Waist circumference as a measure for indicating need for weight management
Open accessAbstract
Objective : To test the hypothesis that a single measurement, waist circumference, might be used to identify people at health risk both from being overweight and from having a central fat distribution. Design : A community derived random sample of men and women and a second, validation sample. Setting : North Glasgow. Subjects : 904 men and 1014 women (first sample); 86 men and 202 women (validation sample). Main outcome measures : Waist circumference, body mass index, waist:hip ratio. Results : Waist circumference >/=94 cm for men and >/=80 cm for women identified subjects with high body mass index (>/=25 kg/m 2 ) and those with lower body mass index but high waist:hip ratio (>/=0.95 for men, >/=0.80 women) with a sensitivity of >96% and specificity >97.5%. Waist circumference >/=102 cm for men or >/=88 cm for women identified subjects with body mass index >/=30 and those with lower body mass index but high waist:hip ratio with a sensitivity of >96% and specificity >98%, with only about 2% of the sample being misclassified. Conclusions : Waist circumference could be used in health promotion programmes to identify individuals who should seek and be offered weight management. Men with waist circumference >/=94 cm and women with waist circumference >/=80 cm should gain no further weight; men with waist circumference >/=102 cm and women with waist circumference >/=88 cm should reduce their weight.
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Pouliot, M.-C., Despres, J., Lemieux, S., Moorjani, S., Bouchard, C., Tremblay, A., Nadeau, A., & Lupien, P. (1994) · American Journal of Cardiology · doi:10.1016/0002-9149(94)90676-9 · Cited by 2,238 · see citing works
Must, A., Jacques, P. F., Dallal, G. E., Bajema, C. J., & Dietz, W. H. (1992) · New England Journal of Medicine · doi:10.1056/nejm199211053271904 · Cited by 2,233 · see citing works
Larsson, B., Svärdsudd, K., Welin, L., Wilhelmsen, L., Björntorp, P. A., & Tibblin, G. (1984) · BMJ · doi:10.1136/bmj.288.6428.1401 · Cited by 1,931 · see citing works
Obesity, Fat Distribution, and Weight Gain as Risk Factors for Clinical Diabetes in Men
Chan, J. M., Rimm, E. B., Colditz, G. A., Stampfer, M. J., & Willett, W. C. (1994) · Diabetes Care · doi:10.2337/diacare.17.9.961 · Cited by 1,808 · see citing works
Lapidus, L., Bengtsson, C., Larsson, B., Pennert, K. M., Rybo, E., & Sjöström, L. (1984) · BMJ · doi:10.1136/bmj.289.6454.1257 · Cited by 1,657 · see citing works
Weisman, I. M., & Zeballos, R. J. (1976) · American Heart Journal · doi:10.1016/s0002-8703(76)80065-8 · Cited by 1,217 · see citing works
Validity of Self-Reported Waist and Hip Circumferences in Men and Women
Rimm, E. B., Stampfer, M. J., Colditz, G. A., Chute, C. G., Litin, L. B., & Willett, W. C. (1990) · Epidemiology · doi:10.1097/00001648-199011000-00009 · Cited by 1,015 · see citing works
The dietary and nutritional survey of British adults
(1990) · Trends in Food Science & Technology · doi:10.1016/0924-2244(90)90106-9 · Cited by 884 · see citing works
Indices of obesity derived from body weight and height.
Khosla, T., & Lowe, C. R. (1967) · Journal of Epidemiology & Community Health · doi:10.1136/jech.21.3.122 · Cited by 555 · see citing works
Cholesterol lowering and mortality: the importance of considering initial level of risk.
Smith, G., Song, F., & Sheldon, T. (1993) · British medical journal · doi:10.1136/bmj.306.6889.1367 · Cited by 447 · see citing works
Hazards of Obesity‐the Framingham Experience
HIGGINS, M. W., Kannel, W. B., Garrison, R. J., Pinsky, J. L., & Stokes, J. (1987) · Acta Medica Scandinavica · doi:10.1111/j.0954-6820.1987.tb05925.x · Cited by 243 · see citing works
Classification of obese patients and complications related to the distribution of surplus fat
Björntorp, P. A. (1987) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/45.5.1120 · Cited by 136 · see citing works
Yudkin, J. S. (1993) · BMJ · doi:10.1136/bmj.306.6888.1313 · Cited by 131 · see citing works
Flodmark, C., Sveger, T., & Nilsson-Ehle, P. (1994) · Acta Paediatrica · doi:10.1111/j.1651-2227.1994.tb13177.x · Cited by 114 · see citing works
Wing, R. R., Jeffery, R. W., Burton, L., Thorson, C., Kuller, L. H., & Folsom, A. (1992) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/55.6.1086 · Cited by 112 · see citing works
Effect of a weight cycle on visceral fat accumulation
Kooy, K. V. D., Leenen, R. C. A., Seidell, J. C., Deurenberg, P., & Hautvast, J. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/58.6.853 · Cited by 72 · see citing works
den Besten, C., Vansant, G. A. A. M., Weststrate, J., & Deurenberg, P. (1988) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/47.5.840 · Cited by 64 · see citing works
Overweight: Fat Distribution and Health Risks. Epidemiological Observations
Seidell, J. C., HAUTVAST, J. G. A. J., & Deurenberg, P. (1989) · Transfusion Medicine and Hemotherapy · doi:10.1159/000222401 · Cited by 46 · see citing works
Effects of exercise training on absolute and relative measurements of regional adiposity.
Houmard, J. A., McCulley, C., Lk, R., Bruner, R. K., McCammon, M. R., & Rg, I. (1994) · PubMed · Cited by 37 · see citing works
Differential health benefits of weight loss in upper-body and lower-body obese women
Kanaley, J. A., Andresen-Reid, M., Oenning, L., Kottke, B. A., & Jensen, M. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/57.1.20 · Cited by 32 · see citing works
Sönnichsen, A. C., Richter, W. O., & SCHWANDT, P. (1992) · Metabolism · doi:10.1016/0026-0495(92)90134-v · Cited by 27 · see citing works
Casimirri, F., Pasquali, R., Cesari, M. P., Melchionda, N., & Barbara, L. (1989) · Annals of Nutrition and Metabolism · doi:10.1159/000177524 · Cited by 25 · see citing works
Dennis, K. E., & Goldberg, A. P. (1993) · Arteriosclerosis and Thrombosis A Journal of Vascular Biology · doi:10.1161/01.atv.13.10.1487 · Cited by 23 · see citing works
White, A. N. (1993) · OpenGrey (Institut de l'Information Scientifique et Technique) · Cited by 16 · see citing works
The health of the nation — a consultative document
Conning, D. M. (1991) · Nutrition Bulletin · doi:10.1111/j.1467-3010.1991.tb01042.x · Cited by 7 · see citing works
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Cited by
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Alberti, K. G. M. M., Zimmet, P., & Shaw, J. (2006) · Diabetic Medicine · doi:10.1111/j.1464-5491.2006.01858.x · Cited by 6,597 · see citing works
Abdominal obesity and metabolic syndrome
Després, J.-P., & Lemieux, I. (2006) · Nature · doi:10.1038/nature05488 · Cited by 4,354 · see citing works
Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome
Wajchenberg, B. L. (2000) · Endocrine Reviews · doi:10.1210/edrv.21.6.0415 · Cited by 2,961 · see citing works
Waist circumference and not body mass index explains obesity-related health risk
Janssen, I., Katzmarzyk, P. T., & Ross, R. (2004) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/79.3.379 · Cited by 2,009 · see citing works
Ross, R., Neeland, I. J., Yamashita, S., Shai, I., Seidell, J., Magni, P., Santos, R. D., Arsenault, B., Cuevas, A., Hu, F. B., et al. (2020) · Nature Reviews Endocrinology · doi:10.1038/s41574-019-0310-7 · Cited by 1,966 · see citing works
The diabetes risk score: a practical tool to predict type 2 diabetes risk.
Lindström, J., & Tuomilehto, J. (2003) · Diabetes Care · doi:10.2337/diacare.26.3.725 · Cited by 2,022 · see citing works
Dyslipidemia in obesity: Mechanisms and potential targets
Klop, B., Elte, J., & Cabezas, M. (2013) · Nutrients · doi:10.3390/nu5041218 · Cited by 1,665 · see citing works
“It has been shown that diurnal triglyceridemia in obese subjects correlates better to waist circumference than to body mass index [78,80], which is in agreement with the hypothesis that the distribution of adipose tissue modulates postprandial lipemia [81].”
ResultAbdominal obesity and the metabolic syndrome: contribution to global cardiometabolic risk
Després, J.-P., Lemieux, I., Bergeron, J., Pibarot, P., Mathieu, P., Larose, E., Rodés-Cabau, J., Bertrand, O. F., & Poirier, P. (2008) · Arteriosclerosis Thrombosis and Vascular Biology · doi:10.1161/atvbaha.107.159228 · Cited by 1,589 · see citing works
Metabolic syndrome: a closer look at the growing epidemic and its associated pathologies
O’Neill, S., & O’Driscoll, L. (2014) · Obesity Reviews · doi:10.1111/obr.12229 · Cited by 1,550 · see citing works
Sattar, N., Gaw, A., Scherbakova, O., Ford, I., O’Reilly, D. S. J., Haffner, S. M., Isles, C., Macfarlane, P. W., Packard, C. J., Cobbe, S. M., et al. (2003) · Circulation · doi:10.1161/01.cir.0000080897.52664.94 · Cited by 1,506 · see citing works
Bedogni, G., Miglioli, L., Masutti, F., Tiribelli, C., Marchesini, G., & Bellentani, S. (2005) · Hepatology · doi:10.1002/hep.20734 · Cited by 1,250 · see citing works
Abdominal Adiposity and Coronary Heart Disease in Women
Rexrode, K. M. (1998) · JAMA · doi:10.1001/jama.280.21.1843 · Cited by 1,202 · see citing works
Wang, Y., Rimm, E. B., Stampfer, M. J., Willett, W. C., & Hu, F. B. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/81.3.555 · Cited by 1,114 · see citing works
Adinolfi, L. E., Gambardella, M., Andreana, A., Tripodi, M., Utili, R., & Ruggiero, G. (2001) · Hepatology · doi:10.1053/jhep.2001.24432 · Cited by 1,052 · see citing works
The Public Health Impact of Obesity
Visscher, T. L. S., & Seidell, J. C. (2001) · Annual Review of Public Health · doi:10.1146/annurev.publhealth.22.1.355 · Cited by 1,025 · see citing works
Kotseva, K., Wood, D., Bacquer, D. D., Backer, G. D., Rydén, L., Jennings, C. S., Gyberg, V., Amouyel, P., Bruthans, J., Conde, A. C., et al. (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487315569401 · Cited by 1,004 · see citing works
Definition and Diagnostic Criteria for Sarcopenic Obesity: ESPEN and EASO Consensus Statement
Donini, L. M., Busetto, L., Bischoff, S. C., Cederholm, T., Ballesteros-Pomar, M. D., Batsis, J. A., Bauer, J. M., Boirie, Y., Cruz-Jentoft, A. J., Dicker, D., et al. (2022) · Obesity Facts · doi:10.1159/000521241 · Cited by 1,019 · see citing works
Han, T. S., Leer, E. M. V., Seidell, J. C., & Lean, M. E. J. (1995) · BMJ · doi:10.1136/bmj.311.7017.1401 · Cited by 974 · see citing works
Self-citationBody Mass Index, Waist Circumference, and Health Risk
Janssen, I., Katzmarzyk, P. T., & Ross, R. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.18.2074 · Cited by 958 · see citing works
Assessing Adiposity: A Scientific Statement From the American Heart Association
Cornier, M.-A., Després, J.-P., Davis, N., Grossniklaus, D. A., Klein, S., Lamarche, B., Lopez-Jimenez, F., Rao, G., St-Onge, M.-P., Towfighi, A., et al. (2011) · Circulation · doi:10.1161/cir.0b013e318233bc6a · Cited by 945 · see citing works
Kotseva, K., Backer, G. D., Bacquer, D. D., Rydén, L., Hoes, A. W., Grobbee, D. E., Maggioni, A. P., Marques-Vidal, P. M., Jennings, C. S., Abreu, A., et al. (2019) · European Journal of Preventive Cardiology · doi:10.1177/2047487318825350 · Cited by 940 · see citing works
Taylor, R. W., Jones, I. E., Williams, S., & Goulding, A. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/72.2.490 · Cited by 934 · see citing works
Treatment of obesity: need to focus on high risk abdominally obese patients
Despres, J., Lemieux, I., & Prud'homme, D. (2001) · British medical journal · doi:10.1136/bmj.322.7288.716 · Cited by 934 · see citing works
Appropriate waist circumference cutoff points for central obesity in Korean adults
Lee, S. Y., Park, H. S., Kim, D. J., Han, J. H., Kim, S. M., Cho, G. J., Kim, D. Y., Kwon, H. S., Kim, S. R., Lee, C. B., et al. (2007) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2006.04.013 · Cited by 904 · see citing works
Epicardial fat from echocardiography: A new method for visceral adipose tissue prediction
Iacobellis, G., Assael, F., Ribaudo, M. C., Zappaterreno, A., Alessi, G., Di Mario, U., & Leonetti, F. (2003) · Obesity Research · doi:10.1038/oby.2003.45 · Cited by 779 · see citing works
Firmann, M., Mayor, V., Marques-Vidal, P. M., Bochud, M., Pécoud, A. R., Hayoz, D., Paccaud, F. M., Preisig, M., Song, K. S., Yuan, X., et al. (2008) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-8-6 · Cited by 715 · see citing works
The science of obesity management: an endocrine society scientific statement
Bray, G. A., Heisel, W. E., Afshin, A., Jensen, M. D., Dietz, W. H., Long, M., Kushner, R. F., Daniels, S. R., Wadden, T. A., Tsai, A. G., et al. (2018) · Endocrine Reviews · doi:10.1210/er.2017-00253 · Cited by 812 · see citing works
The development of waist circumference percentiles in British children aged 5.0–16.9 y
McCarthy, H., Jarrett, K. V., & Crawley, H. (2001) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601240 · Cited by 808 · see citing works
Janssen, I., Heymsfield, S. B., Allison, D. B., Kotler, D. P., & Ross, R. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/75.4.683 · Cited by 714 · see citing works
Review: Measurement and long-term health risks of child and adolescent fatness
Power, C., Lake, J., & Cole, T. J. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800454 · Cited by 692 · see citing works
Zhu, S.-K., Wang, Z.-M., Heshka, S., Heo, M., Faith, M., & Heymsfield, S. (2002) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/76.4.743 · Cited by 743 · see citing works
Dalton, M., Cameron, A. J., Zimmet, P., Shaw, J. E., Jolley, D., Dunstan, D. W., & Welborn, T. A. (2003) · Journal of Internal Medicine · doi:10.1111/j.1365-2796.2003.01229.x · Cited by 666 · see citing works
Cameron, A. J., Zimmet, P., Dunstan, D. W., Dalton, M., Shaw, J. E., Welborn, T. A., Owen, N. G., Salmon, J., & Jolley, D. (2003) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2003.tb05283.x · Cited by 595 · see citing works
What aspects of body fat are particularly hazardous and how do we measure them?
Snijder, M., van Dam, R. V., Visser, M., & Seidell, J. (2006) · International Journal of Epidemiology · doi:10.1093/ije/dyi253 · Cited by 614 · see citing works
Comparisons of waist circumferences measured at 4 sites
Wang, J., Thornton, J. C., Bari, S., Williamson, B., Gallagher, D., Heymsfield, S. B., Horlick, M., Kotler, D., Laferrère, B., Mayer, L., et al. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/77.2.379 · Cited by 567 · see citing works
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/85.5.1197 · Cited by 560 · see citing works
Pischon, T., Lahmann, P. H., Boeing, H., Friedenreich, C., Norat, T., Tjønneland, A., Halkjaer, J., Overvad, K., Clavel-Chapelon, F., Boutron-Ruault, M.-C., et al. (2006) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/djj246 · Cited by 554 · see citing works
Definition and diagnostic criteria for sarcopenic obesity: ESPEN and EASO consensus statement
Donini, L. M., Busetto, L., Bischoff, S. C., Cederholm, T., Ballesteros-Pomar, M. D., Batsis, J. A., Bauer, J. M., Boirie, Y., Cruz-Jentoft, A. J., Dicker, D., et al. (2022) · Clinical Nutrition · doi:10.1016/j.clnu.2021.11.014 · Cited by 566 · see citing works
“The group also supports the use of waist circumference [27, 28] as an accessible clinical tool that should be widely used for the identification of excess abdominal visceral fat and related cardiometabolic risk.”
Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus
Mann, J. I., Leeuw, I. D., Hermansen, K., Karamanos, B. G., Karlström, B., Katsilambros, N. L., Riccardi, G., Rivellese, A. A., Rizkalla, S. W., Slama, G., et al. (2004) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/s0939-4753(04)80028-0 · Cited by 520 · see citing works
A clinical perspective of obesity, metabolic syndrome and cardiovascular disease
Han, T. S., & Lean, M. E. (2016) · JRSM Cardiovascular Disease · doi:10.1177/2048004016633371 · Cited by 500 · see citing works
Self-citationImpairment of health and quality of life in people with large waist circumference
Lean, M., Han, T. S., & Seidell, J. C. (1998) · The Lancet · doi:10.1016/s0140-6736(97)10004-6 · Cited by 501 · see citing works
Self-citationFatty kidney: emerging role of ectopic lipid in obesity-related renal disease
de Vries, A. P. J., Ruggenenti, P. L., Ruan, X. Z., Praga, M., Cruzado, J. M., Bajema, I. M., D’Agati, V. D., Lamb, H. J., Barlovič, D. P., Hojs, R., et al. (2014) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(14)70065-8 · Cited by 500 · see citing works
Kelly, D. M., & Jones, T. H. (2015) · Obesity Reviews · doi:10.1111/obr.12282 · Cited by 487 · see citing works
Rössner, S., Sjöström, L., Noack, R., Meinders, A. E., Noseda, G., & Study, O. B. O. T. E. O. O. (2000) · Obesity Research · doi:10.1038/oby.2000.8 · Cited by 476 · see citing works
Anthropometric measurements in the elderly: age and gender differences
Perissinotto, E., Pisent, C., Sergi, G., Grigoletto, F., Enzi, G., & ILSA Working Group (2002) · British Journal Of Nutrition · doi:10.1079/bjn2001487 · Cited by 465 · see citing works
Dobbelsteyn, C., Joffres, M., MacLean, D., & Flowerdew, G. J. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801582 · Cited by 464 · see citing works
Insulin Resistance, the Metabolic Syndrome, and Complication Risk in Type 1 Diabetes
Kilpatrick, E. S., Rigby, A. S., & Atkin, S. L. (2007) · Diabetes Care · doi:10.2337/dc06-1982 · Cited by 440 · see citing works
Visscher, T., Seidell, J., Molarius, A., van der Kuip, D., Hofman, A., & Witteman, J. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801787 · Cited by 434 · see citing works
Position of the American Dietetic
Cummings, S., Parham, E. S., & Strain, G. W. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90255-5 · Cited by 433 · see citing works
Neck Circumference as a Simple Screening Measure for Identifying Overweight and Obese Patients
Ben-Noun, L. L., SOHAR, E., & Laor, A. (2001) · Obesity Research · doi:10.1038/oby.2001.61 · Cited by 420 · see citing works
Wedell-Neergaard, A.-S., Lang Lehrskov, L., Christensen, R. H., Legaard, G. E., Dorph, E., Larsen, M. K., Launbo, N., Fagerlind, S. R., Seide, S. K., Nymand, S., et al. (2019) · Cell Metabolism · doi:10.1016/j.cmet.2018.12.007 · Cited by 403 · see citing works
Jayedi, A., Soltani, S., Zargar, M. S., Khan, T. A., & Shab‐Bidar, S. (2020) · BMJ · doi:10.1136/bmj.m3324 · Cited by 404 · see citing works
Lin, W.-Y., Lee, L.-T., Chen, C.-Y., Lo, H., Hsia, H.-H., Liu, I.-L., Lin, R.-S., Shau, W., & Huang, K.-C. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0802040 · Cited by 397 · see citing works
Waist Circumference and Cardiometabolic Risk
Klein, S., Allison, D. B., Heymsfield, S. B., Kelley, D. E., Leibel, R. L., Nonas, C., & Kahn, R. (2007) · Diabetes Care · doi:10.2337/dc07-9921 · Cited by 387 · see citing works
Physical Inactivity and Obesity: A Vicious Circle
Pietiläinen, K. H., Kaprio, J., Borg, P., Plasqui, G., Yki‐Järvinen, H., Kujala, U. M., Rose, R. J., Westerterp, K. R., & Rissanen, A. (2008) · Obesity · doi:10.1038/oby.2007.72 · Cited by 388 · 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
Obesity and inflammation: the effects of weight loss
Forsythe, L. K., Wallace, J. M. W., & Livingstone, M. B. E. (2008) · Nutrition Research Reviews · doi:10.1017/s0954422408138732 · Cited by 381 · see citing works
Fitness of Canadian children and youth: results from the 2007-2009 Canadian Health Measures Survey.
Tremblay, M. S., Shields, M. E., Laviolette, M., Craig, C. L., Janssen, I., & Gorber, S. C. (2010) · PubMed · Cited by 378 · see citing works
Metabolic syndrome and cardiovascular disease
Qiao, Q., Gao, W., Zhang, L., Nyamdorj, R., & Tuomilehto, J. O. (2007) · Annals of Clinical Biochemistry International Journal of Laboratory Medicine · doi:10.1258/000456307780480963 · Cited by 375 · see citing works
Zern, T. L., Wood, R. J., Greene, C., West, K. L., Liu, Y., Aggarwal, D., Shachter, N. S., & Fernández, M. L. (2005) · Journal of Nutrition · doi:10.1093/jn/135.8.1911 · Cited by 376 · see citing works
Effect of physical activity and body size on survival after diagnosis with colorectal cancer
Haydon, A. M. (2005) · Gut · doi:10.1136/gut.2005.068189 · Cited by 370 · see citing works
Halldorsson, T. I., Rytter, D., Haug, L. S., Bech, B. H., Danielsen, I., Becher, G., Henriksen, T. B., & Olsen, S. F. (2012) · Environmental Health Perspectives · doi:10.1289/ehp.1104034 · Cited by 353 · see citing works
Independent Predictors of Fibrosis in Patients With Nonalcoholic Fatty Liver Disease
Hossain, N., Afendy, A., Stepanova, M., Nader, F., Srishord, M. K., Rafiq, N., Goodman, Z. D., & Younossi, Z. M. (2009) · Clinical Gastroenterology and Hepatology · doi:10.1016/j.cgh.2009.06.007 · Cited by 342 · see citing works
Misra, A., Vikram, N. K., Gupta, R., Pandey, R. M., Wasir, J. S., & Gupta, V. P. (2006) · International Journal of Obesity · doi:10.1038/sj.ijo.0803111 · Cited by 332 · 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
Obesity: epidemiology and clinical aspects
Formiguera, X., & Cantón, A. (2004) · Best Practice & Research Clinical Gastroenterology · doi:10.1016/j.bpg.2004.06.030 · Cited by 326 · see citing works
Finer, N., James, W. P. T., Kopelman, P. G., Lean, M., & Williams, G. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801128 · Cited by 324 · see citing works
Self-citationOnat, A., Ceyhan, K., Başar, O., Erer, B., Toprak, S., & Sansoy, V. (2002) · Atherosclerosis · doi:10.1016/s0021-9150(02)00236-8 · Cited by 349 · see citing works
Metabolic Syndrome: Past, Present and Future
Lemieux, I., & Despres, J. (2020) · Nutrients · doi:10.3390/nu12113501 · Cited by 272 · see citing works
Body fat distribution, insulin resistance, and metabolic diseases
Björntorp, P. (1997) · Nutrition · doi:10.1016/s0899-9007(97)00191-3 · Cited by 470 · see citing works
Janghorbani, M., Amini, M., Willett, W. C., Gouya, M. M., Delavari, A., Alikhani, S., & Mahdavi, A. (2007) · Obesity · doi:10.1038/oby.2007.332 · Cited by 310 · see citing works
Misra, A., & Vikram, N. (2003) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/s0899-9007(02)01003-1 · Cited by 329 · see citing works
Doll, S., Paccaud, F. M., Bovet, P., Burnier, M., & Wietlisbach, V. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0801854 · Cited by 308 · see citing works
Effect of weight reduction on liver histology and biochemistry in patients with chronic hepatitis C
Hickman, I. J., Clouston, A. D., Macdonald, G. A., Purdie, D. M., Prins, J. B., Ash, S., Jonsson, J. R., & Powell, E. E. (2002) · Gut · doi:10.1136/gut.51.1.89 · Cited by 301 · see citing works
Central Adiposity and Risk of Barrett’s Esophagus
Edelstein, Z. R., Farrow, D. C., Bronner, M. P., Rosen, S. N., & Vaughan, T. L. (2007) · Gastroenterology · doi:10.1053/j.gastro.2007.05.026 · Cited by 300 · see citing works
I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica
de Carvalho, M. H. C., Mancini, M. C., de Melo, M. E., Bahia, L., Negrão, C. E., de Matos, L. D. N. J., Sanjuliani, A. F., Kohlmann, O., Oliveira, J. E. P. D., Lerário, A. C., et al. (2005) · Arquivos Brasileiros de Cardiologia · doi:10.1590/s0066-782x2005000700001 · Cited by 300 · see citing works
Accuracy of Anthropometric Indicators of Obesity to Predict Cardiovascular Risk
Schneider, H. J., Glaesmer, H., Klotsche, J., Böhler, S., Lehnert, H., Zeiher, A. M., März, W., Pittrow, D. B., Stalla, G. K., Wïttchen, H., et al. (2006) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2006-0254 · Cited by 294 · see citing works
Abdominal and total adiposity and risk of coronary heart disease in men
Rexrode, K. M., Buring, J. E., & Manson, J. (2001) · International Journal of Obesity · doi:10.1038/sj.ijo.0801615 · Cited by 296 · see citing works
Ho, S. Y., Lam, T.-H., & Janus, E. D. (2003) · Annals of Epidemiology · doi:10.1016/s1047-2797(03)00067-x · Cited by 293 · see citing works
Obesity, Abdominal Obesity, Physical Activity, and Caloric Intake in US Adults: 1988 to 2010
Ladabaum, U., Mannalithara, A., Myer, P. A., & Singh, G. (2014) · The American Journal of Medicine · doi:10.1016/j.amjmed.2014.02.026 · Cited by 290 · see citing works
Waist Circumference Correlates with Metabolic Syndrome Indicators Better Than Percentage Fat
Shen, W., Punyanitya, M., Chen, J., Gallagher, D., Albu, J., Pi-Sunyer, X., Lewis, C. E., Grünfeld, C., Heshka, S., & Heymsfield, S. B. (2006) · Obesity · doi:10.1038/oby.2006.83 · Cited by 288 · see citing works
Carmienke, S., Freitag, M. H., Pischon, T., Schlattmann, P., Fankhaenel, T., Goebel, H., & Gensichen, J. (2013) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2013.61 · Cited by 288 · see citing works
Increasing Trends in Waist Circumference and Abdominal Obesity among U.S. Adults
Li, C., Ford, E. S., McGuire, L. C., & Mokdad, A. H. (2007) · Obesity · doi:10.1038/oby.2007.505 · Cited by 288 · see citing works
Zhu, S., Heymsfield, S. B., Toyoshima, H., Wang, Z., Pietrobelli, A., & Heshka, S. (2005) · American Journal of Clinical Nutrition · doi:10.1093/ajcn.81.2.409 · Cited by 288 · see citing works
Taylor, R. W., Keil, D., Gold, E., Williams, S., & Goulding, A. (1998) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/67.1.44 · Cited by 285 · see citing works
Tian, S., & Xu, Y. (2016) · Geriatrics & Gerontology International · doi:10.1111/ggi.12579 · Cited by 274 · see citing works
Appropriateness of waist circumference and waist-to-hip ratio cutoffs for different ethnic groups
Lear, S., James, P. T., Ko, G., & Kumanyika, S. (2010) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2009.70 · Cited by 297 · see citing works
Haftenberger, M., Lahmann, P. H., Panico, S., Gonzalez, C. A., Seidell, J. C., Boeing, H., Giurdanella, M., Krogh, V., Bueno-de-Mesquita, H. B., Peeters, P. H. M., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002396 · Cited by 276 · see citing works
Waist Circumference, BMI, Smoking, and Mortality in Middle‐Aged Men and Women
Bigaard, J., Tjønneland, A. M., Thomsen, B. L., Overvad, K., Heitmann, B. L., & Sørensen, T. I. A. (2003) · Obesity Research · doi:10.1038/oby.2003.123 · Cited by 274 · see citing works
Association Between Periodontal Disease and Overweight and Obesity: A Systematic Review
Keller, A., Rohde, J. F., Raymond, K., & Heitmann, B. L. (2015) · Journal of Periodontology · doi:10.1902/jop.2015.140589 · Cited by 274 · see citing works
Sundquist, J., & Winkleby, M. (2000) · International Journal of Epidemiology · doi:10.1093/ije/29.3.470 · Cited by 272 · see citing works
Sundquist, J., Winkleby, M. A., & Pudaric, S. (2001) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2001.49030.x · Cited by 267 · see citing works
Misra, A., Wasir, J., & Vikram, N. (2005) · Nutrition (Burbank, Los Angeles County, Calif.) · doi:10.1016/j.nut.2005.01.007 · Cited by 309 · see citing works
Osteosarcopenic obesity: the role of bone, muscle, and fat on health
Ormsbee, M. J., Prado, C. M., Ilich, J. Z., Purcell, S., Siervo, M., Folsom, A., & Panton, L. (2014) · Journal of Cachexia, Sarcopenia and Muscle · doi:10.1007/s13539-014-0146-x · Cited by 257 · see citing works
Chan, D. C. (2003) · QJM · doi:10.1093/qjmed/hcg069 · Cited by 266 · see citing works
Ashwell, M., & Lejeune, S. (1996) · BMJ · doi:10.1136/bmj.312.7027.377 · Cited by 264 · see citing works
Snijder, M. B., Visser, M., Dekker, J., Seidell, J. C., Fuerst, T. P., Tylavsky, F. A., Cauley, J. A., Lang, T., Nevitt, M. C., & Harris, T. B. (2002) · International Journal of Obesity · doi:10.1038/sj.ijo.0801968 · Cited by 259 · see citing works
Bray, G. A., Jablonski, K. A., Fujimoto, W. Y., Barrett-Connor, E. L., Haffner, S. M., Hanson, R. L., Hill, J. O., Hubbard, V. S., Kriska, A. M., Stamm, E. R., et al. (2008) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/87.5.1212 · Cited by 258 · see citing works
Lean, M. E. J., Han, T. S., & Seidell, J. C. (1999) · Archives of Internal Medicine · doi:10.1001/archinte.159.8.837 · Cited by 254 · see citing works
Self-citationMetabolically healthy obesity: different prevalences using different criteria
Velho, S., Paccaud, F. M., Waeber, G., Vollenweider, P., & Marques-Vidal, P. M. (2010) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2010.114 · Cited by 247 · see citing works
- Authors
- Lean, M. E. J., Han, T. S., & Morrison, C. E.
- Affiliations
- Glasgow Royal Infirmary (GB)
- University of Glasgow (GB)
- Corresponding author
- Lean, M E J
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 1995-07-15
- Volume
- 311
- Issue
- 6998
- Pages
- 158-161
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC2550221
- OpenAlex
- W2066051121
- Cited by
- 1,869
- References
- 25
- Citations by year
- 2026: 38 · 2025: 45 · 2024: 72 · 2023: 61 · 2022: 59 · 2021: 47 · 2020: 65 · 2019: 55 · 2018: 76 · 2017: 48 · 2016: 74 · 2015: 84 · 2014: 93 · 2013: 100 · 2012: 106
- FWCI
- 8.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- waist circumference, abdominal obesity, overweight, body mass index, waist-to-hip ratio, weight management, health risk identification, screening thresholds, sex differences, health promotion
- MeSH terms
- Adult, Aged, Anthropometry, Body Constitution, Body Weight, Female, Health Promotion, Humans, Male, Middle Aged, Obesity, Body Mass Index
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