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How Body Shape Indexes Work

BMI, waist-to-height ratio, waist-to-hip ratio, relative fat mass and body roundness index compared: the formulas, a worked example for one person, what each captures and where each misleads.

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Body weight alone says little about health, so several indexes combine weight, height and circumferences. They are screening estimates, not diagnoses. The worked example below uses an adult 175 cm tall who weighs 70 kg, with an 85 cm waist and 98 cm hips. Compute them with the BMI Calculator, Waist-to-Height Ratio Calculator, Waist-to-Hip Ratio Calculator, Relative Fat Mass Calculator and Body Roundness Index Calculator.

The five indexes

Index Formula Worked example
BMI kg / m² 70 / 1.75² = 22.9
WHtR waist / height 85 / 175 = 0.486
WHR waist / hip 85 / 98 = 0.867
RFM 64 − 20 × height / waist 64 − 20 × 175 / 85 = 22.8 %
BRI 364.2 − 365.5 × √(1 − ((waist / 2π)² / (0.5 × height)²)) 3.09

What each one captures

  • BMI uses only weight and height, so it cannot tell muscle from fat or show where fat is stored.
  • Waist-to-height ratio reflects central fat; a common rule is to keep the waist under half your height (a ratio below 0.5).
  • Waist-to-hip ratio compares abdominal and hip fat; the thresholds differ by sex.
  • Relative fat mass (RFM) estimates body-fat percentage from height and waist alone. The formula differs by sex (here for a man; for a woman, add 12).
  • Body roundness index (BRI) models the body as an ellipse and scores how round it is; higher means more central fat.

Limits and good practice

  • Measure the waist the same way each time (midway between the lowest rib and the hip bone, after a normal exhale).
  • None of these were built for children, pregnancy, or very muscular or very short people; norms vary between populations.
  • Trends over time are more informative than a single number.
  • See BMI (body mass index) and Waist-to-hip ratio for definitions and ranges.

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See also

  • Glossary BMI (body mass index)
    BMI is body weight in kilograms divided by height in metres squared, a screening number for whether weight is in a healthy range.
  • Glossary Waist-to-hip ratio
    The waist-to-hip ratio divides waist circumference by hip circumference, a measure of where body fat is carried.
  • Glossary Body fat percentage
    Body fat percentage is the share of your total weight that is fat, estimated from tape measurements or skinfolds.
  • Cheat sheet Health Formulas Cheat Sheet
    BMI, BMR, TDEE, macros, body surface area, heart-rate targets, one-rep max and blood-pressure formulas.
  • Cheat sheet Medical Formulas Cheat Sheet
    A1C to glucose, blood pressure bands, cholesterol, kidney function, QTc, blood alcohol and IV drip rate with worked examples.

Frequently Asked Questions

None is best for everyone. BMI is simple but ignores where weight sits; waist-based measures capture belly fat. They screen for risk and do not diagnose. A clinician interprets them with other information.

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