What is Obesity

Overweight and obesity occur when excess fat accumulates in the human body, posing a risk to health.  Current definitions are based on both the body mass index and the waist circumference. As height is important, the body mass index (BMI) is an indicator of fat storage independent of height. It is calculated as body weight divided by height squared. Waist circumference has more recently been included in efforts to classify obesity, as the distribution of body fat has been found to be important and carrying it around the abdomen has been found to be especially unhealthy. Abdominal obesity is classified as a waist circumference of more than 88 cm in women and more than 102 cm in men.

The World Health Organization (WHO) defines disease risk on the basis of both BMI and waist circumference (see Table).  A gain in body weight or waist circumference is indicative of increasing health risk.

Classification of adult overweight and obesity by BMI and waist circumference and associated disease risk
Classification BMI (KG/m²) Waist Circumference
    Men ≤ 102cm > 102cm
    Women ≤ 88cm > 88cm

Underweight

< 18.50 * *
Normal Range 18.50 - 24.99 Reference +
Overweight 25.00 - 29.99 Increased High
Obese ≥ 30.00 High Very High

*Underweight persons have lower risk of type2 diabetes, hypertension and cardiovascular diseases, but higher risk of other diseases and early mortality
+ Increased waist circumference can also be a marker for increased risk in persons with normal weight.

Source: WHO / NIH

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