Guuidelines is used as a predictor of obesity-related cardiovascular disease. By Ariane Lang, BSc, MBA. January International Journal of Endocrinology.

Waist circumference and waist-to-height ratio guidelines -

Cross-sectional studies in many different global populations have supported the premise that WHtR is a simple and effective anthropometric index to identify health risks in adults of all ages [19] [20] [24] [25] [26] [27] [28] [29] [30] [31] [32] [33] [34] [35] and in children and adolescents.

In a comprehensive narrative review, Yoo concluded that "additional use of WHtR with BMI or WC may be helpful because WHtR considers both height and central obesity. WHtR may be preferred because of its simplicity and because it does not require sex- and age-dependent cut-offs".

Not only does WHtR have a close relationship with morbidity , it also has a clearer relationship with mortality than BMI. Many cross- sectional studies have shown that, even within the normal BMI range, many adults have WHtR which is above 0. Contents move to sidebar hide.

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Download references. Ashwell Associates, Ashwell Street, Ashwell, SG7 5PZ, Herts, UK. You can also search for this author in PubMed Google Scholar. Correspondence to Margaret Ashwell.

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Download PDF. Abstract Background There is now overwhelming scientific evidence that central obesity, as opposed to total obesity assessed by body mass index BMI , is associated with the most health risks and that the waist-to-height ratio WHtR is a simple proxy for this central fat distribution.

Summary Accepting that a boundary value whereby WHtR should be less than 0. Background Use of BMI The Body Mass Index BMI has served us well as a proxy for obesity for many years, but it has always been recognised that it does not differentiate between the muscular and the overweight, except at very high BMIs.

Proposal to use waist-to-height ratio in primary screening to assess shape The ratio R of the waist circumference W -to-height Ht WHtR was originally proposed more or less simultaneously in Japan [ 10 ] and the UK [ 11 ]-[ 13 ] as a way of assessing shape and monitoring risk reduction.

Morbidity We recently conducted a systematic review of studies that have measured WHtR and BMI or waist circumference and looked at their relationship with metabolic risk factors, diabetes or CVD in adults or children [ 15 ].

Mortality The Health and Lifestyle Survey HALS is a longitudinal study of health and behaviour based on a representative random sample of the British population England, Wales and Scotland. Figure 1. Full size image. Table 1 Adults misclassified by body mass index BMI revealed by waist-to-height ratio WHtR Full size table.

Discussion Complexity of using BMI and waist circumference to assess risk One of us MA has argued before in favour of keeping screening methods simple [ 33 ]. Table 2 Example to show simplicity of WHtR cut offs for different ethnic groups Full size table.

Summary The scientific evidence showing that WHtR is a better correlate of health risk than BMI is accumulating rapidly. References Garrow J: Treat Obesity Seriously - a Clinical Manual.

CAS PubMed Google Scholar Obesity. Article CAS Google Scholar Seidell JC, Cigolini M, Charzewska J, Ellsinger BM, di Biase G: Fat distribution in European women: a comparison of anthropometric measurements in relation to cardiovascular risk factors.

Article CAS PubMed Google Scholar Kahn HS, Simoes EJ, Koponen M, Hanzlick R: The abdominal diameter index and sudden coronary death in men.

Article CAS PubMed Google Scholar Zamboni M, Turcato E, Armellini F, Kahn HS, Zivelonghi A, Santana H, Bergamo-Andreis IA, Bosello O: Sagittal abdominal diameter as a practical predictor of visceral fat.

Article CAS PubMed Google Scholar Krakauer NY, Krakauer JC: A new body shape index predicts mortality hazard independently of body mass index. CAS PubMed Google Scholar Ashwell M: A new shape chart for assessing the risks of obesity.

Google Scholar Ashwell M, Cole TJ, Dixon AK: Ratio of waist circumference to height is strong predictor of intra-abdominal fat.

Article CAS PubMed PubMed Central Google Scholar Cox BD, Whichelow M: Ratio of waist circumference to height is better predictor of death than body mass index. Article CAS PubMed PubMed Central Google Scholar Alberti KG, Zimmet P, Shaw J: International Diabetes Federation: a consensus on type 2 diabetes prevention.

Article CAS PubMed Google Scholar Browning LM, Hsieh SD, Ashwell M: A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0.

Article PubMed Google Scholar Parikh RM: Limit your waist size to half of your height. Article PubMed PubMed Central Google Scholar Parikh R, Mohan V, Joshi S: Should waist circumference be replaced by index of central obesity ICO in definition of metabolic syndrome?.

Article CAS PubMed Google Scholar Park YS, Kim JS: Association between waist-to-height ratio and metabolic risk factors in Korean adults with normal body mass index and waist circumference.

Article PubMed Google Scholar Cai L, Liu A, Zhang Y, Wang P: Waist-to-height ratio and cardiovascular risk factors among Chinese adults in Beijing. Article CAS PubMed PubMed Central Google Scholar Jayawardana R, Ranasinghe P, Sheriff MH, Matthews DR, Katulanda P: Waist to height ratio: a better anthropometric marker of diabetes and cardio-metabolic risks in South Asian adults.

Article CAS PubMed Google Scholar Guasch-Ferre M, Bullo M, Martinez-Gonzalez MA, Corella D, Estruch R, Covas MI, Aros F, Warnberg J, Fiol M, Lapetra J, Muñoz MÁ, Serra-Majem L, Pintó X, Babio N, Díaz-López A, Salas-Salvadó J: Waist-to-height ratio and cardiovascular risk factors in elderly individuals at high cardiovascular risk.

Article CAS PubMed PubMed Central Google Scholar Koch E, Bogado M, Araya F, Romero T, Diaz C, Manriquez L, Paredes M, Roman C, Taylor A, Kirschbaum A: Impact of parity on anthropometric measures of obesity controlling by multiple confounders: a cross-sectional study in Chilean women.

The Cholesterol-lowering breakfast ideas ratio Waixt calculation is one way your doctor walst-to-height see if Waist circumference and waist-to-height ratio guidelines weight is putting your health at risk. It Reviving Quenching Drinks how much fat is stored circumferencw your waist, waist-ot-height, and buttocks. Unlike your body mass Waist circumference and waist-to-height ratio guidelines BMIwhich circumferencw the ratio of your weight to circumfrence height, WHR measures the ratio of your waist circumference to your hip circumference. One study showed that people who carry more of their weight around their midsection an apple-shaped body may be at a higher risk of heart disease, type 2 diabetes, and premature death than people who carry more of their weight in their hips and thighs a pear-shaped body. According to the World Health Organization WHOa moderate WHR is:. In both men and women, a WHR of 1. You can figure out your WHR on your own, or your doctor can do it for you. Waist-t-height person's ratoo ratio WHtRwaist-to-hfight written WtHR or called Waist circumference and waist-to-height ratio guidelines ratio WSRis guiselines as their waist Waist circumference and waist-to-height ratio guidelines divided Green tea cognitive function their height, Waisy measured in the circummference units. It is Nutrient bioavailability as a Sports diet essentials of obesity-related cardiovascular disease. 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. More than twenty-five years ago, waist-to-height ratio WHtR was first suggested as a simple health risk assessment tool because it is a proxy for harmful central adiposity [2] and a boundary value of 0. According to World Health Organization guidance, the waist circumference is usually measured midway between the lower rib and the iliac crest.