Measure your waist and hips, and see what the ratio between them indicates.
Estimates are for general guidance only and are not medical advice. For a personalised plan, book a free guided tour at RPM Gym.
The ratio describes shape, not size. Two people at the same weight and the same body fat percentage can sit either side of a threshold here, because this measures where the fat is rather than how much of it there is.
That distinction is why the measure exists. Abdominal fat sits around the organs; fat on the hips and thighs mostly sits under the skin. Population studies have consistently linked the first pattern with cardiovascular and metabolic risk more strongly than total body weight does, which is why the WHO publishes thresholds for it and not for hip circumference alone.
| Men — low | below 0.90 | Below the WHO threshold for substantially increased risk at population level. |
|---|---|---|
| Men — raised | 0.90 and above | The WHO cut-off for substantially increased metabolic risk in men. |
| Women — low | below 0.85 | Under the women's cut-off. The threshold sits lower than the men's because fat distribution differs on average. |
| Women — raised | 0.85 and above | The WHO cut-off for substantially increased metabolic risk in women. |
Ratio = waist circumference ÷ hip circumference WHO cut-offs for substantially increased risk: men ≥ 0.90 · women ≥ 0.85
A man with a 94 cm waist and 102 cm hips.
A ratio of 0.92, just over the threshold. Two centimetres off the waist would put him under it — which tells you how tightly a categorical answer can hinge on tape placement.
The WHO puts the threshold for substantially increased risk at 0.90 for men and 0.85 for women. Below those is where most of the population sits; above them is where the association with metabolic risk strengthens. It's a population marker, not a personal verdict.
For this measure, at the midpoint between your lowest rib and the top of your hip bone, standing relaxed at the end of a normal exhale. That's usually a little above the navel. The important thing is using the same landmark every time.
They answer different questions rather than competing. BMI describes size relative to height and misclassifies muscular people; this describes distribution and misses total fat entirely. Used together they cover more than either does alone.
The waist half, yes — abdominal fat responds to a sustained calorie deficit like fat anywhere else. The hip half is largely skeletal and won't move much. Nothing targets abdominal fat specifically, whatever the exercise is called.
The waist. If you have wide hips, the ratio can stay comfortable while waist circumference climbs into a range that carries risk on its own. When the two disagree, the absolute waist measurement is the one worth acting on.
When abdominal fat is the thing you want to change, the starting point is a deficit you can hold and training that protects muscle through it. Both are on the table at a free guided tour in Al Manhal.