Measures of Waist Circumference
Waist circumference measurement is recommended in the clinical assessment of obesity and is a useful marker of total and abdominal body fat in genetic and epidemiologic research. Waist circumference measurement is non-invasive and is easily accomplished by trained observers in clinical and research settings. Consensus on the most appropriate measurement location has yet to be reached and several different sites and measurement protocols have been proposed. The importance of developing a systematic approach for identifying and marking the measurement site, positioning the tape, and recording the measurement cannot be understated. In this chapter, we present a description of the measurement of waist circumference. We include information on tape measures, measurement sites, and measurement guidelines. We present a detailed outline that will help clinicians and researchers to efficiently and reliably obtain accurate measurements of waist circumference.
KeywordsWaist Circumference Iliac Crest Measurement Site Midaxillary Line Lower Costal Margin
- Health Canada. www.hc-sc.gc.ca/hpfb-dgpsa/onpp/cg_bwc_introduction_e.htm. Accessed 20 July 2009.
- International Chair on Cardiometabolic Health. www.cardiometabolic-risk.org. Accessed 20 Aug 2009.
- Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel RL, Nonas C, Kahn R; Association for Weight Management and Obesity Prevention; NAASO; Obesity Society; American Society for Nutrition; American Diabetes Association. Waist circumference and cardiometabolic risk: a consensus statement from shaping America’s health: Association for Weight Management and Obesity Prevention; NAASO, the Obesity Society; the American Society for Nutrition; and the American Diabetes Association. Diabetes Care. 2007;30:1647–52.PubMedCrossRefGoogle Scholar
- Lohman TG, Roche AF, Martorell R. Anthropometric standardization reference manual. Champaign: Human Kinetics; 1988. p. 28–80.Google Scholar
- National Heart Lung and Blood Institute. www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm. Accessed 20 July 2009.
- National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obesity. 1998;6(Suppl2):51S–209S.Google Scholar
- NHANES III, Anthropometric Procedures Video. www.cdc.gov/nchs/about/major/nhanes/avideo.htm.
- Pearson K. The grammar of science. 2nd ed. London: Adam and Charles Black (made available by BiblioLife, LLC); 1900.Google Scholar
- PhenX, consensus measures for phenotypes and exposures. www.phenxtoolkit.org. Accessed 1 Aug 2009.
- Ross R, Berentzen T, Bradshaw AJ, Janssen I, Kahn HS, Katzmarzyk PT, Kuk JL, Seidell JC, Snijder MB, Sørensen TI, Després JP. Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference? Obes Rev. 2008;9:312–25.PubMedCrossRefGoogle Scholar
- World Health Organization. WHO Tech Rep Ser; 2000;894:1–253.Google Scholar
- World Health Organization, Department of Chronic Diseases and Health Promotion, STEPS instrument. www.who.int/chp/steps/riskfactor/en/index.html. Accessed 29 Aug 2009.