The ABSI formula measures your waist circumference in relation to your BMI and height. The resulting z-score shows you your health risks (from belly fat) that BMI alone misses.

ABSI Formula

ABSI = WC / (BMI2/3 × Height1/2)

Z-Score

The ABSI value is then converted to a z-score which shows how you compare to others of your age and sex. The mean and standard deviation values come from population studies.

z = (ABSI - ABSImean) / ABSIstd

Example

A 40-year old man, 175 cm tall, weighing 80 kg and with a waist circumference of 90 cm calculates his BMI and ABSI as follows:

BMI = 80 / 1.75² = 26.1
ABSI = 0.90 / (26.12/3 × 1.751/2) = 0.90 / (8.79 × 1.32) = 0.0776

The ABSI value is then compared against population averages to determine the z-score and risk category.

Understanding Your Z-Score

Z-Score RangeRisk CategoryMortality Risk
z < -0.868 Very Low Risk Below average mortality risk
-0.868 to -0.272 Low Risk Lower than average mortality risk
-0.272 to +0.229 Average Risk Average mortality risk
+0.229 to +0.798 High Risk Elevated mortality risk
z ≥ +0.798 Very High Risk Significantly elevated mortality risk

History

The ABSI formula was developed in 2012 from a study of more than 14,000 adults whose health was tracked for up to 24 years.

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