Hypertriglyceridemic Waist (HTGW) Index Calculator
Clinical assessment
Enter sex, waist circumference, and fasting triglycerides to assess the hypertriglyceridemic-waist phenotype.
About the HTGW phenotype
The hypertriglyceridemic-waist (HTGW) phenotype combines an enlarged waist circumference with elevated fasting triglycerides. It is used as a practical marker that may help identify people with an adverse cardiometabolic profile; it is not, by itself, a diagnosis of cardiovascular disease or a stand-alone risk calculator.
Thresholds used by this tool
| Criterion | Men | Women |
|---|---|---|
| Waist circumference | ≥90 cm | ≥85 cm |
| Triglycerides | ≥177 mg/dL (2.0 mmol/L) | ≥133 mg/dL (1.5 mmol/L) |
HTGW-positive classification requires both the waist and triglyceride thresholds for the selected sex to be met. Thresholds can vary by population and study protocol; interpret them in the context of the applicable guideline and the patient's overall risk profile.
Clinical use
- Consider the result alongside blood pressure, glycemia, lipid profile, smoking status, family history, and other established risk factors.
- Confirm whether triglycerides were measured fasting and review secondary causes of hypertriglyceridemia when clinically indicated.
- Use the finding to support, not replace, comprehensive cardiometabolic assessment and shared clinical decision-making.
References
Clinical notes
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