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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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“These are most easily identified with waist circumference measures (>88 cm for men and >102 cm for women) [27, 31] or a waist to hip ratio calculation (>0.”
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Metadata
- 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 (medical) › 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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