Development and validation of an accurate smartphone application for measuring waist-to-hip circumference ratio

  • Siddharth Choudhary ,
  • Ganesh Iyer ,
  • Brandon M. Smith ,
  • Jinjin Li ,
  • Mark Sippel ,
  • ,
  • Steven B. Heymsfield

NPJ Digital Medicine (Nature Portfolio) | , Vol 6(168)

Waist-to-hip circumference ratio (WHR) is now recognized as among the strongest shape biometrics linked with health outcomes,
although use of this phenotypic marker remains limited due to the inaccuracies in and inconvenient nature of flexible tape
measurements when made in clinical and home settings. Here we report that accurate and reliable WHR estimation in adults is
possible with a smartphone application based on novel computer vision algorithms. The developed application runs a
convolutional neural network model referred to as MeasureNet that predicts a person’s body circumferences and WHR using front,
side, and back color images. MeasureNet bridges the gap between measurements conducted by trained professionals in clinical
environments, which can be inconvenient, and self-measurements performed by users at home, which can be unreliable.
MeasureNet’s accuracy and reliability is evaluated using 1200 participants, measured by a trained staff member. The developed
smartphone application, which is a part of Amazon Halo, is a major advance in digital anthropometry, filling a long-existing gap in
convenient, accurate WHR measurement capabilities.