waist circumference

^[1]^[2]^[3]^[4]^[5]^[6]

Indications

current guidelines propose cutoffs for waist circumference of 40 inches (102 cm) in men & 35 inches (88 cm) in women.

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]

↑ ^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.
↑ ^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
↑ ^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
↑ ^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
↑ ^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
↑ ^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