The waist-hip ratio: a flawed index
The waist-hip ratio, namely waist circumference (WC) divided by hip circumference (HC), has been referred to in thousands of articles, generally as a correlate and predictor either of health conditions such as cardiovascular disease and diabetes, or of amounts of visceral and subcutaneous abdominal...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-11-01
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| Series: | Annals of Human Biology |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/03014460.2020.1820079 |
| _version_ | 1797685557953822720 |
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| author | Richard Francis Burton |
| author_facet | Richard Francis Burton |
| author_sort | Richard Francis Burton |
| collection | DOAJ |
| description | The waist-hip ratio, namely waist circumference (WC) divided by hip circumference (HC), has been referred to in thousands of articles, generally as a correlate and predictor either of health conditions such as cardiovascular disease and diabetes, or of amounts of visceral and subcutaneous abdominal fat. It has been argued that combining WC and HC as a ratio is inappropriate, and yet their individual roles can only be fully elucidated if considered jointly. Whereas WC is positively associated with cardiovascular disease, diabetes and premature mortality, the opposite is true of HC. With health-related measures taken as dependent variables, the present novel approach establishes that WC and HC are far better treated as separate independent variables in multiple regression equations than as their ratio. This necessarily produces closer fits to data. One should then allow for variations in height, or some other such measure of general body size, by including this in the regression equations. The widespread concern with the ratio seems to have distracted attention from HC, for this is discussed notably less often than WC. Given that other body parts, such as the thighs, may share relevant properties with the hips, measurements of these could perhaps replace HC. |
| first_indexed | 2024-03-12T00:45:53Z |
| format | Article |
| id | doaj.art-365d5bf03e6144d6adbc27f38c362dc9 |
| institution | Directory Open Access Journal |
| issn | 0301-4460 1464-5033 |
| language | English |
| last_indexed | 2024-03-12T00:45:53Z |
| publishDate | 2020-11-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Annals of Human Biology |
| spelling | doaj.art-365d5bf03e6144d6adbc27f38c362dc92023-09-14T15:36:12ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332020-11-01477-862963110.1080/03014460.2020.18200791820079The waist-hip ratio: a flawed indexRichard Francis Burton0School of Life Sciences, College of Medical, Veterinary and Life Sciences, University of GlasgowThe waist-hip ratio, namely waist circumference (WC) divided by hip circumference (HC), has been referred to in thousands of articles, generally as a correlate and predictor either of health conditions such as cardiovascular disease and diabetes, or of amounts of visceral and subcutaneous abdominal fat. It has been argued that combining WC and HC as a ratio is inappropriate, and yet their individual roles can only be fully elucidated if considered jointly. Whereas WC is positively associated with cardiovascular disease, diabetes and premature mortality, the opposite is true of HC. With health-related measures taken as dependent variables, the present novel approach establishes that WC and HC are far better treated as separate independent variables in multiple regression equations than as their ratio. This necessarily produces closer fits to data. One should then allow for variations in height, or some other such measure of general body size, by including this in the regression equations. The widespread concern with the ratio seems to have distracted attention from HC, for this is discussed notably less often than WC. Given that other body parts, such as the thighs, may share relevant properties with the hips, measurements of these could perhaps replace HC.http://dx.doi.org/10.1080/03014460.2020.1820079waist-hip ratiowaist circumferencehip circumference |
| spellingShingle | Richard Francis Burton The waist-hip ratio: a flawed index Annals of Human Biology waist-hip ratio waist circumference hip circumference |
| title | The waist-hip ratio: a flawed index |
| title_full | The waist-hip ratio: a flawed index |
| title_fullStr | The waist-hip ratio: a flawed index |
| title_full_unstemmed | The waist-hip ratio: a flawed index |
| title_short | The waist-hip ratio: a flawed index |
| title_sort | waist hip ratio a flawed index |
| topic | waist-hip ratio waist circumference hip circumference |
| url | http://dx.doi.org/10.1080/03014460.2020.1820079 |
| work_keys_str_mv | AT richardfrancisburton thewaisthipratioaflawedindex AT richardfrancisburton waisthipratioaflawedindex |