Why adult BMI bands do not work for children
Adult BMI uses fixed category cutoffs because adult growth has stabilised. In children and teenagers, the same BMI value can mean something very different at age 4, 10, or 17, and the expected range also differs between boys and girls. That is why paediatric BMI is a screening measure based on BMI-for-age percentile, not a direct diagnosis.
The most useful question is not only “what is the BMI?” but “where does this BMI sit on the growth chart for this child’s age and sex?” A percentile result helps clinicians judge whether the measurement falls below, within, or above the usual range for peers.