5 Best BMI Alternatives for Better Health Assessment

While BMI (Body Mass Index) is a widely accepted tool for assessing an individual’s body weight about their height, it has certain limitations. In this article, we will explore the top 5 alternatives to BMI for a more comprehensive health assessment, delving into their advantages and how they can provide a clearer understanding of your body composition and health status.


1. Waist-to-Hip Ratio

Waist-to-hip ratio (WHR) is a simple measurement that compares the circumference of your waist to that of your hips. WHR provides insight into fat distribution in the body and is particularly useful for determining the risk of obesity-related health issues.

How to Calculate WHR

  1. Measure your waist circumference at the narrowest point, usually just above the belly button.
  2. Measure your hip circumference at the widest point, around the buttocks.
  3. Divide your waist measurement by your hip measurement to get your WHR.

A higher WHR indicates more abdominal fat, associated with a higher risk of health problems such as heart disease, type 2 diabetes, and certain cancers.


2. Body Fat Percentage

Body fat percentage is a more direct measure of body composition than BMI, as it explicitly quantifies the body’s overweight relative to total body weight. A lower body fat percentage generally indicates better health and fitness levels.

How to Measure Body Fat Percentage

There are several methods for measuring body fat percentage, including:

  1. Skinfold calipers: A trained professional pinches the skin at specific locations to measure the thickness of the subcutaneous fat layer.
  2. Bioelectrical impedance analysis (BIA): A device sends a low-level electrical current through the body to estimate body fat percentage based on the body’s resistance to the wind.
  3. Dual-energy X-ray absorptiometry (DXA): This medical imaging technique uses X-rays to measure body composition, including bone density, lean mass, and fat mass.


3. Waist Circumference

Waist circumference is another simple measurement providing valuable information about abdominal fat, which is associated with a higher risk of obesity-related health issues. A higher waist circumference is generally considered an indicator of increased health risks.

How to Measure Waist Circumference

  1. Stand with your feet hip-width apart and breathe out.
  2. Wrap a tape measure around your waist, just above the belly button, and ensure it is snug but not tight.
  3. Record the measurement to the nearest centimeter or inch.


4. Waist-to-Height Ratio

Waist-to-height ratio (WHtR) is a measurement that compares your waist circumference to your height. Like WHR, WHtR provides insight into the fat distribution and obesity-related health risks.

How to Calculate WHtR

  1. Measure your waist circumference as described in the Waist Circumference section.
  2. Measure your height in the same unit (centimeters or inches).
  3. Divide your waist and height measurements to get your WHtR.

A higher WHtR indicates a higher risk of obesity-related health problems.


5. Skin Caliper Test

The skin caliper test is a method for estimating body fat percentage by measuring the thickness of skinfolds at specific locations on the body.

How to Perform a Skin Caliper Test

  1. A trained professional uses calipers to pinch and measure the skin and fat layer at specific sites, such as the triceps, biceps, abdomen, and thigh.
  2. The measurements are taken multiple times to ensure accuracy and reduce the impact of potential errors.
  1. The skinfold thickness measurements are then used to estimate the body fat percentage using specific equations or charts.

A lower skinfold thickness measurement indicates a lower body fat percentage and generally better health and fitness levels.



BMI is a widely used tool for assessing body weight relative to height, but it has limitations. You can gain a more accurate and comprehensive understanding of your body composition and health status by exploring alternatives to BMI, such as waist-to-hip ratio, body fat percentage, waist circumference, waist-to-height ratio, and skin caliper tests. These alternative methods can provide valuable insights into your overall health and help guide your efforts toward maintaining a healthy lifestyle.


  1. Siora Photography/ Unsplash


Article Keywords:

BMI alternatives, Body Mass Index alternatives, body composition assessment, waist-to-hip ratio, body fat percentage, waist circumference, waist-to-height ratio, skin caliper test