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Waist-to-Hip Ratio Estimates Health Risk

Are You an Apple or a Pear?

-- By Jen Mueller & Nicole Nichols, Fitness Experts
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Ever notice how some people can have big bellies but lean legs, or how women tend to store most of their fat in their thighs, hips, and butt? These are examples of fat distribution, which refers to where your body typically stores the fat, no matter what your weight is. This is important because where you store fat can be a predictor of health risk.

The waist-to-hip (WTH) ratio is a common measure of fat distribution. Your WTH ratio can help you track your weight loss progress, while also serving as a warning about your estimated health risk for problems related to being overweight, such as diabetes, stroke and heart disease. In fact, a study reported in the American Journal of Clinical Nutrition reported that for some age groups, the waist-to-hip ratio is a better indicator of increased mortality risk than body mass index (BMI), which compares your height to your weight.

Calculating Your Waist-to-Hip Ratio
Use a measuring tape to measure your waist (at the smallest circumference of your natural waist, usually just above the belly button) and the circumference of your hips (at the widest part of your buttocks). To determine your ratio, enter your measurements into SparkPeople's calculator, OR simply divide your waist measurement by your hip measurement. Compare your result to the appropriate chart below, which is different for males and females.

Females Estimated health risk Estimated body shape
0.80 or below Low Pear
0.81 to 0.85 Moderate Avocado
0.85+ High Apple
Males Estimated health risk Estimated body shape
0.95 or below Low Pear
0.96 to 1.0 Moderate Avocado
1.0+ High Apple

Although all body fat is made of the same “stuff,” where it's stored can make a big difference in both how risky it is to your health, and in how easy it is to lose.

Pear Shape (Low Health Risk)
If you’re a pear shape, you tend to carry most of your weight in your hips, thighs and buttocks. Storing fat in your lower half is actually a healthier site for fat accumulation. Research shows that storing fat here may actually protect you against cardiovascular disease. In one study of 1,356 women, ages 60-85, Danish researchers found that those with excessive fat in the arms, legs, hips and buttocks had less atherosclerosis (hardening of the arteries) than those who stored most fat in their abdominal area and other central parts of the body.

Apple Shape (High Health Risk)
If you tend to carry weight in your abdominal area and upper torso, you’re an apple shape. People who are apple-shaped and tend to carry more weight around their waists (commonly referred to as a “pot belly”) are at a greater risk of lifestyle-related diseases such as heart disease and diabetes than pear-shaped people. However, a 2011 study of 220,000 people published in The Lancet did not find an increased risk.

Avocado Shape (Moderate Health Risk)
You may hear about apples and pears all the time, but what about people who don't fit into either category? The less common "avocado" shape is somewhere between an apple and a pear, with health risks higher than a pear-shaped person, but somewhat lower than a true apple-shaped person.

Improving Your Distribution
Once you know which body shape you have, and your potential level of risk, what can you do about it?

First, you have to accept that there is no way to change where your body stores fat—your genetics determine that. If you are an apple now, you will always be an apple, even if you lose a few extra pounds. Weight loss may not change your body shape, but it will reduce your size.

Secondly, it helps to know that there is no way to lose weight in specific areas of the body. For example, crunches might target the abdominal muscles, but they don't burn fat from the belly; running might use your lower half, but it doesn’t mean that you're burning fat from the legs alone. The best way to get rid of fat—no matter where it is on your body—is through regular cardio exercise and a healthy diet. Cardio (aerobic) exercise burns fat from all over the body. But if you tend to store fat in a certain area (apple or pear) it may take longer to lose fat from that specific area. Stay consistent and you will lower your risk for future health problems by achieving a healthy weight.

Lastly, don't fear strength training. It's a common misconception (especially among women) that strength training is going to make you “bulk up”. You may fear, for example, that since your thighs are a trouble spot, you shouldn’t lift weights because it will make your thighs look bigger. This is a myth. Women, in fact, are more likely to tone up from strength training rather than bulk up. Research shows that women can add up to 30% lean muscle and end up looking thinner, feeling stronger and being firmer.

A well-rounded program of cardio and strength training, along with a healthy diet, will help with overall fat loss. No matter what your shape, maintaining a healthy weight will greatly reduce your risk of obesity-related illness.
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About The Author

Nicole Nichols Nicole Nichols
Nicole was named "America's Top Personal Trainer to Watch" in 2011. A certified personal trainer and fitness instructor with a bachelor's degree in health promotion and education, she loves living a healthy and fit lifestyle and helping others do the same. Her DVDs "Total Body Sculpting" and "28 Day Boot Camp" (a best seller) are available online and in stores nationwide. Read Nicole's full bio and blog posts.

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Member Comments

  • TRAINERBABE
    I finally weighed and measured myself to face facts. I've always considered myself to be just a "bit" on the pudgy side - but now I've really allowed the pounds pile up. I'm an apple -ugh... But I feel motivated to do something now. This is my second week using Spark, and thank goodness I found this site! - 5/15/2013 12:12:15 PM
  • BUSSEYBABY45
    an apple I am - 4/19/2013 11:44:42 PM
  • I'm glad to find that I'm a pear now. I'm pretty sure I was an Avocado in January... - 3/11/2013 9:21:04 PM
  • I'm so happy for this article. I never felt like I felt into the pear or apple category. Now I know I'm a avocado! - 3/4/2013 2:00:11 AM
  • PINKTHUNDER
    Darn, thanks to these few extra pounds I've morphed from pear to avocado. If I'm not careful, the next thing you know -- poof! -- I'll be an apple. Note to self: burn more fat. - 2/7/2013 11:47:50 AM
  • AVoCADO??? So that's what happened to all that guacamole!! Interesting article. Can't wait to see some changes. - 2/4/2013 7:14:41 PM
  • Always wondered why I didn't quite fit as an apple or a pear, so now I know why...I'm an Avocado! It will be interesting to see how that changes once I get back to my well defined (36-24-36) Hourglass figure. :)
    - 1/28/2013 10:15:02 AM
  • Is this true for people who have small hips?? My waist is only one inch below what my hips are. I wear a size 8 so it's hard for me to believe I am a high risk for heart disease. I know this is a quick measure and not accurate for everyone. - 10/31/2012 11:15:10 AM
  • Sad for us apples that even if we are less overweight we are more at risk. - 6/6/2012 8:46:03 AM
  • I find it funny folks are debating whether or not they are what "fruit" or "veggie" type they are. The bottom line, we all need to be concerned about the Numbers. We all need to reduce the core, by whatever healthy means necessary. I, once upon a time, was a considered a pear shape. The facts are the my body has change because I have not maintained a healthy body weight. I can change this! We all can! - 1/15/2012 7:36:24 AM
  • AVOCADO??????? my favorite fruit is telling me i am not healthy. don't like it. make me a pear. i don't like them as much. LOL - 1/12/2012 3:01:48 PM
  • It says I am an apple. When I was at my peak fitness in high school I had a classic hourglass shape. Now though I store the majority of my weight in my chest. While I have gained over 50 lbs my pant size has stayed the same but my bra size has gone up A LOT. - 12/29/2011 8:57:38 PM
  • When I started (13 kgs ago) I was an avocado, which to me was shocking as I had always been a pear. Anyhoo, it appears I have now become a pear again... - 7/20/2011 12:27:04 AM
  • I have a question on the facts. I have actually heard that the boxy, "straight-up-and-
    down" avocado shape (sometimes called banana) is the most common shape for women. But you said avocado was least common. What's up with that? - 7/9/2011 11:27:42 PM
  • Not sure I believe in this interpretation of body types. I was a definate pear and now since having a baby Im a definate apple (according to this definition). If Im fat Im apparently an apple, if Im thin Im a pear. Surely your weight shouldnt be relevant if body type is a genetic or lasting thing? - 5/13/2011 10:52:36 AM
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