Central adiposity screening

Waist-to-Height Ratio Calculator

Divide your waist measurement by your height and see whether your waist is below half your height. Use centimetres or feet and inches.

Waist and height

Calculate your ratio

Adult screening tool · Best used alongside BMI

Private by design. Your waist, height and result stay in this browser.

Your measurements

Measure accurately

1

Find the bottom of your ribs and top of your hips. Measure midway between them, just above the belly button, after breathing out naturally.

Try an example

Results update as you type.

Your result

Waist-to-height ratio

0.46
Healthy central adiposity

Your waist is below half your height and falls within the standard healthy central adiposity range.

0.46
Half your height 87.5 cm
Waist compared with half-height 7.5 cm below
Calculation 80 ÷ 175

This is a screening measure, not a diagnosis. NICE recommends waist-to-height ratio alongside BMI for adults whose BMI is below 35. It should not replace professional assessment.

A useful second measurement

Why waist-to-height ratio adds context to BMI

BMI estimates general weight status. Waist-to-height ratio focuses on central adiposity—the fat carried around the abdomen—and uses one memorable boundary: waist below half of height.

Measure in the right place

Use a flexible tape midway between the lowest rib and top of the hip. Keep it horizontal, snug but not tight, and take the reading after a natural breath out.

Use it alongside BMI

The ratio can reveal central adiposity that BMI alone may miss and can be useful for adults with high muscle mass. It is complementary, not a replacement for a full assessment.

One standard boundary

NICE applies the same classifications to adults of both sexes and all ethnicities. Health risks still depend on medical history, blood pressure, blood tests and other factors.

Adult ratio categories

How to interpret waist divided by height

The ratio has no unit. Centimetres and inches produce the same answer when both measurements use the same system.

When not to rely on this result

  • During pregnancy or when a condition changes waist shape or height.
  • If an eating disorder has been diagnosed or may be present.
  • As a substitute for age-appropriate child growth assessment.
  • As the main risk measure when an adult BMI is 35 or higher.
Calculate adult BMI
Adult waist-to-height ratio categories
Classification Ratio
Below classified rangeBelow 0.4
Healthy central adiposity0.4 to <0.5
Increased central adiposity0.5 to <0.6
High central adiposity0.6 or above

Below 0.4? NICE does not assign this range a lower-risk classification. Recheck the measurement and seek professional advice if it is unexpected or concerning.

Guidance references: NICE waist-to-height recommendations and NHS waist-to-height guidance.

Waist-to-height questions

Waist-to-Height Ratio Calculator FAQ

How do I calculate my waist-to-height ratio?

Measure your waist and height in the same units, then divide waist circumference by height. A waist of 80 cm and height of 175 cm gives 80 ÷ 175 = 0.46.

What is a healthy waist-to-height ratio?

NICE classifies 0.4 to 0.49 as healthy central adiposity, 0.5 to 0.59 as increased central adiposity, and 0.6 or above as high central adiposity. The memorable general message is to keep your waist below half your height.

How should I measure my waist?

Find the bottom of your ribs and the top of your hips. Place the tape midway between them, usually just above the belly button. Keep the tape level and snug without compressing the skin, breathe out naturally, then read the measurement.

Is waist-to-height ratio better than BMI?

They answer different questions. BMI compares total weight with height, while waist-to-height ratio estimates central adiposity. NICE recommends using waist-to-height ratio alongside BMI in adults with a BMI below 35.

Do the thresholds differ for men, women or ethnic backgrounds?

NICE uses the same waist-to-height classifications for adults of both sexes and all ethnicities. Individual health still depends on many factors, so the ratio is a screening measure rather than a diagnosis.

Can I use this calculator if my BMI is 35 or higher?

Waist-to-height ratio adds less predictive information when adult BMI is 35 or higher, so NHS and NICE guidance does not recommend relying on it in that situation. Ask a healthcare professional for an appropriate assessment.

Who should not use the standard interpretation?

Do not rely on the standard adult interpretation during pregnancy, with an eating disorder, or with a growth disorder or another condition affecting height. Children and teenagers should use age-appropriate guidance with a parent, carer or healthcare professional.

Can I calculate the ratio with inches?

Yes. The ratio has no unit, so centimetres or inches produce the same result as long as waist and height use the same unit. The US mode accepts waist in inches and height in feet and inches.

Does Bobek store my measurements?

No. Your waist, height and result remain in your browser and are not sent to or stored by Bobek.