Aim & Objectives: To compare the association of body mass index among the elderly population living in old age homes and those lives along with their family members in Mangalore. Materials &Methods: 160 elderly individuals above 60 years of age were selected at random from old age homes and families (80 in each group) in Mangalore. Body mass index was calculated. Based on the BMI, the individuals were grouped into underweight, normal, overweight and obese category. Observations & Results: The percentage of underweight was significantly (p<0.01) higher among the elderly population living in the old age homes when compared to their counterparts staying with the families. Further, the percentage of overweight was found to be significantly (p<0.01) higher in elderly living with their family. Conclusion: Awareness has to be created among the elder people as well as their families on the importance of moderate physical exercise and weight reduction to prevent obesity and its associated diseases. National nutrition plans for older adults living in long-term care institutions should be considered as an important necessity.