Waist-to-Height Ratio (WHtR)
Divide waist by height to assess visceral fat and metabolic risk — more sensitive than BMI
Measure at navel level
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StartWaist-to-Height Ratio (WHtR) = waist ÷ height. It gauges central obesity and visceral fat, reflecting cardiovascular and metabolic risk better than BMI, and works across ages and sexes.
Your waist circumference divided by your height.
Reflects abdominal and visceral fat to predict cardiovascular and metabolic risk. Works across age and sex, and is more sensitive than BMI.
<0.5 healthy, 0.5–0.6 increased risk, ≥0.6 high risk. Rule of thumb: keep your waist under half your height.
| Ratio | Risk |
|---|---|
| <0.4 | Very low (recheck if underweight) |
| 0.4–0.5 | Healthy |
| 0.5–0.6 | Increased risk |
| ≥0.6 | High risk |
WHtR = waist ÷ height (same units)Below 0.5 is healthy — the simple rule is to keep your waist under half your height. 0.5–0.6 means increased cardiometabolic risk and 0.6 or above is high risk.
For central (belly) fat and metabolic risk, WHtR is often more sensitive than BMI because it captures fat distribution. Many guidelines now use it alongside BMI.
Wrap a tape around your bare waist at the level of your navel, after breathing out, without sucking in. Keep the tape snug and level all the way around.
It signals more central fat than is ideal and a higher risk of type 2 diabetes, high blood pressure and heart disease. The higher above 0.5, the greater the risk.
Yes — a strength of WHtR is that the 0.5 boundary works across ages, sexes and ethnic groups without needing separate cut-offs, which is why NICE and others adopted it.