BSA Calculation Methods - Complete Guide to Body Surface Area Formulas

Comprehensive comparison of different BSA calculation formulas for medical professionals and researchers

What is Body Surface Area?

Body Surface Area (BSA) is the measured or calculated surface area of the human body. It is widely used in medicine, particularly to calculate drug dosages and assess metabolic processes.

Different formulas have been developed to calculate BSA, each optimized for specific populations or body types. Our calculator offers multiple formulas to provide the most accurate results for different individuals.

Available Calculation Formulas

DuBois & DuBois Formula

BSA = 0.007184 × Height(cm)^0.725 × Weight(kg)^0.425

The DuBois formula is one of the oldest and most widely used BSA formulas. Published in 1916, it's considered the standard formula for most adults and is commonly used in clinical settings.

Best for: Best for average-built adults with normal BMI values.

Limitations: May be less accurate for people with extreme body types (very tall, very short, or obese).

Mosteller Formula

BSA = √[(Height(cm) × Weight(kg)) / 3600]

The Mosteller formula (1987) is a simplified calculation that's easier to remember and calculate. It provides results very close to more complex formulas while being more accessible.

Best for: Suitable for all age groups and body types. Often used in pediatrics due to its simplicity and accuracy across different body sizes.

Limitations: None significant; it's widely accepted for general use.

Haycock Formula

BSA = 0.024265 × Height(cm)^0.3964 × Weight(kg)^0.5378

The Haycock formula was specifically developed to better estimate BSA in children and adolescents, taking into account their different body proportions compared to adults.

Best for: Optimized for children and adolescents of all ages, from infants to teenagers.

Limitations: While it can be used for adults, other formulas may be preferred for adult populations.

Schlich (Female) Formula

BSA = 0.000975482 × Height(cm)^0.46 × Weight(kg)^1.08

Part of the Schlich formulas developed in 2010, this version is specifically calibrated for female body composition, accounting for differences in fat distribution and body proportions.

Best for: Specifically designed for adult women, taking into account female-specific body composition.

Limitations: Not suitable for children or male patients.

Schlich (Male) Formula

BSA = 0.000579479 × Height(cm)^0.725 × Weight(kg)^0.425

The male-specific version of the Schlich formula, calibrated based on male body composition studies.

Best for: Specifically designed for adult men, accounting for male-specific body composition.

Limitations: Not suitable for children or female patients.

Fujimoto Formula

BSA = 0.008883 × Height(cm)^0.663 × Weight(kg)^0.444

The Fujimoto formula was developed based on studies of Asian populations, taking into account differences in body proportions compared to Western populations.

Best for: Optimized for Asian body types and proportions.

Limitations: May not be as accurate for non-Asian populations.

Takahira Formula

BSA = 0.007241 × Height(cm)^0.725 × Weight(kg)^0.425

The Takahira formula was developed specifically for Japanese populations based on extensive anthropometric studies in Japan.

Best for: Specifically calibrated for Japanese body types and proportions.

Limitations: Most accurate for Japanese populations; may be less accurate for other ethnicities.

Boyd Formula

BSA = 0.0003207 × Height(cm)^0.3 × Weight(g)^(0.7285 - 0.0188 × log(Weight(g)))

The Boyd formula uses a more complex calculation that adjusts for the non-linear relationship between weight and surface area in people with higher body mass.

Best for: Provides better accuracy for people with higher BMI values and obese individuals.

Limitations: The formula is more complex to calculate manually, though this isn't an issue when using a calculator.

Applications of BSA Calculation

Medical Dosage Calculation

BSA is widely used to calculate drug dosages, especially for medications with narrow therapeutic windows like chemotherapy drugs. Using the correct formula for the patient's demographic can improve dosage accuracy.

Burn Assessment

In burn treatment, BSA helps determine the extent of burns and guides fluid resuscitation requirements. Different formulas may be more accurate depending on the patient's age and body type.

Cardiac Output Estimation

BSA is used to index cardiac output and other hemodynamic parameters. Age and gender-specific formulas can provide more accurate normalization of these values.

Pediatric Care

Children have different body proportions than adults, making specialized formulas like Haycock essential for accurate BSA calculation in pediatric settings.

Research and Clinical Trials

Standardizing measurements across diverse populations often requires BSA normalization. Using population-specific formulas can reduce systematic errors in research data.

Why Different Formulas Matter

Human bodies vary significantly across age groups, genders, and ethnicities. These differences affect body proportions and composition, which in turn impact BSA calculations:

  • Children have larger heads and shorter limbs relative to their body size compared to adults.
  • Women typically have different fat distribution patterns than men.
  • Asian populations often have different body proportions compared to Western populations.
  • Obesity changes the relationship between weight and surface area in non-linear ways.

Using a formula that accounts for these differences can provide more accurate BSA values, which is crucial for applications like drug dosing where precision matters.

© 2025 BSA Calculator. This calculator is for reference only and should not replace professional medical advice.