waist circumference
Jump to navigation
Jump to search
Indications
- assessment of central obesity
- assessment of cardiovascular risk in overwight & obese patients
Contraindications
Reference interval
- current guidelines propose cutoffs for waist circumference of 40 inches (102 cm) in men & 35 inches (88 cm) in women.
Clinical significance
- waist circumference is an independent predictor of mortality & cardiovascular mortality.[1][2]
- indicator of risk for metabolic syndrome[4]
- cost-effective cardiovascular risk stratification tool[4]
- increased BMI, waist circumference or waist-to-hip ratio equally predictive of risk[3]
- central obesity is associated with an increased risk of diabetes mellitus type 2, dysplipidemia, hypertension, & cardiovascular disease in overweight & obese patients[4]
- mortality risk increases linearly with waist circumferences > 90 cm for men & 80 cm for women[6]
Procedure
- measured at the level of the iliac crest
Notes
- should be a vital sign[5]
More general terms
Additional terms
- body mass index (BMI)
- central obesity; abdominal obesity
- waist-to-hip ratio (waist/hip)
- weight-adjusted waist index
Component of
References
- ↑ Jump up to: 1.0 1.1 Pischon T et al. General and abdominal adiposity and risk of death in Europe. N Engl J Med 2008 Nov 13; 359:2105.
- ↑ Jump up to: 2.0 2.1 Jacobs EJ et al. Waist circumference and all-cause mortality in a large US cohort. Arch Intern Med 2010 Aug 9/23; 170:1293 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20696950
- ↑ Jump up to: 3.0 3.1 The Emerging Risk Factors Collaboration. Separate and combined associations of body-mass index and abdominal adiposity with cardiovascular disease: Collaborative analysis of 58 prospective studies. Lancet 2011 Mar 26; 377:1085. PMID: https://www.ncbi.nlm.nih.gov/pubmed/21397319
- ↑ Jump up to: 4.0 4.1 4.2 4.3 Medical Knowledge Self Assessment Program (MKSAP) 16, 17, 18 American College of Physicians, Philadelphia 2012, 2015, 2018
- ↑ Jump up to: 5.0 5.1 Reuters Staff Waist Circumference Should Be a Routine Vital Sign: Consensus Statement Medscape - Feb 04, 2020 https://www.medscape.com/viewarticle/924770
- ↑ Jump up to: 6.0 6.1 Jayedi A et al. Central fatness and risk of all cause mortality: Systematic review and dose-response meta-analysis of 72 prospective cohort studies. BMJ 2020 Sep 23; 370:m3324. PMID: https://www.ncbi.nlm.nih.gov/pubmed/32967840 PMCID: PMC7509947 Free PMC article https://www.bmj.com/content/370/bmj.m3324