How BMI Changes With Age and Why Cardiovascular Risk Matters

Written and medically reviewed by Dr Alireza Salehzadeh, GP, Hinchley Medical.

BMI is often treated as a fixed number that defines health. In reality, its meaning changes significantly as we age. What is considered a “healthy” BMI at 25 may not be appropriate at 65 — and focusing on the wrong target can sometimes increase, rather than reduce, cardiovascular risk.

Modern clinical guidance increasingly emphasises individualised weight targets, balancing BMI with blood pressure, cholesterol, blood sugar and overall cardiovascular health. Understanding how BMI should be interpreted across different life stages is essential for safe, effective and evidence-based weight management.

BMI Reference Ranges by Age

Adults aged 18–24 years

• Underweight: <18.5
• Healthy weight: 18.5–24.9
• Overweight: 25–29.9
• Obesity: ≥30

Adults aged 25–64 years

• Healthy weight: 18.5–24.9
• Overweight: 25–29.9
• Obesity class I: 30–34.9
• Obesity class II: 35–39.9
• Obesity class III: ≥40

Adults aged 65 years and over

• Lower-risk range: approximately 23–29
• Increased risk below <22 (frailty, sarcopenia)
• Increased risk above ≥30 (cardiometabolic disease)

Balancing BMI With Cardiovascular Risk

BMI alone does not define health. NICE guidance highlights the importance of assessing overall cardiovascular risk, including blood pressure, cholesterol, insulin resistance and fat distribution.

Medical Weight Loss at Hinchley Medical

At Hinchley Medical, Wegovy (semaglutide) and Mounjaro (tirzepatide) are prescribed as part of a clinician-led, NICE-aligned weight-management programme.

Frequently Asked Questions