Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity

By M. Ashwell, S. D. Hsieh. International Journal of Food Science and Nutrition, 2005

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A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0·5 could be a suitable global boundary value (2010, background): “The correction of WC for height offers the advantage that it is possible that a single WHtR boundary value may be useful in different ethnic, age and sex groups((14)), while WC requires population-specific boundary values((15)).”
Waist‐to‐height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta‐analysis (2012, neutral): “Importantly, WHtR offers advantages of a simple boundary value which could be used for men and women, and maybe children, of all ethnic groups (4).”
Measurement and Definitions of Obesity In Childhood and Adolescence: A field guide for the uninitiated (2007, neutral): “It has also recently been suggested that the ratio of waist to height could be used as a rapid screening tool [90].”
Body mass index, waist circumference and waist:hip ratio as predictors of cardiovascular risk—a review of the literature (2010, background): “, 2005) and the waist:height ratio (WHtR) (Ho et al., 2003; Ashwell and Hsieh, 2005), which reflect central adiposity, have been suggested to be superior to BMI in predicting CVD risk.”