Body Mass Index, Waist Circumference, and Health Risk
- 14 October 2002
- journal article
- research article
- Published by American Medical Association (AMA) in Archives of Internal Medicine
- Vol. 162 (18), 2074-9
- https://doi.org/10.1001/archinte.162.18.2074
Abstract
No evidence supports the waist circumference (WC) cutoff points recommended by the National Institutes of Health to identify subjects at increased health risk within the various body mass index (BMI; calculated as weight in kilograms divided by the square of height in meters) categories. To examine whether the prevalence of hypertension, type 2 diabetes mellitus, dyslipidemia, and the metabolic syndrome is greater in individuals with high compared with normal WC values within the same BMI category. The subjects consisted of 14 924 adult participants of the Third National Health and Nutrition Examination Survey, which is a nationally representative cross-sectional survey. Subjects were grouped by BMI and WC in accordance with the National Institutes of Health cutoff points. Within the normal-weight (18.5-24.9), overweight (25.0-29.9), and class I obese (30.0-34.9) BMI categories, we computed odds ratios for hypertension, diabetes, dyslipidemia, and the metabolic syndrome and compared subjects in the high-risk (men, >102 cm; women, >88 cm) and normal-risk (men, <or=102 cm; women, <or=88 cm) WC categories. With few exceptions, within the 3 BMI categories, those with high WC values were increasingly likely to have hypertension, diabetes, dyslipidemia, and the metabolic syndrome compared with those with normal WC values. Many of these associations remained significant after adjusting for the confounding variables (age, race, poverty-income ratio, physical activity, smoking, and alcohol intake) in normal-weight, overweight, and class I obese women and overweight men. The National Institutes of Health cutoff points for WC help to identify those at increased health risk within the normal-weight, overweight, and class I obese BMI categories.Keywords
This publication has 18 references indexed in Scilit:
- Misclassification of High‐Risk Older Subjects Using Waist Action Levels Established for Young and Middle‐Aged Adults—Results from the Rotterdam StudyJournal of the American Geriatrics Society, 2000
- Body Mass Index and the Prevalence of Hypertension and DyslipidemiaObesity Research, 2000
- Effect of Aging on the Relationship Between Multiple Risk Factors and Waist CircumferenceJournal of the American Geriatrics Society, 2000
- Abdominal Adiposity and Clustering of Multiple Metabolic Syndrome in White, Black and Hispanic AmericansAnnals of Epidemiology, 2000
- The Disease Burden Associated With Overweight and ObesityJAMA, 1999
- Abdominal obesity in the United States: prevalence and attributable risk of hypertensionJournal of Human Hypertension, 1999
- Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sampleBMJ, 1995
- Waist circumference as a measure for indicating need for weight managementBMJ, 1995
- Declining serum total cholesterol levels among US adults. The National Health and Nutrition Examination SurveysJAMA, 1993
- Anthropometric Standardization Reference ManualMedicine & Science in Sports & Exercise, 1992