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  • Original Article
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Waist circumference of healthy men and women in the United States

Abstract

Objective:

To describe the frequency distribution of waist circumference measurements in healthy men and women in the United States.

Design:

Cross-sectional national survey data from the Third National Health and Nutrition Examination Survey.

Measurements:

Increasingly stringent definitions of health were applied, based on self-reported health, medical history, measurements of blood pressure, blood lipids, serum glucose and glycosylated hemoglobin. Main outcome measures, relative to health status levels, were selected percentiles of waist measurements and the prevalence of waist circumference above recommended levels.

Results:

Waist circumference was more normally distributed among the healthier men and women than in the full sample. The values of 102 cm for men and 88 cm for women, recommended as cutoff points by National Heart Lung and Blood Institute (NHLBI), corresponded fairly closely to the 95th percentile of waist circumference for healthy people, indicating that few healthy people will have values above these cutoffs. The lower action level values of 94 cm for men and 80 cm for women were more sensitive than the NHLBI cutoff values and correspondingly less specific. The overlap of waist circumference values between healthy and unhealthy people was considerable.

Conclusions:

Among healthy men and women, waist circumference is approximately normally distributed and covers a broad range of values.

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References

  1. Metropolitan Life Insurance Company. New weight standards for men and women. Stat Bull 1959; 40: 1–4.

  2. Metropolitan Life Insurance Company. 1983 Metropolitan height and weight tables. Stat Bull 1983; 64: 2–9.

  3. National Institutes of Health Consensus Development Panel on the Health Implications of Obesity. Health implications of obesity: National Institutes of Health Consensus Development Conference Statement. Ann Intern Med 1985; 103: 1073–1077.

  4. WHO. Expert Committee on Physical Status: the use and interpretation of anthropometry. Physical status: the use and interpretation of anthropometry. Report of a WHO expert committee. Geneva: World Health Organization, 1995. (World Health Organization Technical Report Series; 854).

  5. NHLBI Expert Panel on the Identification Evaluation and Treatment of Overweight and Obesity in Adults. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults – The Evidence Report. National Institutes of Health Obes Res 1998; 6: 51S–209S. [published erratum appears in Obes Res 1998;6(6):464]. Also available at http://www.nhlbi.nih.gov/guidelines/obesity/ob_gdlns.htm (accessed February 16, 2006).

  6. Visscher TL, Seidell JC, Molarius A, van der Ku D, Hofman A, Witteman JC . A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. Int J Obes Relat Metab Disord 2001; 25: 1730–1735.

    Article  CAS  Google Scholar 

  7. Lean ME, Han TS, Morrison CE . Waist circumference as a measure for indicating need for weight management. BMJ 1995; 311: 158–161.

    Article  CAS  Google Scholar 

  8. Flegal KM . Body mass index of healthy men compared with healthy women in the United States. Int J Obes (Lond) 2006; 30: 374–379.

    Article  CAS  Google Scholar 

  9. National Center for Health Statistics. Plan and operation of the Third National Health and Nutrition Examination Survey, 1988-94. Series 1: programs and collection procedures. Vital Health Stat 1994; 32: 1–407 Also available at http://www.cdc.gov/nchs/data/series/sr_01/sr01_032.pdf (accessed March 4, 2006).

  10. National Center for Health Statistics. The Third National Health and Nutrition Examination Survey (NHANES III, 1988–1994) Reference Manuals and Reports Field Operations Reference Manuals: Body Measures (Anthropometry) Manual. CD-ROM, 1996, National Center for Health Statistics, Hyattsville MD. Also available at: http://www.cdc.gov/nchs/data/nhanes/nhanes3/cdrom/NCHS/MANUALS/ANTHRO.PDF (accessed March 4, 2006).

  11. Velleman PF, Hoaglin DC . Applications, Basics and Computing of Exploratory Data Analysis. Boston MA: Duxbury Press, 1981.

    Google Scholar 

  12. Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB . Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. Am J Clin Nutr 2002; 76: 743–749.

    Article  CAS  Google Scholar 

  13. Janssen I, Katzmarzyk PT, Ross R . Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines. Arch Intern Med 2002; 162: 2074–2079.

    Article  Google Scholar 

  14. Okosun IS, Tedders SH, Choi S, Dever GE . Abdominal adiposity values associated with established body mass indexes in white, black and hispanic Americans. A study from the third National Health and Nutrition Examination Survey.. Int J Obes Relat Metab Disord 2000; 24: 1279–1285.

    Article  CAS  Google Scholar 

  15. Okosun IS, Liao Y, Rotimi CN, Choi S, Cooper RS . Predictive values of waist circumference for dyslipidemia, type 2 diabetes and hypertension in overweight White, Black, and Hispanic American adults. J Clin Epidemiol 2000; 53: 401–408.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

There was no external funding for this research. The findings and conclusions in this report are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention

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Correspondence to K M Flegal.

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Flegal, K. Waist circumference of healthy men and women in the United States. Int J Obes 31, 1134–1139 (2007). https://doi.org/10.1038/sj.ijo.0803566

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  • DOI: https://doi.org/10.1038/sj.ijo.0803566

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