How to measure your waist correctly

The WHO method, common mistakes, health cut-offs and how to use your waist measurement.

To measure your waist, stand relaxed, find the midpoint between the bottom of your lowest rib and the top of your hip bone, wrap a tape measure around your bare middle at that level, and read it at the end of a normal breath out. The tape should be flat and snug, not squeezing. Then use the number with the body fat calculator, the BMI calculator or the TDEE calculator to track progress.

Infographic: How to measure your waist. Same spot, same time of day, relaxed breath out.
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Step by step (WHO method)

  1. Prepare. Measure in the morning, before eating or drinking if possible, over bare skin or thin clothing.
  2. Stand up straight with feet together, arms relaxed at your sides, weight even on both feet.
  3. Find the landmarks. Press gently to find the lowest rib and the top of your hip bone on the side of the body. The midpoint between them is your measuring level.
  4. Place the tape around your waist at that level, parallel to the floor, at the same height front and back.
  5. Breathe out normally, do not suck in, and read the number where the tape meets the zero end.
  6. Repeat. Take two readings. If they differ by more than 1 cm, measure again, then average them.

This follows the protocol described in the WHO's expert consultation on waist circumference. It aims to give a repeatable result, so you can compare week to week.

Different methods use different spots

The "waist" is not the same place for every purpose, which causes confusion.

MethodWhere to measure
WHO / health screeningMidpoint between lowest rib and top of the hip bone
US Navy body fat, menAt the belly button, level with the floor
US Navy body fat, womenAt the narrowest point of the waist
Clothing sizeOften at the natural waist or where trousers sit, which can differ

If you are using a body fat calculator, follow its instructions exactly. Our body fat calculator uses the Navy method and explains each measurement.

Common mistakes

  • Sucking in. This can cut several centimetres off the reading.
  • Tape too tight or too loose. It should rest on the skin without denting it.
  • Tape sloping. Use a mirror, or ask a helper, to check it is level.
  • Different spot each time. Mark your landmarks mentally and use the same ones every time.
  • Measuring after a big meal. It can add a little.
  • Measuring over thick clothing.

What the number means

The WHO describes action levels for waist circumference. Above these, risk of metabolic problems such as type 2 diabetes and heart disease rises.

WaistMenWomen
Increased risk94 cm (37 in) or more80 cm (31.5 in) or more
Substantially increased risk102 cm (40 in) or more88 cm (34.5 in) or more

These cut-offs were developed mainly on European populations, and risk starts at lower values for many Asian groups. Waist-to-height ratio (waist ÷ height) is simpler: a value under 0.5 is a common target. For example, an 88 cm waist at 178 cm tall gives 88 ÷ 178 = 0.49. Our BMI calculator includes waist-to-height ratio if you enter your waist.

Using it to track progress

Use your waist, neck and height to estimate body fat.

Open the body fat calculator

Frequently asked questions

Where exactly should I measure my waist?
For health screening, the WHO measures at the midpoint between the lowest rib and the top of the hip bone (iliac crest), at the end of a normal breath out. Some body fat methods, such as the US Navy method, use different points, so follow the instructions for the tool you are using.
Should I measure at my belly button?
Only if your method says so. The Navy body fat method for men uses the navel level. For waist-to-height ratio and health screening, use the midpoint between ribs and hip bone.
Should I breathe in or out?
Measure after a normal breath out, relaxed. Do not suck in your stomach or hold your breath.
What is a healthy waist size?
WHO action levels are 94 cm for men and 80 cm for women (increased risk), and 102 cm and 88 cm (substantially increased risk). A waist-to-height ratio under 0.5 is a commonly used target.
How often should I measure?
Every two to four weeks is enough. Measure at the same time of day, ideally in the morning before eating.

Keep reading

Sources

  1. World Health Organization. Waist Circumference and Waist–Hip Ratio: Report of a WHO Expert Consultation. Geneva: WHO; 2008.
  2. National Institute for Health and Care Excellence. Obesity: identification, assessment and management (CG189), waist-to-height ratio recommendations, 2022 update. nice.org.uk
  3. Hodgdon JA, Beckett MB. Prediction of Percent Body Fat for U.S. Navy Men and Women from Body Circumferences and Height. Report 84-11 and 84-29. Naval Health Research Center; 1984.