Body Surface Area (BSA) Calculator

Calculate Body Surface Area using Du Bois and Mosteller formulas. Used for chemotherapy and medical dosing.

Calculate BSA for medical dosing.

About This Calculator

The Body Surface Area (BSA) Calculator determines your total skin surface area, a measurement used extensively in medicine for calculating drug dosages, assessing metabolic requirements, and evaluating burn severity. BSA provides a more accurate measure of body size than weight alone because it accounts for height, making it superior for standardizing treatments across patients of different sizes.

BSA is particularly critical in oncology, where chemotherapy doses are typically calculated per square meter of body surface area rather than by weight. This approach accounts for the relationship between body size and drug metabolism, helping to ensure therapeutic effectiveness while minimizing toxicity. BSA is also used to calculate cardiac index (cardiac output per m²), renal function indices, and fluid replacement requirements in burn patients.

Multiple formulas exist for calculating BSA, with the Du Bois and Mosteller formulas being most widely used. The Mosteller formula is preferred for its simplicity while maintaining accuracy. The average adult BSA ranges from 1.7-1.9 m², with men typically having larger BSA than women. Extremes of height or weight may require special consideration in clinical settings.

BSA Formulas

Du Bois: BSA = 0.007184 × Height^0.725 × Weight^0.425
Mosteller: BSA = √[(Height × Weight) ÷ 3600]

Height in cm, Weight in kg. Result in m² (square meters).

BSA Reference Values

CategoryTypical BSA (m²)Notes
Newborn0.20-0.25Special pediatric dosing needed
Child (5 years)0.70-0.80Age-adjusted formulas available
Adolescent1.40-1.70Approaching adult values
Adult Female1.60-1.80Standard reference range
Adult Male1.80-2.00Standard reference range
Large Adult2.00-2.50May need dose capping

Practical Example

A person 170 cm tall, weighing 70 kg: Mosteller BSA = √[(170 × 70) ÷ 3600] = √3.31 = 1.82 m². For a chemo drug dosed at 25 mg/m², dose = 25 × 1.82 = 45.5 mg.

Clinical Applications

  • Chemotherapy dosing—most oncology drugs use BSA-based dosing
  • Burn assessment—Rule of Nines estimates burn percentage
  • Cardiac index—normalizes cardiac output for body size
  • Pediatric dosing—safer than weight-based dosing for children
  • Dialysis—fluid removal and treatment adequacy calculations

Related tools: BMI Calculator for weight assessment, GFR Calculator for kidney function, and Creatinine Clearance Calculator for drug dosing.

Frequently Asked Questions

How is body surface area calculated?

Mosteller formula: BSA = √[(Height cm × Weight kg) ÷ 3600]. Du Bois: 0.007184 × Height^0.725 × Weight^0.425. Results in m². Average adult: 1.7-1.9 m².

Why is BSA used for drug dosing?

BSA correlates with metabolic rate and drug clearance better than weight alone. Chemotherapy uses BSA to standardize doses. Example: 25 mg/m² × 1.8 m² = 45 mg dose.

What is average body surface area?

Adult males: 1.8-2.0 m². Adult females: 1.6-1.8 m². Newborn: ~0.25 m². BSA increases with height and weight. Used for cardiac index, burn assessment, dialysis.