Ethnic specific values for waist circumference

Ethnic group	Waist circumference (as measure of central obesity)
Europid populations*
Males	≥94 cm
Females	≥80 cm
South Asian populations
Males	≥90 cm
Females	≥80 cm
Chinese populations
Males	≥90 cm
Females	≥80 cm
Japanese populations
Males	≥90 cm
Females	≥80 cm
South and Central American populations	Use South Asian recommendations until more specific data are available
Sub-Saharan African populations	Use European data until more specific data are available
Eastern Mediterranean and Middle Eastern populations	Use European data until more specific data are available

Data are pragmatic cutoffs, and better data are required to link them to risk. Ethnicity should be basis for classification, not country of residence.

* In USA, Adult Treatment Panel III values (102 cm male, 88 cm female) are likely to continue to be used for clinical purposes. In future epidemiological studies of populations of Europid origin (White people of European origin, regardless of where they live in the world), prevalence should be given, with both European and North American cutoffs to allow better comparisons.

Reproduced with permission from: George K, Alberti MM, Zimmet P, et al. The metabolic syndrome - a new worldwide definition. Lancet 2005; 336:1059. Copyright © 2005 Elsevier. Updated data from: the International Diabetes Federation, 2006. Available at: https://www.idf.org/e-library/consensus-statements/60-idfconsensus-worldwide-definitionof-the-metabolic-syndrome.

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Ethnic specific values for waist circumference