Associations between gender, age and waist circumference
Open accessAbstract
In December 2008, the World Health Organization (WHO) convened a consultation to discuss cut-points for waist circumference (WC). As part of that effort, this paper examines the impact of gender and age on WC. As WC is influenced by body weight, body composition and fat distribution, their associations with gender and age were reviewed. We also noted the relationships with sex hormones, parity and menopause. We then summarized data on gender, age and WC. This presentation is not intended to be comprehensive, but to provide an overview of the available research. There are large differences in body composition in men and women, with women having more body fat. Fat distribution also differs with gender, with men having a relatively more central distribution of fat. These differences begin early in life and become more apparent in puberty due to changes in sex hormone levels. In both, men and women, waist and waist-to-hip ratio increase with age. A large portion of this increase is driven by gains in body weight, but the increases observed are larger than those that would be predicted from increases in the body mass index alone, and increases in WC are seen with aging in the absence of weight gain. The current practice of using seperate waist cut-points by gender is appropriate. Although WC increases with age, so does the risk of many chronic diseases. An evaluation of the need for age-specific waist cut-points in adults would need to consider disease risk.
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Gender differences in fat distribution have been previously reported, and these are related to differences in sex hormone levels.
“Gender differences in fat distribution have been previously reported, and these are related to the differences in sex hormone levels [46].”
From Intestinal Microbiota Is Influenced by Gender and Body Mass Index (2016) · cites this paper as [46]
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Cites
1 retracted
Effects of the Menopause Transition on Body Fatness and Body Fat Distribution
Tchernof, A., & Poehlman, É. T. (1998) · Obesity Research · doi:10.1002/j.1550-8528.1998.tb00344.x · Cited by 165 · see citing works
RetractedInternational Diabetes Federation 2017
Carracher, A. M., Marathe, P. H., & Close, K. L. (2018) · Journal of Diabetes · doi:10.1111/1753-0407.12644 · Cited by 13,369 · see citing works
The metabolic phenotype in obesity: Fat mass, body fat distribution, and adipose tissue function
Goossens, G. H. (2017) · Obesity Facts · doi:10.1159/000471488 · Cited by 8,481 · see citing works
Grundy, S. M., Brewer, H. B., Cleeman, J. I., Smith, S. C., & Lenfant, C. (2004) · Circulation · doi:10.1161/01.cir.0000111245.75752.c6 · Cited by 5,982 · see citing works
Janssen, I., Heymsfield, S. B., & Ross, R. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50216.x · Cited by 3,139 · cited 1× · see citing works
“It is characterized as a decline in muscle mass and muscle strength, resulting in a decline in physical function, disability as well as increased morbidity and mortality (Janssen et al., 2002).”
BackgroundLongitudinal Effects of Aging on Serum Total and Free Testosterone Levels in Healthy Men
Harman, S. M., Metter, E. J., Tobin, J. D., Pearson, J., & Blackman, M. R. (2001) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.86.2.7219 · Cited by 2,760 · see citing works
Invited Review: Aging and sarcopenia
Doherty, T. J. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00347.2003 · Cited by 1,764 · see citing works
(2002) · PubMed · Cited by 1,755 · see citing works
The Degree of Masculine Differentiation of Obesities
Vague, J. (1956) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/4.1.20 · Cited by 1,417 · see citing works
Zhou, Cooperative, B.-F., & on (2002) · 生物医学与环境科学:英文版 · Cited by 992 · see citing works
Appendicular skeletal muscle mass: effects of age, gender, and ethnicity
Gallagher, D., Visser, M., De Meersman, R. E., Sepúlveda, D., Baumgartner, R. N., Pierson, R. N., Harris, T., & Heymsfield, S. B. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.1.229 · Cited by 966 · see citing works
Sarcopenic obesity: A new category of obesity in the elderly
Zamboni, M., Mazzali, G., Fantin, F., Rossi, A., & Di Francesco, V. (2008) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2007.10.002 · Cited by 953 · see citing works
Sexual dimorphism of body composition
Wells, J. C. K. (2007) · Best Practice & Research Clinical Endocrinology & Metabolism · doi:10.1016/j.beem.2007.04.007 · Cited by 928 · see citing works
Human growth hormone and human aging
CORPAS, E., HARMAN, S. M., & BLACKMAN, M. R. (1993) · Endocrine Reviews · doi:10.1210/edrv-14-1-20 · Cited by 911 · see citing works
Sex- and menopause-associated changes in body-fat distribution
Ley, C., Lees, B., & Stevenson, J. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/55.5.950 · Cited by 733 · see citing works
Skinfolds and body density and their relation to body fatness: a review.
Tg, L. (1981) · PubMed · Cited by 663 · see citing works
Health consequences of obesity in the elderly: a review of four unresolved questions
Zamboni, M. M., Mazzali, G., Zoico, E., Harris, T. B., Meigs, J. B., Francesco, V. D., Fantin, F., Bissoli, L., & Bosello, O. (2005) · International Journal of Obesity · doi:10.1038/sj.ijo.0803005 · Cited by 649 · see citing works
Enzi, G., Gasparo, M., Biondetti, P., Fiore, D., Semisa, M., & Zurlo, F. (1986) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/44.6.739 · Cited by 547 · see citing works
Thomas, D. R. (2007) · Clinical Nutrition · doi:10.1016/j.clnu.2007.03.008 · Cited by 521 · see citing works
Emmelot-Vonk, M. H., Verhaar, H. J. J., Nakhai Pour, H. R., Aleman, A., Lock, T. M. T. W., Bosch, J. L. H. R., Grobbee, D. E., & van der Schouw, Y. T. (2008) · JAMA · doi:10.1001/jama.2007.51 · Cited by 518 · see citing works
Effect of menopausal status on body composition and abdominal fat distribution
Toth, M., Tchernof, A., Sites, C., & Poehlman, É. T. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801118 · Cited by 504 · see citing works
Changes in Body Composition in Women over Six Years at Midlife: Ovarian and Chronological Aging
Sowers, M., Zheng, H., Tomey, K., Karvonen-Gutierrez, C., Jannausch, M., Li, X., Yosef, M., & Symons, J. (2007) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-1393 · Cited by 470 · see citing works
Effect of Testosterone Treatment on Bone Mineral Density in Men Over 65 Years of Age
Snyder, P. J. (1999) · Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.84.6.1966 · Cited by 460 · see citing works
Postmenopausal hormone replacement therapy prevents central distribution of body fat after menopause
Haarbo, J., Marslew, U., Gotfredsen, A., & Christiansen, C. (1991) · Metabolism · doi:10.1016/0026-0495(91)90037-w · Cited by 441 · see citing works
Studies in the Distribution of Body Fat
Shimokata, H. (1989) · JAMA · doi:10.1001/jama.261.8.1169 · Cited by 425 · see citing works
Weight Gain at the Time of Menopause
Wing, R. R. (1991) · Archives of Internal Medicine · doi:10.1001/archinte.1991.00400010111016 · Cited by 394 · see citing works
Anthropometric assessment of 10-y changes in body composition in the elderly
HUGHES, V. A., Roubenoff, R., Wood, M., Frontera, W. R., Evans, W. J., & Singh, M. A. F. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/80.2.475 · Cited by 394 · see citing works
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · Obesity · doi:10.1038/oby.2007.632 · Cited by 388 · see citing works
Sternfeld, B. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh299 · Cited by 360 · see citing works
Waist circumference and abdominal adipose tissue distribution: influence of age and sex
Kuk, J. L., Lee, S., Heymsfield, S. B., & Ross, R. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.6.1330 · Cited by 354 · see citing works
Sexual dimorphism of age-related changes in whole-body fat distribution in the obese
小谷, 一. (1994) · doi:10.11501/3097483 · Cited by 353 · see citing works
Trends in Waist Circumference among U.S. Adults
Ford, E. S., Mokdad, A. H., & Giles, W. H. (2003) · Obesity Research · doi:10.1038/oby.2003.168 · Cited by 327 · see citing works
Studies in the Distribution of Body Fat: I. Effects of Age, Sex, and Obesity
Shimokata, H., Tobin, J. D., Muller, D. C., Elahi, D., Coon, P. J., & Andres, R. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.2.m66 · Cited by 319 · see citing works
Aging in adipocytes: Potential impact of inherent, depot-specific mechanisms
CARTWRIGHT, M., TCHKONIA, T., & KIRKLAND, J. (2007) · Experimental Gerontology · doi:10.1016/j.exger.2007.03.003 · Cited by 318 · cited 5× · see citing works
“In addition to changes in total body fat, the process of aging is associated with substantial redistribution of fat tissue among depots (Cartwright et al., 2007).”
BackgroundInfluentialDerby, C. A., Zilber, S., Brambilla, D., Morales, K. H., & McKinlay, J. B. (2006) · Clinical Endocrinology · doi:10.1111/j.1365-2265.2006.02560.x · Cited by 315 · see citing works
Svendsen, O. L., Hassager, C., & Christiansen, C. (1995) · Metabolism · doi:10.1016/0026-0495(95)90168-x · Cited by 304 · see citing works
Allan, C. A., Strauss, B. J. G., Burger, H. G., Forbes, E. A., & McLachlan, R. I. (2008) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2007-1291 · Cited by 298 · see citing works
(1994) · PubMed · Cited by 293 · see citing works
Testosterone, body composition and aging.
Vermeulen, A. T., Goemaere, S., & Kaufman, J. (1999) · PubMed · Cited by 280 · see citing works
Gunderson, E. P., Murtaugh, M. A., Lewis, C. E., Quesenberry, C. P., West, D. S., & Sidney, S. (2004) · International Journal of Obesity · doi:10.1038/sj.ijo.0802551 · Cited by 252 · see citing works
Trémollieres, F. A., Pouilles, J.-M., & Ribot, C. A. (1996) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(96)70111-4 · Cited by 242 · see citing works
The Use of BMI and Waist Circumference as Surrogates of Body Fat Differs by Ethnicity
Lear, S. A., Humphries, K. H., Kohli, S., & Birmingham, C. L. (2007) · Obesity · doi:10.1038/oby.2007.334 · Cited by 240 · see citing works
Obesity and Sarcopenia after Menopause Are Reversed by Sex Hormone Replacement Therapy
Sørensen, M. B., Rosenfalck, A. M., Højgaard, L., & Ottesen, B. (2001) · Obesity Research · doi:10.1038/oby.2001.81 · Cited by 198 · see citing works
Seidell, J. C., Kahn, H. S., Williamson, D. F., Lissner, L., & Valdez, R. A. (2001) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/73.1.123 · Cited by 197 · see citing works
Longitudinal changes in adult fat-free mass: influence of body weight
Forbes, G. B. (1999) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/70.6.1025 · Cited by 183 · see citing works
Lassek, W. D., & Gaulin, S. J. C. (2006) · American Journal of Physical Anthropology · doi:10.1002/ajpa.20394 · Cited by 169 · see citing works
Reproductive history in relation to relative weight and fat distribution.
Björkelund, C., Lissner, L., Andersson, S., Lapidus, L., & Bengtsson, C. (1996) · PubMed · Cited by 153 · see citing works
Berber, A. C., Gómez‐Santos, R., Fanghänel, G., & Sánchez‐Reyes, L. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801827 · Cited by 143 · see citing works
Simple anthropometric indexes and cardiovascular risk factors in Chinese
Ko, G., Chan, J., Woo, J., Lau, E. M. C., Yeung, V. T. F., Chow, C., Wai, H. P. S., Li, J. K. Y., So, W.-Y., & Cockram, C. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800508 · Cited by 135 · see citing works
Snead, D. B., Birge, S. J., & Kohrt, W. M. (1993) · Journal of Applied Physiology · doi:10.1152/jappl.1993.74.2.770 · Cited by 135 · see citing works
Childbearing May Increase Visceral Adipose Tissue Independent of Overall Increase in Body Fat
Gunderson, E. P., Sternfeld, B., Wellons, M., Whitmer, R. A., Chiang, V., Quesenberry, C. P., Lewis, C. E., & Sidney, S. (2008) · Obesity · doi:10.1038/oby.2008.40 · Cited by 131 · see citing works
Studies in the distribution of body fat. II. Longitudinal effects of change in weight.
Shimokata, H., Andres, R., Coon, P. J., Elahi, D., Muller, D. C., & Jd, T. (1989) · PubMed · Cited by 124 · see citing works
Zamboni, M. M., Armellini, F., Sheiban, I., Marchi, M. D., Todesco, T., Bergamo-Andreis, I. A., Cominacini, L., & Bosello, O. (1992) · The American Journal of Cardiology · doi:10.1016/0002-9149(92)90043-x · Cited by 102 · see citing works
Overweight and obesity trends among Japanese adults: a 10-year follow-up of the JPHC Study
for the JPHC Study Group, Matsushita, Y., Takahashi, Y., Mizoue, T., Inoue, M., Noda, M., & Tsugane, S. (2008) · International Journal of Obesity · doi:10.1038/ijo.2008.188 · Cited by 98 · see citing works
Hunter, G., Kekes-Szabo, T., Treuth, M. S., Williams, M. J. A., Goran, M. I., & Pichon, C. (1996) · PubMed · Cited by 79 · see citing works
Consequences of Change in Waist Circumference on Cardiometabolic Risk Factors Over 9 Years
Balkau, B., Picard, P., Vol, S., Fezeu, L., Eschwège, É., & for the DESIR Study Group (2007) · Diabetes Care · doi:10.2337/dc06-2542 · Cited by 73 · see citing works
Fifteen-year changes in body mass index and waist circumference in Finnish adults
Lahti‐Koski, M., Harald, K., Männistö, S., et al. (2007) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e32800fef1f · Cited by 70 · see citing works
Kahn, H. S., & Cheng, Y. J. (2007) · International Journal of Obesity · doi:10.1038/sj.ijo.0803697 · Cited by 66 · see citing works
Menopause, fat and lean distribution in obese women
Panotopoulos, G., Ruiz, J.-C., Raison, J., Guy-grand, B., & Basdevant, A. (1996) · Maturitas · doi:10.1016/0378-5122(96)01119-x · Cited by 64 · see citing works
Age‐variability in Body Shape Associated With Excess Weight: The UK National Sizing Survey
Wells, J. C. K., Cole, T. J., & Treleaven, P. C. (2008) · Obesity · doi:10.1038/oby.2007.62 · Cited by 60 · see citing works
Harman, S. M., & Blackman, M. R. (2004) · The Journals of Gerontology Series A · doi:10.1093/gerona/59.7.b652 · Cited by 49 · see citing works
Changes in body weight and girths in black and white adults studied over a 25 year interval.
Stevens, J., Knapp, R. G., Keil, J. E., & Rr, V. (1991) · PubMed · Cited by 44 · see citing works
Self-citationChanges in weight and waist circumference over 9 years in a Scottish population
Ebrahimi‐Mameghani, M., Scott, J. A., Der, G., Lean, M. E. J., & Burns, C. M. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602839 · Cited by 39 · see citing works
Associations of Aging and Birth Cohort with Body Mass Index in a Biethnic Cohort
Juhaeri, J., Stevens, J., Jones, D. W., & Arnett, D. K. (2003) · Obesity Research · doi:10.1038/oby.2003.58 · Cited by 36 · see citing works
Self-citationMayer-Davis, E. J. (2003) · American Journal of Epidemiology · doi:10.1093/aje/kwg022 · Cited by 26 · see citing works
The Interrelationship between Body Topology and Body Composition Varies with Age among Women
Welch, G. W., & Sowers, M. R. (2000) · Journal of Nutrition · doi:10.1093/jn/130.9.2371 · Cited by 15 · see citing works
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · Cited by 9 · see citing works
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Intestinal Microbiota Is Influenced by Gender and Body Mass Index
Haro, C., Rangel-Zúñiga, O. A., Alcalá-Díaz, J. F., Gómez-Delgado, F., Pérez-Martínez, P., Delgado-Lista, J., Quintana-Navarro, G. M., Landa, B. B., Navas-Cortés, J. A., Tena-Sempere, M., et al. (2016) · PLOS ONE · doi:10.1371/journal.pone.0154090 · Cited by 671 · see citing works
“Gender differences in fat distribution have been previously reported, and these are related to the differences in sex hormone levels [46].”
BackgroundInfluence of gender and menopausal status on gut microbiota
Santos-Marcos, J. A., Rangel-Zuñiga, O. A., Jimenez-Lucena, R., Quintana-Navarro, G. M., Garcia-Carpintero, S., Malagon, M. M., Landa, B. B., Tena-Sempere, M., Perez-Martinez, P., Lopez-Miranda, J., et al. (2018) · Maturitas · doi:10.1016/j.maturitas.2018.07.008 · Cited by 287 · see citing works
Saad, F., Aversa, A., M. Isidori, A., & J. Gooren, L. (2012) · Current Diabetes Reviews · doi:10.2174/157339912799424573 · Cited by 148 · see citing works
Body Composition in Asians and Caucasians
Haldar, S., Chia, S. C., & Henry, C. J. (2015) · Advances in Food and Nutrition Research · doi:10.1016/bs.afnr.2015.07.001 · Cited by 100 · see citing works
Park, J., Seo, Y.-G., Paek, Y.-J., Song, H. J., Park, K. H., & Noh, H.-M. (2020) · Metabolism · doi:10.1016/j.metabol.2020.154336 · Cited by 93 · see citing works
Substrate metabolism during exercise: Sexual dimorphism and women’s specificities
Boisseau, N., & Isacco, L. (2022) · European Journal of Sport Science · doi:10.1080/17461391.2021.1943713 · Cited by 70 · see citing works
Toselli, S., Campa, F., Matias, C. N., de Alencar Silva, B. S., dos Santos, V. R., Maietta Latessa, P., & Gobbo, L. A. (2021) · Experimental Gerontology · doi:10.1016/j.exger.2021.111393 · Cited by 12 · see citing works
- Authors
- Stevens, J., Katz, E. G., & Huxley, R. R.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- The University of Sydney (AU)
- Corresponding author
- Stevens, J
- ORCID
- Venue
- European Journal of Clinical Nutrition
- Published
- 2009-09-09
- Volume
- 64
- Issue
- 1
- Pages
- 6-15
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- PMC
- PMC5909719
- OpenAlex
- W2058481760
- Cited by
- 306
- References
- 67
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 29 · 2023: 22 · 2022: 32 · 2021: 27 · 2020: 17 · 2019: 22 · 2018: 13 · 2017: 11 · 2016: 10 · 2015: 10 · 2014: 13 · 2013: 21 · 2012: 27
- FWCI
- 1.61
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eSpace (Curtin University) (submittedVersion)
- Funders
- National Institute on Aging (T32AG000272)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK069678)
- National Center for Research Resources (RR00046, M01RR000046)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- waist circumference, waist-to-hip ratio, sex differences, aging, body composition, body fat distribution, sex hormones, parity, menopause, abdominal obesity, chronic disease risk
- MeSH terms
- Aging, Body Weight, Female, Humans, Male, Menopause, Pregnancy, Reference Values, Sex Characteristics, Gonadal Steroid Hormones, Body Mass Index, Waist-Hip Ratio, Body Fat Distribution, Waist Circumference
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