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Screening

Waist Circumference

Waist circumference is a simple tape measurement that estimates how much fat is stored around your organs — a key marker of health risk, even when BMI looks normal.

Plain English

Patient-Friendly Explanation

Waist circumference is a simple tape measurement around your waist that estimates how much fat is stored around your organs. Fat in this area — called central or abdominal fat — is more harmful to health than fat elsewhere. For most Asian adults, a waist of 90 cm or more for men, or 80 cm or more for women, signals increased health risk.

Medical

Clinical Definition

Waist circumference is a validated anthropometric index of abdominal (visceral) adiposity and an independent predictor of cardiometabolic risk beyond BMI. Per WHO protocol, it is measured midway between the lowest rib and the iliac crest at the end of normal expiration. For Asian populations, the WHO/IDF cut-offs for increased risk are ≥90 cm in men and ≥80 cm in women; these thresholds identify metabolically obese individuals who may have a normal BMI. Visceral adipose tissue drains into the portal circulation, promoting insulin resistance, dyslipidaemia and inflammation — the basis of the term "central obesity".

Key Insight

Why It Matters

BMI can look fine while waist fat is quietly raising your risk. Measuring the waist is quick, free and part of every weight-management assessment at Accord — it often catches problems the scale misses.

Sources

Reviewed against standard medical references.

Medically reviewed by

Dr Joseph Wang

Family Physician & Registered Acupuncturist, Accord Medical Clinic. MBBS (NUS), Graduate Diploma in Family Medicine (NUS), Graduate Diploma in Acupuncture (Singapore College of TCM).

Last reviewed: August 2026

This page is general health education, not medical advice. Whether any treatment is appropriate for you is a decision made in consultation after assessment.

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