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Belly fat may be worse than obesity (2015-11-11)

The normal weight for adults is usually based on a measurement known as body mass index (BMI), which assesses weight relative to height. In a new study researchers focused on people’s waist-to-hip ratio, which measures whether they’re storing excess fat around the middle and found that men with a normal BMI but central obesity (the clinical term for belly fat) had twice the mortality risk of men who were overweight or obese according to BMI.

For example, a man with a normal BMI (22 kg/m2) and central obesity had greater total mortality risk than one with similar BMI but no central obesity, and this man had twice the mortality risk of participants who were overweight or obese according to BMI only.
A man with normal-weight central obesity had a 78 percent higher risk of death from cardiovascular disease.

For women in this same scenario, normal-weight central obesity more than doubled the risk of death from cardiovascular disease.
Women with normal-weight central obesity also had a 32 percent higher mortality risk than than those with similar BMI but no central obesity and had greater total mortality risk than those who were obese according to BMI only. Expected survival estimates were consistently lower for those with central obesity when age and BMI were controlled for.

To understand the connection between waist size and mortality, researchers analyzed data on more than 15,000 adults surveyed from 1988 to 1994 and then followed through 2006.

Based on BMI, about 40 percent of participants were normal weight, while 35 percent were overweight and 25 percent were obese.

According to World Health Organization (WHO) criteria, about 70 percent of participants were centrally obese, meaning their waist-to-hip ratio was at least 0.85 (for women) or at least 0.90 (for men).

See also
Health-related quality of life, belly fat and testosterone levels (2014-01-22)
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Men with Belly Fat at Risk for Osteoporosis (17/12/2012)
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Supersized market economy, supersized belly: Wealthier nations have more fast food and more obesity (02/01/2012)
Link...

For more information
American College of Physicians
Annals of Internal Medicine
Normal-Weight Central Obesity: Implications for Total and Cardiovascular Mortality
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MDN