Waist-to-Height Ratio...the new BMI

(deactivated member)
on 5/11/10 2:18 am - Falls Church, VA
 From Livestrong.com

http://www.livestrong.com/article/93638-whtr-the-new-determinant-health-risk/

Concept
BMI or Body Mass Index, a ratio of weight to height, has long been considered one of the best measures for assessing overall health risk.Getting your BMI into a healthy range used to be considered a top health priority. However, recent research shows that there is a new sheriff in town: your waist-to-height ratio (WHtR). Studies now indicate that WHtR is a much better measure than BMI for assessing obesity and cardiovascular risk. Read on to find out why, and whether your WHtR is in a healthy range.

Nutritional Facts and Figures

The Research
In a recent study presented in the Journal of Clinical Endocrinology Metabolism, the WHtR was the strongest predictor of cardiovascular risk and mortality. On the other hand, BMI was not always positively associated with cardiovascular risk. The results of this study discourage the use of BMI as a measure of health risk and encourage the use of WHtR. 

BMI Flaws
BMI provides a guide to the relationship between a person's height and weight. However, having a high BMI is not always a telltale sign that one will be at greater risk for disease. For instance, many thin people who have low or normal BMI's still have heart attacks or die from strokes and many people who have high BMI's are in good cardiovascular shape (as the study above indicated). BMI does not take into account an individual's frame, gender, or the amount of muscle mass versus fat mass. For example, two people can have the same BMI, even if one is much more muscular and carrying far less abdominal fat than the other; this is because BMI does not account for differences in fat distribution.

WHR
The WHtR is calculated by dividing waist size by height, and takes gender into account. As an example, a male with a 32 inch waist who is 5'10" (70 inches) would divide 32 by 70, to get a WHtR of 45.7 percent. The WHtR is thought to give a more accurate assessment of health since the most dangerous place to carry weight is in the abdomen. Fat in the abdomen, which is associated with a larger waist, is metabolically active and produces various hormones that can cause harmful effects, such as diabetes, elevated blood pressure, and altered lipid (blood fat) levels. 

Many athletes, both male and female, who often have a higher percentage of muscle and a lower percentage of body fat, have relatively high BMIs but their WHtRs are within a healthy range. This also holds true for women who have a "pear" rather than an "apple" shape. 

The following chart helps you determine if your WHtR falls in a healthy range (these ratios are percentages): 

WOMEN 
• Ratio less than 35: Abnormally Slim to Underweight 
• Ratio 35 to 42: Extremely Slim 
• Ratio 42 to 46: Slender and Healthy 
• Ratio 46 to 49: Healthy and Attractive 
• Ratio 49 to 54: Overweight 
• Ratio 54 to 58: Seriously Overweight 
• Ratio over 58: Highly Obese. 

MEN 
• Ratio less than 35: Abnormally Slim to Underweight 
• Ratio 35 to 43: Extremely slim 
• Ratio 43 to 46: Slender and Healthy 
• Ratio 46 to 53: Healthy, Normal, Attractive Weight 
• Ratio 53 to 58: Overweight 
• Ratio 58 to 63: Extremely Overweight/Obese 
• Ratio over 63: Highly Obese 

Alyse's Advice
New research shows that the WHtR, not BMI, is the most accurate assessment tool for health risk. People with the most weight around their waists are at greatest risk of diseases such as heart disease and diabetes. Therefore, since you can't change your height, you should take special care to keep your weight and in particular, abdominal girth in a healthy range by eating nutritiously and exercising regularly. 

1. J Clin Endocrinol Metab. 2010 Apr;95(4):1777-85. Epub 2010 Feb 3. The predictive value of different measures of obesity for incident cardiovascular events and mortality. Schneider HJ, Friedrich N, Klotsche J, Pieper L, Nauck M, John U, Dörr M, Felix S, Lehnert H, Pittrow D, Silber S, Völzke H, Stalla GK, Wallaschofski H, Wittchen HU. 

Los Angeles nutritionist Alyse Levine MS, RD, founder of NutritionBite. Visit her profile on LIVESTRONG.COM.


H.A.L.A B.
on 5/11/10 2:22 am
Thanks babe. 
You looking good.  You are probably in what range? less than 35? i bet - with size 2...
My is  Ratio 42 to 46: Slender and Healthy 
With a BMI - right now in overweight range. 

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

(deactivated member)
on 5/11/10 2:28 am - Falls Church, VA
 My number is 38!  My waist is 26 inches and my height is 5'8".  I carry most of my weight in the middle.  My waist was 48 inches before RNY which put my number @ 70!
H.A.L.A B.
on 5/11/10 2:37 am
A lot of us post op RNY - even with plastics - may have a "thicker" middle.  also - as we age - woman - get thicker in the middle.   So mine 46 - is rght ther - on the border.  but even with a bit higer - I still will be OK.  Cam't gain weight. 

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

(deactivated member)
on 5/11/10 2:39 am - Falls Church, VA
 I wish for a thicker ass every year I get older. :)
H.A.L.A B.
on 5/11/10 2:41 am
It i snot the ass unfortunately.  The longet we sit on it - the more fat get pushed from back to front - that is my theory.  And i am sticking with it. It is the same fat - just repositioned at my waist. 

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

Cleopatra_Nik
on 5/11/10 2:32 am - Baltimore, MD
Ok what is the waist. This has always confused me. For the purposes of my bra my waist is one thing, for other clothes something else. So what officially is the waist?
(deactivated member)
on 5/11/10 2:35 am - Falls Church, VA
 I was told that the waistline is lined up where your bellybutton is.
ladybugnessa
on 5/11/10 2:41 am - Owings Mills, MD
oy then it's even worse for me.
Nessa
Ticker is from Day of Surgery.. weight goal is personal preference as I've MET my doctor's goal

--


HG/SW/CW/GW
286/253/150/151


Andrea U.
on 5/11/10 3:29 am - Wilson, NC
I consider it right above my hip bones.  The TOP of the hip bones.

And I've seen you -- don't you dare tell me you can't feel yours.  Cause if I can, then you damn well can.
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