Body Shape Index

A metric that considers waist circumference adjusted for height and weight. It's proposed to be a more accurate predictor of mortality than BMI.

What is the Body Shape Index?

The Body Shape Index (ABSI) offers a more refined measure of body fat compared to the traditional Body Mass Index (BMI). Unlike BMI, which only considers height and weight, ABSI takes fat distribution into account. This index is calculated by dividing your waist circumference by a combination of BMI and height. 

Specifically, the formula uses BMI raised to the two-thirds power and height raised to the half power. Essentially, if you have a larger waist in relation to your BMI and height, ABSI reflects a higher potential health risk. ABSI is a ratio and does not have any units.

What are the Origins of the Body Shape Index?

The Body Shape Index was developed by Dr. Nir Krakauer, an assistant professor of civil engineering at the City College of New York, and his father, Dr. Jesse Krakauer, a medical doctor. They created ABSI to address the limitations of BMI, particularly its inability to account for how fat is distributed in the body. 

The Krakauers’ research was published in the journal PLoS One in 2012. Their findings highlighted that ABSI is a stronger predictor of mortality risk than BMI, especially for individuals with a high waist circumference relative to their BMI and height.

How the Body Shape Index is Calculated

To calculate ABSI, use the following formula:

ABSI = Waist Circumference / (BMI^(2/3) * Height^(1/2))

This formula integrates three key measurements: waist circumference, BMI, and height. Waist circumference is a marker of abdominal obesity, BMI assesses overall body fat, and height provides context for body size.

The resulting ABSI is a dimensionless number, meaning it has no units. A higher ABSI suggests a greater risk of health issues related to obesity.

Interpreting the Body Shape Index

The ABSI is interpreted against a reference population. An ABSI of 1.0 means a person’s waist circumference matches expected values for their BMI and height.

An ABSI above 1.0 indicates a larger waist circumference, while below 1.0 suggests a smaller one. ABSI can predict mortality risk linked to obesity, with higher ABSI indicating greater risk. It helps identify high-risk individuals with a normal BMI.

What Factors Influence Body Shape Index?

Understanding what determines our body shape involves exploring biology, lifestyle, and genetics. The Body Shape Index is a metric that considers various factors beyond traditional health measurements. Below are some key factors that influence ABSI and, ultimately, your body shape.

Role of Genetics

Our Body Shape Index (BSI) is primarily influenced by genetics. The information in our DNA shapes our body’s form and fat distribution, impacting everything from our silhouette’s curves to where fat is stored, highlighting the genetic impact on our BSI.

Lifestyle Factors

Our food and exercise routines greatly influence our body shape, affecting energy, health, and composition. Regular physical activity and healthy eating reduce waist circumference, while a sedentary lifestyle and poor diet can increase ABSI, reflecting higher health risks.

Variations by Age and Gender

Aging and gender-specific hormonal changes impact fat distribution and ABSI. Muscle mass decreases with age, while fat distribution shifts, leading to variations in ABSI across different ages and genders.

What are the Advantages of the Body Shape Index?

The Body Shape Index (ABSI) offers several advantages over traditional measures like BMI:

  • ABSI provides a more accurate health risk assessment by accounting for where fat is stored, not just total body fat.
  • ABSI highlights risks for individuals with a normal BMI but high waist circumference, offering a more detailed health evaluation.
  • ABSI’s dimensionless nature allows for straightforward comparison across different populations, age groups, and genders.

What are the Limitations of the Body Shape Index?

While the Body Shape Index (ABSI) offers valuable insights, it has some limitations:

  • ABSI doesn’t differentiate between visceral fat (around organs) and subcutaneous fat (under the skin). This is important because visceral fat is more harmful.
  • It doesn’t consider muscle mass. Therefore, individuals with high muscle might have an elevated ABSI without being at increased health risk.

Comparison with Other Measures of Body Fat

The ABSI is one of several methods developed to address the shortcomings of BMI. Here’s how it compares with other common measures:

1. Waist-to-hip Ratio

The waist-to-hip ratio measures the relationship between the waist and hip circumferences to assess fat distribution. It considers the distribution of fat in the body but not the total amount of body fat. The body fat percentage considers the total amount of body fat but does not consider the distribution of fat in the body.

2. Waist-to-height Ratio

The waist-to-height ratio compares waist circumference to height, offering a better understanding of body proportions. This ratio highlights the risk of central obesity, as higher values indicate more abdominal fat relative to height, but it doesn’t directly quantify body fat percentage.

3. Bodyfat Percentage

Body fat percentage quantifies the proportion of fat relative to total body weight. This measure gives a comprehensive view of body composition, indicating overall fat levels. However, it does not provide specific information about where fat is distributed within the body.

 A Look Beyond BMI

The ABSI is still a relatively new metric, requiring more research to fully understand its strengths and limitations. However, it shows potential, especially for identifying health risks in individuals with normal BMI.

As research progresses, the ABSI and other advanced body fat measures could become essential tools in predicting and managing obesity-related health risks. These tools may eventually offer more accurate and individualized assessments than BMI alone.

Jane Thompson

Jane Thompson is a registered dietitian with over a decade of experience helping individuals and families achieve their health goals through evidence-based nutritional strategies. With a passion for translating complex nutritional science into practical advice, Jane works closely with clients to develop personalised plans that support long-term health and wellness. She specialises in weight management, digestive health, and plant-based nutrition, and has worked in a variety of settings, from private clinics to corporate wellness programmes. Jane is known for her approachable style and deep commitment to making nutrition accessible, sustainable, and enjoyable for everyone.