Waist-to-height ratio
<templatestyles src="Module:Hatnote/styles.css"></templatestyles>
A person's waist-to-height ratio (WHtR), also called waist-to-stature ratio (WSR), is defined as their waist circumference divided by their height, both measured in the same units. The WHtR is a measure of the distribution of body fat. Higher values of WHtR indicate higher risk of obesity-related cardiovascular diseases; it is correlated with abdominal obesity.[1]
A 2010 study that followed 11,000 subjects for up to eight years concluded that WHtR is a much better measure of the risk of heart attack, stroke or death than the more widely used body mass index.[2] However, a 2011 study that followed 60,000 participants for up to 13 years found that waist-hip ratio (when adjusted for BMI) was a better predictor of ischaemic heart disease mortality than WHtR.[3]
Conversely, WHtR was not a predictor for new-onset diabetes melitus in at least one study.[4]
A WHtR of over 0.5 is critical and signifies an increased risk; a 2010 systematic review of published studies concluded that "WHtR may be advantageous because it avoids the need for age-, sex- and ethnic-specific boundary values".[5] For people under 40 the critical value is 0.5, for people aged 40–50 the critical value is between 0.5 and 0.6, and for people over 50 the critical values start at 0.6.[6]
| Subjects | Waist-to-height ratio |
|---|---|
| Marilyn Monroe | 0.3359 |
| Beyonce | 0.3881 |
| Female college swimmer | 0.4240 |
| Male college swimmer | 0.4280 |
| Bodybuilder | 0.4580 |
| Female at increased risk | 0.4920 |
| General healthy cutoff | 0.5000 |
| Risk equivalent to BMI of 25 | 0.5100 |
| Males at increased risk | 0.5360 |
| Risk equivalent to BMI of 30 | 0.5700 |
| Obese | 0.5770 |
| Substantial risk increase | 0.5820 |
As a comparative, the following table categorises the boundaries of persons in terms of health:[7][8]
| Children (up to 15) | Men | Women | Categorisation | Examples |
|---|---|---|---|---|
| <0.34 | <0.34 | <0.34 | Extremely Slim | Marilyn Monroe (0.3359) |
| 0.35 to 0.45 | 0.35 to 0.42 | 0.35 to 0.41 | Healthy Slim | Beyonce (0.3881) Kate Moss (0.3882) |
| 0.46 to 0.51 | 0.43 to 0.52 | 0.42 to 0.48 | Healthy | Female College Swimmer (0.4240) Male College Swimmer (0.4280) Ashley Graham (plus sized model) (0.4354) Body Builder (0.4580) |
| 0.52 to -.63 | 0.53 to 0.57 | 0.49 to 0.53 | Overweight | Female at increased risk (0.4920) Male at increased risk (0.5360) |
| 0.64 + | 0.58 to 0.62 | 0.54 to 0.57 | Very Overweight | |
| 0.63 + | 0.58 + | Morbidly Obese |
See also
- Waist-hip ratio
- Body adiposity index
- Body volume index
- Body mass index
- Sagittal Abdominal Diameter (SAD)
- Body fat percentage
- Body water
- Allometric law
- Ponderal index
- Rohrer's index
References
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Ashwell, M., Gunn, P. & Gibson, S., 2012. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obesity Reviews, 13, pp.275–286. Available at: http://www.ashwell.uk.com/images/2012 Ashwell Gunn and Gibson Ob Revs.pdf [Accessed March 25, 2014].
- ↑ Schneider, H.J. et al., 2010. The predictive value of different measures of obesity for incident cardiovascular events and mortality. The Journal of clinical endocrinology and metabolism, 95(4), pp.1777–85. Available at: http://press.endocrine.org/doi/full/10.1210/jc.2009-1584 [Accessed March 30, 2014].
