Why children get a percentile, not just a BMI
An adult BMI of 25 means the same thing at 30 or 60. A child's BMI does not work that way. It normally falls from about age 2 to age 5 or 6, then climbs through the teen years, and the curve differs for boys and girls. A BMI of 18 is high for a 4-year-old boy and ordinary for a 14-year-old girl.
That is why the CDC compares a child's BMI with children of the same sex and age in months. The result is a percentile: a boy at the 70th percentile has a higher BMI than 70 out of 100 boys his age in the CDC reference population. The categories come straight from those percentiles:
- Underweight: below the 5th percentile
- Healthy weight: 5th to less than the 85th
- Overweight: 85th to less than the 95th
- Obesity: 95th percentile or higher
- Severe obesity: BMI at or above 120% of the 95th percentile