Why waist to height ratio beats BMI for many adults
BMI treats all weight equally — muscle, fat, and water alike — and it ignores where fat is stored. But decades of research show that location matters more than quantity: visceral fat (around abdominal organs) drives metabolic disease; subcutaneous fat (hips, thighs) is largely neutral. Waist to height ratio directly targets the harmful kind. Studies have repeatedly found WHtR outperforms BMI for predicting cardiovascular events, type 2 diabetes, and all-cause mortality in middle-aged adults. The universal 0.5 cutoff also removes the sex- and age-specific complications that plague BMI and WHR.