Cited by 1,869Body Composition Measurement TechniquesObesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and Lipoproteins

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Waist circumference as a measure for indicating need for weight management

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Lean, M E J, Han, T S, Morrison, C E·1995·BMJ

DOI 10.1136/bmj.311.6998.158PMC PMC2550221

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Abstract

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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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
ORCID: Lean, M E J
Han, T S
Morrison, C E
Venue: BMJ
Publisher: BMJ
Published: 1995-07-15
Volume: 311
Issue: 6998
Pages: 158-161
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.311.6998.158
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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Waist circumference as a measure for indicating need for weight management

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