Waist-to-Height & Waist-to-Hip Ratio

WHtR and WHR, markers of abdominal fat

Reviewed by the Nutricity editorial teamLast updated:
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How it's calculated

WHtR (waist-to-height ratio) = waist circumference / height (same unit).
WHR (waist-to-hip ratio) = waist circumference / hip circumference.

Both are dimensionless. Example: waist 90 cm and height 175 cm → WHtR = 0.51.

How to interpret the result

WHtR (applies to both sexes):

WHtRIndication
< 0.5Lower risk
0.5 – 0.6Increased risk
> 0.6High risk

WHR — increased risk above 0.90 (men) and 0.85 (women) (WHO thresholds). Important: these are screening indicators, not a diagnosis; thresholds can vary by population and age.

Why it matters

Abdominal fat is more closely tied to cardiovascular and metabolic risk than total weight. The WHtR rule of thumb — "keep your waist to less than half your height" — is simple and valid across ages.

For a complete picture pair it with BMI and ideal weight; waist also feeds the metabolic syndrome criteria.

How to measure correctly

  • Waist: standing, at end of expiration, midway between the lowest rib and the iliac crest (often at navel level), without compressing.
  • Hips: at the widest point of the buttocks.
  • Use a flexible tape, parallel to the floor, and the same unit for waist and height.

What to do about your result

Values above the thresholds suggest acting on lifestyle: a balanced diet, regular physical activity and reducing abdominal fat.

When to see a professional: if the ratios indicate increased risk or you have other risk factors, discuss it with your doctor.

Limitations

  • They depend on correct waist measurement, which can vary between people.
  • Thresholds can vary by ethnicity and age.
  • They do not distinguish subcutaneous from visceral fat.

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Frequently asked questions

What is a good waist-to-height ratio?
Generally a WHtR below 0.5 — a waist less than half your height. Between 0.5 and 0.6 risk is increased, and above 0.6 it is high.
What are the risk values for the waist-to-hip ratio?
According to the WHO, risk increases above 0.90 in men and 0.85 in women, but thresholds can vary by population.
Where exactly do I measure my waist?
Midway between the lowest rib and the iliac crest, at end of expiration and without compressing the tissue, with the tape parallel to the floor.
WHtR or BMI: which is better?
They are complementary: BMI assesses weight relative to height, while WHtR captures abdominal fat distribution, which is often more closely linked to risk. Neither is a diagnosis.

Sources

  1. World Health Organization. Waist circumference and waist–hip ratio: report of a WHO expert consultation. Geneva: WHO; 2008.
  2. Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev. 2012;13(3):275-286.
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