Check whether your waist size puts your health at risk. The goal is simple: keep your waist to less than half your height.

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NICE waist-to-height ratio bands

Ratio Meaning
0.4 to 0.49 Healthy: no increased health risks
0.5 to 0.59 Increased central fat: increased health risks
0.6 or more High central fat: further increased health risks

Fat around the middle is linked to type 2 diabetes, high blood pressure and heart disease. NICE recommends using waist-to-height ratio alongside BMI for adults with a BMI under 35, because BMI alone can miss fat stored around the organs.

How to measure your waist

  1. Find the bottom of your ribs and the top of your hips.
  2. Wrap a tape measure around your waist midway between them, which is usually just above the belly button.
  3. Breathe out naturally and read the tape.
  4. Use the same units for waist and height.

The bands apply to men and women of all ethnicities, and to children aged 5 and over.

Frequently asked questions

What is a healthy waist-to-height ratio?

Under 0.5. For example, if you’re 170 cm tall, aim for a waist under 85 cm.

Is it better than BMI?

It’s a better guide to fat around the middle. NICE suggests using both.

Does it work for children?

Yes, NICE uses the same bands for children aged 5 and over.

What should I do if mine is high?

Talk to your GP or practice nurse, who can check your blood pressure, blood sugar and cholesterol.

Sources

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