Objective: To investigate the relationship between body mass index (BMI), haemoglobin (Hb) concentration and work productivity in Indonesian female industrial workers engaged in cigarette rolling. Design: Randomized-strati®ed, cross-sectional study. Setting: A clove cigarette factory in Central Java Province, Indonesia. Subjects: Two-hundred and thirty female cigarette-rollers. Methods: Anthropometric variables (height, weight, mid-upper arm circumference, BMI), body composition (lean body mass and fat mass from skinfolds thicknesses), Hb, work productivity (cigarettesahour) were determined. Results: Of the 230 selected subjects 40.4% were anaemic and 41.3% had BMI`18.5. Average production was 620 AE 86 cigarettesah. Productivity was positively correlated with work experience (r 0.214, P`0.01), lean body mass (r 0.183, P`0.01), height (r 0.150, P`0.05), Hb (r 0.141, P`0.05), and arm muscle area (r 0.120, P`0.05). Anaemic subjects produced 4.9% less (P`0.01) than the non-anaemic ones. No linear relationship existed between BMI and productivity, but subjects with a BMI`18.5, or`17.0, produced respectively 5.1% (P`0.05) and 6.8% (P`0.05) less than subjects with BMI between 18.5±22.5. Conclusions: Work productivity of persons with low BMI and Hb may be reduced. However, BMI was not a good screening tool to detect low producers. When using BMI`18.5 and a production`550 cigarettesah as cut-offs sensitivity (64.7%) and speci®city (55.5%) were low.