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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)

The result updates as you change the fields. Your data never leaves the browser.

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.

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.

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

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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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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