User nathaniel reed geyer has updated waist to height ratio is the preferred way to measure the association between obesity and bisphenol a exposure. The best anthropometric indicator to verify the association between obesity and hypertension htn has not been established. Although the wc is an excellent index for measuring central adiposity, tables for age and sexdependent wc cutoffs are required in children and adolescents7,16. This study aimed to describe the distribution of waist to height ratio whtr percentiles and cutoffs for obesity in brazilian adolescents. However, while a structured cutoff hierarchy has been established for bmi, a rigorous analysis to define individuals as obese using the whtr has not been performed on a sample of american adults. However, the optimum ratio that will separate populations with high from low cardiovascular ris. The aim of this study was to develop age and genderspecific wc, whr and whtr smoothed reference percentiles for abdominal obesity. Recent studies have shown the enhanced diagnostic capability of the waisttoheight ratio whtr over bmi. Height and wc measurements were taken by trained and standardized personnel 21,22. The aim of this study was to develop age and genderspecific wc, whr and whtr smoothed reference percentiles for abdominal obesity among greek adolescents aged 1217 years, to.
The good news is that you can take steps toward lowering your health risks. Higher values of whtr indicate higher risk of obesityrelated cardiovascular diseases. Although very similar to the guidelines for men, women have more wiggle room when it comes to their waisttoheight ratio. Background given the fat redistribution in later stages of life, how the associations between abdominal obesity and the risk of morbidity and mortality have changed with age have not been elucidated, especially for waist to height ratio whtr. Objective to compare the performance of different anthropometric indices including body mass index bmi, waist circumference wc, waisttoheight ratio whtr and a body shape index to predict high blood pressure bp in adolescents using the 90th and 95th percentiles as two different thresholds. Setting probability proportionate to size was used to.
We conducted this study to evaluate and compare the discriminatory power of waisttoheight ratio whtr in relation to body mass index bmi and waist circumference wc in predicting htn after years of followup. However, the optimum ratio that will separate populations with high from low cardiovascular risk remains controversial. Background there is controversial evidence on the associations between anthropometric measures with clustering of cardiovascular disease risk factors in pediatric ages. Blood pressure, anthropometrics, and biochemical indices were measured. Waist circumference to height ratio in children and adolescents sudhir ken mehta, md, mba1,2 abstract background. Pdf waisttoheight ratio percentiles and cutoffs for. This study was designed to evaluate the influence of body mass index and waist to height ratio which are known predictors of cardiovascular diseases. A persons waisttoheight ratio whtr, also called waisttostature ratio wsr, is defined as their waist circumference divided by their height, both measured in the same units. Comparisons of body mass index, waist circumference, waist. Comparison of body mass index, waist circumference, and waist to height ratio in the prediction of hypertension and diabetes mellitus. Objective to compare the strength of association between obesity indices and chronic diseases at baseline, and the subsequent mortality risk among us. The results showed that waist to height whtr was the most accurate. Waisttoheight ratio is evaluated by dividing the waist circumference or waist size of a person by the height of the person, and it is used to assess the fat content in human body. The waist to height ratio calculator is a measure of your body fat distribution.
The generally acceptable level is if your waist measurement is less than half your height e. Such reference data are lacking for greek adolescents. Percentiles and cutoff points for obesity in adolescents find, read and cite all the research you need on. Data from the korean national health and nutrition examination survey 20082011 were used for the analyses. There have been still controversy about the predominance 10,11, and whtr could be an alternative to wc, due to evaluating risk for tall and short individuals 1214. I dont think that my waist is super slim but the calculator categorized me as extremely slim. Waist to height ratio calculator assess your lifestyle risk. Waisttoheight ratio whtr is the ratio between waist circumference and height of a person. Wc, waisttoheight ratio whtr have been proposed for abdominal imaging and risk factors 6,8,9. Association of wrist circumference and waisttoheight. The relative change in waistheight ratio was similar to waist circumference at. Height was measured with a stadiometer dynatop, mexico with 1mm precision. I dont think that my waist is super slim but the calculator categorized me as. Optimal cutoff values of bmi, waist circumference and.
This ratio is used to measure the body fat distribution and thus an indicator of health. Waisttoheight ratio more accurate than bmi in identifying obesity what doctors know, june, 2017 june, 2017, bmi, obesity, waisttoheight ratio, 0 calculating a persons waisttoheight ratio is the most accurate and efficient way of identifying whether or not they are. Work waist to height ratio is the preferred way to. The aim of the present study of the general population was to identify the best predictor of metabolic risk among the body index variables evaluated with dualenergy xray absorptiometry dexa or anthropometric indices including the waist to height ratio whtr. Question is psoriasis in children associated with an increased waisttoheight ratio findings in this prospective casecontrol study that included 5 children with psoriasis and 73 controls aged between 5 and 16 years, children with psoriasis were significantly more likely to have increased central adiposity with waisttoheight ratio wthr of 0. The objectives of the present study were to determine the associations of bmi, waist circumference wc and waist. Waisttoheight ratio is a better screening tool than waist circumference and bmi for adult cardiometabolic risk factors. Utility of the waisttoheight ratio, waist circumference. Body mass index, waist circumference, and waisttoheight. The aims of this study were to assess the diagnostic value of the weighttoheight ratio whtr for the detection of obesity and metabolic syndrome ms in korean children and adolescents, and to determine the advantages of whtr as a populationbased screening tool in comparison with other obesity indicators, such as body mass index bmi and waist circumference wc. Substitute the given values in the formula, whtr waist circumference height x 100 92 182 x 100 50. How to calculate waist to height ratio whtr tutorial. Objectives there is now good evidence that central obesity carries more health risks compared with total obesity assessed by body mass index bmi. Find the waist to height ratio of a men his waist circumference is 92 cm and height is 182 cm.
The incidence of chronic kidney disease ckd increases each year, and obesity is an important risk factor for ckd. Height weight ratio chart for women pdf pdf format e. The whtr is a measure of the distribution of body fat. Pdf charts based on body mass index and waisttoheight. Waist circumference and waisttoheight ratio are better. This crosssectional study involved 384 diabetic patients at begoro district hospital, ghana. Indices predictive of adolescent central obesity include waist circumference wc, waist tohip ratio whr and waist to height ratio whtr. Waist circumference wc to height ratio wcht is used as a measure of central obesity. The most popular ratios for characterizing obesity are the whr i. A novel cutoff for the waisttoheight ratio predicting. Waist circumference to height ratio in children and adolescents sudhir ken mehta, 2015. Can body mass index, waist circumference, waisthip ratio and waistheight ratio predict the presence of multiple metabolic risk factors in chinese subjects bmc public health. We wanted to compare how the adult uk population is classified using such a. Waist to height ratio an overview sciencedirect topics.
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 waisttoheight ratio whtr is a simple proxy for this central fat distribution. The study determined the association of wrist circumference wrc and waisttoheight ratio whtr with cardiometabolic risk factors among diabetics in a ghanaian population. The researchers then tested the subjects again using bmi, waist circumference, waist tohip ratio, and waist to height ratio. Effects of waist to height ratio, waist circumference. Data collected from seven nationwide health examination centres during 2008 and 2009 were analysed. For the first time, robust statistical evidence from studies involving more than 300 000 adults in several ethnic groups, shows the superiority of whtr over wc and bmi for detecting cardiometabolic risk factors in both sexes. Compared to just measuring waist circumference, waist to height ratio is equally fair for short and tall persons. Waist circumference to height the authors 2014 ratio.
Holl, for the adiposity patients registry initiative and the german competence net obesity, body mass index, waist circumference, and waisttoheight ratio as predictors of cardiometabolic risk in childhood obesity depending on pubertal. We aimed to examine the associations between body mass index bmi, waist circumference wc, and waisttoheight ratio whtr with clustered cardiometabolic risk factors and to determine whether these anthropometric variables. Waisttoheight ratio as a screening tool for obesity and. Comparison of waist to height ratio and body indices for. Pediatric psoriasis and increased waisttoheight ratio. A crosssectional study including adolescents aged 10 to 15 years was conducted in the city of sao paulo.
For people under 40, a waist to height ratio of over 0. Indices predictive of adolescent central obesity include waist circumference wc, waisttohip ratio whr and waisttoheight ratio whtr. Comparison of body mass index, waist circumference, and. A comparison between bmi, waist circumference, and waist. To show that it has potential to be used in all ethnic groups and in adults and children. The overall prevalence of dyslipidaemia, metabolic. Understanding your waisttohip ratio maintaining a healthy weight can help you in many ways. An advantage of whtr is that a single cutoff can be used and it does not require agedependent cutoffs11,19 wc is a heightdependent variable, and taller children generally have a larger wc than.
Download pdf charts based on body mass index and waisttoheight ratio to assess the health risks of obesity. This tutorial explains you, how to calculate the whtr. Is waisttoheight ratio the best predictive indicator of. It has therefore been suggested that waist circumference wc, a proxy for central obesity, should be included with bmi in a matrix to categorise health risk. Being overweight can raise your risk of health issues such as heart disease, type 2 diabetes, arthritis, and some types of cancers. The aim of this study was to determine the associations between cardiovascular health and the waist circumference wc and waisttoheight ratio whtr. Waist measurement and waisttoheight ratio whtr have been used as proxy measures of visceral adipose tissue, mainly in adults. Waist circumference and height should be in the same unit of measurement. The aim of this study was to determine the associations between cardiovascular health and the waist circumference wc and waist to height ratio whtr. During the same time periods and within the same age groups, the unadjusted mean waist circumference for girls increased from 51.
Wc in meters divided by hip circumference in meters and the waistheight ratio whtr. This study attempts to establish a cutoff for the whtr using metabolic syndrome as the. Body mass index, waisttoheight ratio, cardiometabolic. Waisttoheight ratio as an indicator of early health. Charts based on body mass index and waist to height ratio to assess the health risks of obesity. Waist to height ratio is a simple measurement for assessment of lifestyle risk and overweight. Waisttoheight ratio is a better metric than the old. Usefulness of the waist circumferencetoheight ratio in.