⚕️Adjusted Body Weight Calculator

Calculate your Adjusted Body Weight (ABW) for medication dosing and clinical applications

Last updated: November 7, 2025

If you're trying to lose weight healthily and effectively, this adjusted body weight calculator is the tool for you. You may also find it handy if you're a professional dietitian, as using this calculator will allow you to save time calculating your patient's needs and thus make your work easier, quicker, and more efficient.

Read on to find the adjusted body weight formula, and learn how to calculate adjusted body weight on your own.

We try our best to make our calculators as precise and reliable as possible. However, this tool can never replace a professional doctor's assessment. If any health condition bothers you, consult a physician.

What is Adjusted Body Weight?

Adjusted body weight (sometimes abbreviated to AjBW) is a measure used for calculating a person's nutritional needs, popular among dietitians when they are tasked with setting up a weight loss program. It is especially useful when the patient is overweight or obese. As adipose tissue is less metabolically active than lean tissue, using actual body weight for calculating one's energy requirements might result in some overestimations for people above their healthy BMI. Hence, it's often recommended to use AjBW instead.

Adjusted body weight is also commonly used in clinical settings for medication dosing, especially for obese patients. It helps prevent medication overdosing by accounting for the fact that fat tissue has different pharmacokinetic properties than lean tissue.

How to Use the Adjusted Body Weight Calculator?

To use our calculator, follow these instructions:

  1. Provide the calculator with your sex.
  2. Input your height.
  3. Input your actual body weight.

The adjusted body weight calculator will use your sex, height and weight to figure out your ideal weight, which is a component of the adjusted body weight formula. Please note that there are several accepted equations used for calculating ideal weight based on slightly different scientific theories. However, the differences in results are practically negligible, so you shouldn't worry about them. You can read more about these theories at our ideal weight calculator. In this calculator, we use the Devine formula.

The calculator will use the values you provided to calculate your AjBW and display it to you in the results section.

How to Calculate Adjusted Body Weight?

Of course, our calculator will do the work for you quickly and effectively. Nevertheless, it may be worth knowing how to calculate adjusted body weight on your own, as you never know when you will find yourself needing to give nutritional advice with no device to access our calculator at hand!

To calculate AjBW, the following adjusted body weight formula is used:

AjBW = IBW + 0.4 × (ABW - IBW)

where:

  • AjBW is adjusted body weight
  • IBW is ideal body weight
  • ABW is actual body weight

Ideal body weight, according to Devine's formula, is calculated as follows:

For men:

IBW = 50 + 0.9 × (Height in cm - 152)

For women:

IBW = 45.5 + 0.9 × (Height in cm - 152)

The factor of 0.4 in the adjusted body weight formula accounts for the fact that adipose tissue is less metabolically active than lean tissue. This means that when calculating nutritional needs or medication dosages, only 40% of the excess weight (above ideal body weight) is considered.

Calculating Adjusted Body Weight: Example

Let's say we want to determine the nutritional needs for a man who is 180 centimeters tall and weighs 90 kilograms. From the ideal weight formula, we get that his ideal weight would be approximately 75.2 kilos. So we know that:

  • IBW = 75.2 kg
  • ABW = 90 kg

All we need to do is input these numbers into the adjusted body weight formula:

AjBW = IBW + 0.4 × (ABW - IBW)

AjBW = 75.2 kg + 0.4 × (90 kg - 75.2 kg)

AjBW = 75.2 kg + 0.4 × 14.8 kg

AjBW = 75.2 kg + 5.92 kg

AjBW = 81.12 kg

Now we know that when it comes to setting up a daily diet or calculating medication dosages, this particular man should be treated as if he weighed 81.12 kilograms instead of his actual 90 kilograms.

Limitations of the Adjusted Body Weight Calculator

It's essential to keep in mind that the adjusted body weight calculator is not appropriate in all situations. One should only use it when their excess weight comes from adipose tissue.

For example, many athletes weigh more than their appearance may suggest, and their simple BMIs are theoretically above the healthy level. Their "excess" weight comes from lean muscle tissue. In this case, AjBW does not apply. Also worth mentioning - for such individuals, it's recommended to use FFMI, rather than BMI. You can explore more by visiting our FFMI calculator and BMI calculator.

Another case where you should not rely on your adjusted body weight to calculate your needs is during pregnancy. If you're expecting a child and you're interested in how it might affect your weight, as well what a healthy diet is for you and your child, please refer to our pregnancy weight gain calculator.

Additionally, adjusted body weight should not be used for individuals who are underweight or at their ideal body weight. In these cases, actual body weight should be used for nutritional and medication calculations.

Frequently Asked Questions

What is Adjusted Body Weight (ABW)?

Adjusted Body Weight (ABW) is a clinical calculation used primarily for medication dosing in obese patients. It accounts for the fact that excess body fat may not require the same medication dosage as lean body mass. ABW = IBW + 0.4 × (Actual Weight - IBW).

How do I calculate Adjusted Body Weight?

To calculate ABW: 1) Calculate Ideal Body Weight (IBW) based on height and gender, 2) If actual weight > IBW, calculate ABW = IBW + 0.4 × (Actual Weight - IBW). If actual weight ≤ IBW, ABW = actual weight. The 0.4 factor accounts for the reduced medication distribution in adipose tissue.

What is Ideal Body Weight (IBW)?

Ideal Body Weight is an estimate of optimal weight based on height and gender. For men: IBW = 50 + 0.9 × (Height in cm - 152). For women: IBW = 45.5 + 0.9 × (Height in cm - 152). IBW is used as a baseline for calculating Adjusted Body Weight.

When is Adjusted Body Weight used?

ABW is primarily used in clinical settings for medication dosing, especially for obese patients (BMI > 30). It helps prevent medication overdosing by accounting for the fact that fat tissue has different pharmacokinetic properties than lean tissue. Always consult healthcare professionals for medication dosing.

What is the difference between Actual Weight, Ideal Body Weight, and Adjusted Body Weight?

Actual Weight is your current measured weight. Ideal Body Weight is an estimated optimal weight based on height and gender. Adjusted Body Weight is a clinical calculation that adjusts for excess weight when actual weight exceeds IBW, used primarily for medication dosing.

Can I use ABW for weight loss goals?

ABW is a clinical tool for medication dosing, not a weight loss target. For weight loss goals, consult with healthcare professionals who can help you set appropriate targets based on your individual health status, body composition, and medical history.