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Where fat is stored matters as much as how much there is. The waist to hip ratio distinguishes central android distribution from peripheral gynoid distribution, with WHO thresholds of 0.90 for men and 0.85 for women. An 88 cm waist with 100 cm hips gives 0.88 - above the male threshold and associated with raised cardiometabolic risk.
Waist to hip ratio
WHR = waist circumference / hip circumference
WHO thresholds
0.90 for men, 0.85 for women
These figures are population-average estimates, not a medical assessment or diagnosis. Body composition equations carry errors of several percentage points, and healthy ranges vary with age, ethnicity, muscularity and medical history. Discuss weight or body composition goals with a qualified clinician or dietitian.
Visceral fat around the organs is metabolically active, releasing free fatty acids and inflammatory signals straight into the portal circulation.
At the widest point of the buttocks, with the tape level all the way round and the feet together.