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Waist indices WHR, WHtR and VAI

WHR = waist / hips; WHtR = waist / height. Measure waist midway between the lowest rib and top of the pelvis after a natural exhalation, and hips at the widest point. VAI additionally uses weight, triglycerides and HDL in mmol/L following Amato (2010).

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Calculation

Sex
Calculate clinical VAI index (requires blood lipids)

Result

Waist-to-Height Ratio (WHtR)
0.47

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

Waist-to-Hip Ratio (WHR)
0.86

WHR = waist / hips; WHtR = waist / height. Measure waist midway between the lowest rib and top of the pelvis after a natural exhalation, and hips at the widest point. VAI additionally uses weight, triglycerides and HDL in mmol/L following Amato (2010).

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

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How it is calculated

WHR = waist / hips; WHtR = waist / height. Measure waist midway between the lowest rib and top of the pelvis after a natural exhalation, and hips at the widest point. VAI additionally uses weight, triglycerides and HDL in mmol/L following Amato (2010).

Formula

WHtR = Waist / Height; WHR = Waist / Hip; VAI (Men) = (Waist/(39.68+1.88×BMI)) × (TG/1.03) × (1.31/HDL); VAI (Women) = (Waist/(35.58+1.89×BMI)) × (TG/0.81) × (1.52/HDL).

Limits of the method

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

Sources of the method

  • Ashwell M et al. 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
  • World Health Organization. Waist Circumference and Waist-Hip Ratio: Report of a WHO Expert Consultation. Geneva, 2008
  • Amato MC et al. Visceral Adiposity Index: a reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes Care, 2010

This calculation is for reference only and is not medical advice, a diagnosis or a prescription. If you have a medical condition, are pregnant, take medication or have any doubts, discuss the result with a physician or a qualified nutrition professional.

How to use the calculation

1

Enter the starting values

WHR = waist / hips; WHtR = waist / height. Measure waist midway between the lowest rib and top of the pelvis after a natural exhalation, and hips at the widest point. VAI additionally uses weight, triglycerides and HDL in mmol/L following Amato (2010).

2

Adjust the parameters

WHtR = Waist / Height; WHR = Waist / Hip; VAI (Men) = (Waist/(39.68+1.88×BMI)) × (TG/1.03) × (1.31/HDL); VAI (Women) = (Waist/(35.58+1.89×BMI)) × (TG/0.81) × (1.52/HDL).

3

Read the result

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

Frequently asked questions

What does the calculation show?

WHR = waist / hips; WHtR = waist / height. Measure waist midway between the lowest rib and top of the pelvis after a natural exhalation, and hips at the widest point. VAI additionally uses weight, triglycerides and HDL in mmol/L following Amato (2010).

What limitations apply?

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

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Historical reference body weight equations →Lipid profile: calculated measures →TyG Index Calculator (Triglycerides × Glucose) →FINDRISC Diabetes Risk Score →

For professionals

Calculation assumptions

No index directly measures visceral fat. Low WHtR does not establish underweight; universal WHR and VAI categories are not assigned. NICE WHtR recommendations apply to adults with BMI < 35.

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