Abstract

Obesity-related chronic illness is an international health issue. Waist circumference can assess central adiposity, which is strongly associated with cardiovascular disease and type two diabetes mellitus. Aim: This study evaluates the effectiveness of waist circumference in comparison to body mass index as measured at different locations in adults with cardiovascular disease or type two diabetes mellitus, and responsiveness of these measures to weight change. Results: All measures were significantly correlated with body mass index (r>0.80), with the strongest correlations measured at midline between lowest rib and top of iliac crest in females (r=0.89), and measured at widest level for males (r=0.83). All sites were accurate in detecting high cardiovascular disease risk (AUC>0.80). The site most responsive to weight change was at midline in females and at narrowest level in males. Conclusion: A general protocol for waist circumference should be established for assessing visceral fat, predicting cardiovascular disease risks and monitoring weight change.

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