Adjusted Body Weight Calculator

Calculate ideal body weight (Hamwi) and adjusted body weight for clinical use when actual weight exceeds 130% of IBW, with dosing guidance.

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Ideal body weight (IBW)
72 kg
Hamwi formula
% of IBW
125%
Adjusted body weight
Not applicable
Only used when > 130% IBW
Clinical guidance
Weight to use for dosing:Ideal body weight (IBW)
Reason:

This calculator provides educational estimates using standard published formulas. Clinical dosing and nutritional decisions should always be made by a qualified healthcare professional using validated protocols.

Also in Body Metrics

Health — Body Metrics

Adjusted Body Weight Calculator

Adjusted body weight (AdjBW) is a clinical calculation used in pharmacokinetics and nutrition support for patients whose actual body weight exceeds their ideal body weight (IBW) by 30% or more. Using actual weight alone in an obese patient overestimates drug distribution into adipose tissue for many medications, while using IBW alone underestimates it. Adjusted body weight provides a more physiologically appropriate correction. This calculator computes IBW using the Hamwi formula and AdjBW = IBW + 0.4 × (ABW − IBW) when applicable.

The Hamwi IBW formula

The Hamwi formula, originally developed in 1964, remains widely used in clinical practice for its simplicity. For men: 48 kg for the first 5 feet of height, plus 2.7 kg for each inch over 5 feet. For women: 45.5 kg for the first 5 feet, plus 2.2 kg for each inch over 5 feet. The formula predicts IBW as a function of height only, without adjusting for age or body frame, making it a broad population-level estimate rather than an individualised ideal weight.

Multiple IBW formulas exist — Hamwi, Robinson, Devine, and Miller — and produce slightly different results. The Hamwi formula is most commonly used in dietetics and drug dosing contexts in the UK and US. The 0.4 correction factor in the AdjBW formula is based on the empirical observation that roughly 40% of excess body weight in obese patients consists of lean tissue (metabolically active mass), though this varies considerably with degree of obesity.

Frequently asked questions

When should AdjBW be used instead of actual weight?

AdjBW is most commonly used in clinical nutrition (tube feeding, parenteral nutrition) and for dosing certain drugs — particularly aminoglycoside antibiotics, vancomycin, and low molecular weight heparin — in patients weighing more than 130% of their IBW. For many other medications, actual weight or lean body mass calculations are preferred. Always follow individual drug dosing guidelines and local protocols.

What is the 30% threshold based on?

The 130% IBW threshold reflects the point at which the pharmacokinetic properties of many drugs change meaningfully in obese patients — lean tissue mass no longer increases proportionally with actual weight above this level. The threshold was established empirically and remains a practical clinical rule of thumb rather than a hard physiological boundary.

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