- Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis - (https://pubmed.ncbi.nlm.nih.gov/17494056/)
- Value of waist-to-hip ratio as a predictor of metabolic syndrome in adolescents with obesity - (https://pubmed.ncbi.nlm.nih.gov/37326280/)
- Waist-hip ratio is superior to BMI in predicting liver-related outcomes and synergizes with harmful alcohol use - (https://pubmed.ncbi.nlm.nih.gov/37674006/)
- Waist Hip Ratio and Body Mass Index as Risk Factors for Cardiovascular Events in Chronic Kidney Disease - (https://pmc.ncbi.nlm.nih.gov/articles/PMC2693892/)
- Waist circumference and waist/hip ratio are better predictive risk factors for mortality and morbidity after colorectal surgery than body mass index and body surface area - (https://pubmed.ncbi.nlm.nih.gov/24096768/)
- Combined Influence of Waist and Hip Circumference on Risk of Death in a Large Cohort of European and Australian Adults - (https://pubmed.ncbi.nlm.nih.gov/32602397/)
- Waist-to-hip ratio and mortality in heart failure - (https://pubmed.ncbi.nlm.nih.gov/29963737/)
- The association between body mass index, waist circumference and waist-to-hip-ratio with all-cause mortality in older adults: A systematic review - (https://pubmed.ncbi.nlm.nih.gov/40158689/)
The way fat is distributed on your body is just as important as how much you have. Your Waist-Hip Ratio (WHR) shows whether you carry more weight around the waist (“apple shape”) or the hips (“pear shape”) — and what that means for your risk of heart disease, high blood pressure, diabetes, and obesity (1✔,2✔).Try our free Waist-to-Hip Ratio Calculator to see your body shape and health risks. With your results, you’ll also get practical tips to maintain or improve your WHR.
Waist Hip Ratio
This calculator is not recommended for bodybuilders as their muscle tissues weigh more, which ultimately results in overweight though they have limited extra fat.
What is Waist-Hip Ratio (WHR)?
- WHR is the circumference of your waist divided by your hips.
- It’s an easy way to assess body fat distribution.
- Apple-shaped bodies (higher WHR) indicate greater abdominal fat and higher risk of heart disease, type-2 diabetes, and metabolic syndrome (1✔,3✔,4✔).
- Pear-shaped bodies (lower WHR) store fat in hips/thighs and generally have lower metabolic risk.
How to Measure Waist & Hips Correctly
- Waist: Measure around the midpoint between your lowest rib and the top of your hip bone (just above the belly button).
- Hips: Measure around the widest point of your buttocks.
- Stand relaxed, breathe normally, keep the tape parallel to the ground.
- Take measurements in centimeters or inches — just use the same unit for both.
WHR Cut-Offs and Health Risk Levels
| Gender | Low Risk | Moderate Risk | High Risk |
|---|---|---|---|
| Women | ≤ 0.80 | 0.81–0.85 | > 0.85 |
| Men | ≤ 0.90 | 0.91–1.0 | > 1.0 |
These are WHO global standards. However, studies show cut-offs can vary by ethnicity and population — for example, some Asian groups may have higher risk even at lower WHRs (2,6).
Global WHR Variations
- Europe & North America: WHO cut-offs apply widely; abdominal obesity linked to higher heart disease risk (1✔,3✔).
- Asia (South, East): Higher visceral fat at lower BMI/WHR, so risk can begin earlier (2✔).
- Africa & Middle East: Data suggests rising prevalence of apple-shaped obesity and metabolic syndrome.
- Latin America: Patterns similar to global averages, but rising WHR correlates strongly with diabetes prevalence (2✔).
Apple vs Pear Body Shape: What It Means
- Apple (abdominal fat): Higher risk of diabetes, heart disease, fatty liver, high blood pressure (3✔,4✔,5✔).
- Pear (hip/thigh fat): Lower metabolic risk but still requires healthy lifestyle.
- WHR complements other tools like BMI and body fat % — it shouldn’t be used in isolation (6✔).
How to Improve or Maintain a Healthy WHR
- Adopt a balanced diet rich in fruits, vegetables, protein, and whole grains.
- Exercise regularly — combine cardio with strength training.
- Sleep well & manage stress — both affect fat distribution.
- Track changes — monitor your WHR every few months.
- Consult professionals if your WHR is consistently high.
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Is age a factor in these measurements?