Sunday, January 27, 2013


Waist-to-Height Ratio (WHtR)
The waist-to-height ratio (WHtR) is calculated by dividing your waist size by your height. The WHtR may give a more accurate assesment of health for serious athletes, especially body builders, who have a higher percentage of muscle and a lower percentage of body fat, or for women who have a "pear" rather than an "apple" shape. A WHtR under 50.0% is generally considered healthy.
Current guidelines, as given by the World Health Organization, or the National Heart, Lung and Blood Institute, only give values for waist circumference. Those at substantially increased risk have the same risk as someone with a BMI of 30. Assuming the average male is 5' 9", and the average female is 5' 4", here are the waist cutoff values, and the corresponding WHtR


Increased Risk
Substantially
Increased Risk

Waist (WHtR)
Waist (WHtR)
Men
37.0" (53.6%)
40.2" (58.3%)
Women
31.5" (49.2%)
34.6" (54.1%)
Here are some values of WHtR that I have come across:
SubjectsWHtR
Barbie Doll25.0%
Ken Doll36.0%
Female College Swimmers42.4%
Male College Swimmers42.8%
Willoughby Ideal45.8%
WHO Increased Risk Females49.2%
General Healthy Cutoff50.0%
NHANES Risk Equivalent to BMI of 2551.0%
WHO Increased Risk Males53.6%
WHO Substantially Increased Risk Females54.1%
NHANES Risk Equivalent to BMI of 3057.0%
Willoughby Obese57.7%
WHO Substantially Increased Risk Males58.2%
Conclusions about the NHANES data were lifted from Am J Clin Nutr 2002 76 743. An interesting perspective on height-to-waist ratio is provided in Int J Obes Relat Metab Disord. 2003 May; 27(5): 610-6. Also see Prev Med. 2005 Feb; 40(2): 216-20. Hsieh SD, Muto T., The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women.
As your weight changes, you can expect to lose about 1" from your waistline for each 6-8 lbs of weight loss.
Here's an excellent thesis on the predictive power of Waist-to-Height Ratio for overall fitness written by Captain Steven Swiderski at the Air Force Institute of Technology.