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Adjusted Body Weight (ABW): formula, meaning, and when to use it
Adjusted Body Weight (often abbreviated ABW or AdjBW) is a practical “middle” weight used in
some clinical and sports-nutrition calculations. The idea is simple:
when someone’s current (actual) weight is significantly above their Ideal Body Weight (IBW),
using actual weight in an equation can sometimes overestimate needs (for example, in certain medication dosing or nutrition equations),
because not all “extra” body mass behaves like lean tissue.
ABW aims to correct that by counting some of the difference between actual weight and IBW — not all of it.
That “some” is controlled by an adjustment factor (commonly 0.40, sometimes 0.25–0.50 depending on a protocol).
This calculator lets you pick the factor, because different use cases and institutions use different standards.
Step 1: Compute Ideal Body Weight (IBW)
ABW depends on IBW, so we compute IBW first using one of two popular height-based formulas:
Devine (most common in many clinical references) or Hamwi (another widely used classic).
Both use height above 5 feet (60 inches) and produce a reasonable “reference weight” for adults.
These formulas are not designed for children and do not account for body composition, age, or ethnicity —
they are simple height-based estimates.
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Devine IBW (lb):
Male: IBW = 50 kg + 2.3 kg × (inches over 60)
Female: IBW = 45.5 kg + 2.3 kg × (inches over 60)
(We convert kg to lb if you choose imperial inputs.)
-
Hamwi IBW (lb):
Male: IBW = 106 lb + 6 lb × (inches over 60)
Female: IBW = 100 lb + 5 lb × (inches over 60)
Important: If your height is below 5 feet, these equations still work mechanically by subtracting inches,
but the estimate becomes less reliable. That’s why this page is best treated as a calculator for learning and reference,
not a substitute for medical guidance.
Step 2: Decide whether ABW is appropriate
A common rule-of-thumb is to use ABW only when actual weight is at least 120% of IBW.
That’s why this calculator includes a drop-down for the “use ABW when weight ≥ ___ of IBW” threshold.
If your current weight is below that threshold, we’ll still show ABW, but we’ll label whether the “ABW assumption” is typically needed.
Step 3: Compute Adjusted Body Weight (ABW)
Once you have IBW, ABW is a one-line equation:
ABW = IBW + factor × (Actual Weight − IBW)
The most common factor is 0.40, which assumes about 40% of the weight above IBW behaves like “usable” mass
for the equation you’re feeding ABW into. A smaller factor like 0.25 is more conservative (counts less of the extra weight),
and a larger factor like 0.50 counts more of it.
What you get from this calculator
- IBW (ideal body weight) using your chosen method (Devine or Hamwi).
- ABW (adjusted body weight) using your chosen factor.
- % of IBW (your current weight divided by IBW), a quick indicator of how far above IBW you are.
- Difference between actual weight and IBW/ABW in both lb and kg (for easier interpretation).
Worked example (imperial)
Example: A male who is 5'10" (70 inches) and weighs 240 lb.
Using Devine:
- Inches over 60 = 70 − 60 = 10
- IBW = 50 kg + 2.3 kg × 10 = 73 kg
- 73 kg ≈ 160.9 lb
- % of IBW = 240 / 160.9 ≈ 149%
- ABW (factor 0.40) = 160.9 + 0.40 × (240 − 160.9)
- ABW ≈ 160.9 + 0.40 × 79.1 = 160.9 + 31.6 = 192.5 lb
Notice how ABW (≈ 192.5 lb) sits between IBW (≈ 160.9 lb) and actual weight (240 lb).
That is exactly the purpose of the adjustment.
Worked example (metric)
Example: A female who is 165 cm and weighs 92 kg.
First convert height to inches: 165 cm ≈ 64.96 inches (about 65 inches).
- Inches over 60 ≈ 5
- Devine IBW = 45.5 + 2.3 × 5 = 57.0 kg
- % of IBW = 92 / 57 ≈ 161%
- ABW (0.40) = 57 + 0.40 × (92 − 57) = 57 + 14 = 71 kg
If a protocol asked for a weight input that “partially” accounts for excess body mass,
ABW ≈ 71 kg could be the correct input. But always follow the protocol — some situations use actual weight or IBW instead.
Why ABW exists (the intuition)
Many human energy needs and drug distribution assumptions relate to lean tissue and body water more than to fat mass.
When body fat increases, total mass goes up, but not all equations should scale linearly with that mass increase.
ABW is a compromise: it counts only a portion of the mass above IBW as “effective” for the target equation.
That’s also why ABW is often paired with dosing guidance, renal equations, or nutrition planning — contexts where “which weight to use”
matters a lot.
That said, ABW is still a simplification. Two people can have the same height and weight but very different body composition,
and ABW will output the same number for both. If you need precision, methods like body composition assessment,
clinical judgment, or protocol-specific dosing guidance are more reliable.
This calculator is for educational use and general reference. It does not provide medical advice.
Always consult a qualified clinician for medication dosing, nutrition prescriptions, or health decisions.