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There have been suggestions that currently recommended waist circumference (WC) cut-off points for Australians of European origin may not be applicable to Aboriginal people who have different body habitus profiles.
24 Mean BMI was 31.4 kg/m (SD =5.5), and on average, both males (M=113.4 cm, SD =11.7 cm) and females (M=104.7 cm, SD =14.7 cm) had higher than recommended waist circumferences.
It should be noted, however, that simply measuring waist-to-hip ratio may not be a good predictor of central obesity in this group of lean men, since the recommended waist circumference thresholds for increased cardiometabolic risk in men identify only 1% of men with "high" waist circumference and normal BMI (36).
In a large prospective study with 5,515 Europid and 2,214 ethnically South Asians, Cameron and collegues [ 12] found that using the current recommended waist circumference cut-offs, South Asian men and women had significantly higher estimated incidence of diabetes (5.8% and 2.1%, respecitively) compared to their Europid counterparts (0.6% and 0.4%, respectively).
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Similarly, the International Diabetes Federation in its consensus worldwide definition of the metabolic syndrome recommended that waist circumference cutpoints ≥90 cm for Asian men and ≥80 cm for Asian women be used to define central obesity.
The American Heart Association recommends a waist circumference that is less than 35 inches for women.
Recognizing that the risk associated with a given waist measurement differs across populations, waist circumference thresholds recommended for ethnic Central and South American populations in the 2009 consensus Joint Scientific Statement (11) are ≥90 cm for men and ≥80 cm for women.
Therefore, clinical practitioners simply recommend that "your waist circumference should be less than half your height" [ 19].
Moreover, the use of a personal radiation meter at waist level is recommended to monitor radiation exposure.
IDF Europid cut points (1) were used for elevated waist circumference, as recommended for sub-Saharan Africa populations (5).
Only 14.7% of all cases had BMI <25 kg/m (not overweight) and low proportions (men 15.4%, women 5.0%) had a waist measurement below recommended levels.
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