diff --git a/src/lib/measurements/__tests__/apple-health-mapping.test.ts b/src/lib/measurements/__tests__/apple-health-mapping.test.ts
index 66544ea21..d109e739c 100644
--- a/src/lib/measurements/__tests__/apple-health-mapping.test.ts
+++ b/src/lib/measurements/__tests__/apple-health-mapping.test.ts
@@ -78,15 +78,16 @@ const MEASUREMENT_TYPES_WITHOUT_HK_COUNTERPART = new Set<MeasurementType>([
   // resilience metric. No HK mapping by design.
   "RESILIENCE",
   // v1.25 — clinical-signals wave. The mental-health screener totals are
-  // derived from an in-app questionnaire, and grip strength / pain NRS / waist
-  // circumference + waist-to-height are manual / instrument readings — none
-  // ships a first-class HealthKit quantity we ingest, so they have no HK
-  // mapping by design.
+  // derived from an in-app questionnaire, and grip strength / pain NRS are
+  // manual / instrument readings — none ships a first-class HealthKit quantity
+  // we ingest, so they have no HK mapping by design. Waist-to-height is a
+  // server-derived ratio (no HK quantity). `WAIST_CIRCUMFERENCE` DOES round-
+  // trip via `HKQuantityTypeIdentifierWaistCircumference`, so it is NOT listed
+  // here.
   "PHQ9_SCORE",
   "GAD7_SCORE",
   "GRIP_STRENGTH",
   "PAIN_NRS",
-  "WAIST_CIRCUMFERENCE",
   "WAIST_TO_HEIGHT",
 ]);
 
@@ -288,6 +289,26 @@ describe("HK_QUANTITY_TYPE_DEFERRED", () => {
     expect(mapping.convertToDbUnit(0.245)).toBeCloseTo(24.5);
   });
 
+  it("round-trips waist circumference from HK metres to canonical cm", () => {
+    const mapping =
+      APPLE_HEALTH_TYPE_MAP.HKQuantityTypeIdentifierWaistCircumference;
+    expect(mapping.measurementType).toBe("WAIST_CIRCUMFERENCE");
+    expect(mapping.dbUnit).toBe("cm");
+    // 0.84 m → 84 cm.
+    expect(mapping.convertToDbUnit(0.84)).toBeCloseTo(84);
+    const out = mapAppleHealthEntry({
+      hkIdentifier: "HKQuantityTypeIdentifierWaistCircumference",
+      value: 0.92,
+      unit: "m",
+      startDate: "2026-06-28T08:00:00.000Z",
+      endDate: "2026-06-28T08:00:00.000Z",
+    });
+    expect(out).not.toBeNull();
+    expect(out!.type).toBe("WAIST_CIRCUMFERENCE");
+    expect(out!.value).toBeCloseTo(92);
+    expect(out!.unit).toBe("cm");
+  });
+
   it("uses identity conversion for the SI-aligned identifiers", () => {
     for (const id of [
       "HKQuantityTypeIdentifierBodyMass",
diff --git a/src/lib/measurements/apple-health-mapping.ts b/src/lib/measurements/apple-health-mapping.ts
index d6be7265a..39db69181 100644
--- a/src/lib/measurements/apple-health-mapping.ts
+++ b/src/lib/measurements/apple-health-mapping.ts
@@ -220,6 +220,22 @@ export const APPLE_HEALTH_TYPE_MAP: Record<string, AppleHealthMapping> = {
     convertToDbUnit: (v) => v,
     aggregation: "latest",
   },
+  // Waist circumference — HealthKit ships this as a length quantity in the SI
+  // base unit (metres), the same wire convention the other length identifiers
+  // follow (`DistanceWalkingRunning`, `WalkingStepLength`). It is the first
+  // length metric whose canonical DB unit (cm) differs from the metre wire
+  // unit, so it scales ×100 server-side — the length sibling of the percent
+  // metrics' ×100 path. WHO risk bands are evaluated in cm at display
+  // (men > 94 / women > 80; see `norms.ts`).
+  HKQuantityTypeIdentifierWaistCircumference: {
+    hkIdentifier: "HKQuantityTypeIdentifierWaistCircumference",
+    measurementType: "WAIST_CIRCUMFERENCE",
+    hkUnit: "m",
+    dbUnit: "cm",
+    // Apple ships length in metres; HealthLog stores waist in cm.
+    convertToDbUnit: (v) => v * 100,
+    aggregation: "latest",
+  },
 
   // ── Cardiovascular ──────────────────────────────────────────
   HKQuantityTypeIdentifierBloodPressureSystolic: {