%1 in 203
Indonesia22.6>99%under 1 in 10,000
Pakistan23.4>99%under 1 in 10,000
Nigeria22.6>99%under 1 in 10,000
Brazil26.5>99%1 in 5,345
Bangladesh21.4>99%under 1 in 10,000
Russia26.0>99%1 in 3,628
Mexico27.6>99%1 in 1,283
Norway27.4>99%under 1 in 10,000

Women

Share of women with a BMI under 45, by country
GroupMeanBMI below yours1 in X
World24.8>99%1 in 1,783
India22.0>99%under 1 in 10,000
China23.6>99%under 1 in 10,000
United States29.199%1 in 80
Indonesia23.9>99%under 1 in 10,000
Pakistan24.8>99%1 in 1,783
Nigeria24.0>99%1 in 2,831
Brazil27.0>99%1 in 631
Bangladesh22.1>99%1 in 9,041
Russia26.7>99%1 in 411
Mexico28.699%1 in 192
Norway26.3>99%1 in 6,191

Percentile is the share of the group with a BMI below this one. “1 in X” counts the rarer side: people at or beyond this value above the median, at or under it below. Percentiles are estimated from a normal distribution with each group's mean and standard deviation.

What this means

  • For a man of 180 cm (5 ft 11 in), a BMI of 45 is 146 kg (321 lb). For a woman of 165 cm (5 ft 5 in) it is 123 kg (270 lb).
  • A BMI of 45 is higher than over 99% of men in every one of the 186 countries in our data, the United States included.
  • BMI is weight divided by height squared. A rugby forward and a desk worker can share a number and little else, which is why doctors measure waists too.

Questions

Is a BMI of 45 obese?
Yes by the WHO cut-offs: 30 and over is obese, and 40 and over is class III. A BMI of 45 is higher than over 99% of men and over 99% of women worldwide, and over 99% of men and 99% of women in the United States.
How common is a BMI of 45?
Worldwide, about under 1 in 10,000 men and 1 in 1,783 women have a BMI of 45 or more. The global mean is 24.5 for men and 24.8 for women.
What weight is a BMI of 45?
It depends on height. At 160 cm a BMI of 45 is 115 kg (254 lb); at 170 cm, 130 kg (287 lb); at 180 cm, 146 kg (321 lb); at 190 cm, 162 kg (358 lb).

Source: NCD Risk Factor Collaboration, Lancet 2017, age-standardised mean BMI for 2016. Country SDs where published, otherwise the global SD. Percentiles on this page are our estimate from a normal distribution with the stated mean and SD.

Height and weight in, your BMI and country percentile out.

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