Adjusted BMI Formula:
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The Adjusted BMI calculation accounts for missing limb weight in amputees by adjusting the standard BMI value based on the percentage of body mass lost to amputation. This provides a more accurate assessment of body composition for individuals with limb loss.
The calculator uses the adjusted BMI formula:
Where:
Explanation: The equation compensates for the reduced total body weight in amputees by proportionally increasing the BMI value.
Details: Standard BMI calculations can significantly underestimate obesity in amputees. Adjusted BMI provides more accurate classification of weight status, which is important for nutritional assessment and health risk evaluation.
Tips: Enter standard BMI in kg/m² and amputation percentage (0-99%). Typical amputation percentages: hand (0.7%), below elbow (2.3%), above elbow (2.7%), foot (1.5%), below knee (5.9%), above knee (8.5%).
Q1: Why adjust BMI for amputees?
A: Standard BMI assumes full body mass. Amputees have reduced total weight but similar metabolic needs, so adjusted BMI prevents underestimation of obesity.
Q2: How is amputation percentage determined?
A: Percentage estimates are based on standardized tables of body segment mass percentages. Clinical assessment may provide more precise values.
Q3: What BMI categories apply to adjusted BMI?
A: Use standard BMI categories (underweight <18.5, normal 18.5-24.9, overweight 25-29.9, obese ≥30) with the adjusted value.
Q4: Does this work for multiple amputations?
A: Yes, sum the percentages for all amputated limbs (but total must be less than 100%).
Q5: Are there limitations to this adjustment?
A: This method assumes proportional fat and lean mass loss, which may not always be accurate. Clinical judgment is still important.