The RFM formula
Men: RFM = 64 − 20 × (height ÷ waist). Women: RFM = 76 − 20 × (height ÷ waist). Both height and waist must be in the same unit (both cm or both inches). The formula was developed by Woolcott and Bergman (2018) and validated against DXA (dual-energy X-ray absorptiometry) body composition scans.
A larger waist-to-height ratio produces a higher RFM, reflecting that central adiposity (abdominal fat accumulation) is strongly associated with metabolic risk.