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r Nutrition Studies Association
Improvement of Health by Fitness, Nutrition and Exercise Research Group
(ASEN)
The measure to consider that there is abdominal obesity, based on World Health Organization criteria, was defined as waist circumference >88 cm for women and >102 cm for men.
Concerning Waist to Height Ratio, two categories were identified:
• With no abdominal obesity: Waist to Height Ratio < 0.5.
• With abdominal obesity with metabolic risk: Waist to Height Ratio ≥ 0.5.
In addition to these criteria, a composite index combining BMI and Waist to Height Ratio was designed to establish five groups with different anthropometric status (where level 1 represents the best anthropometric situation and level 5 the worst).
• Level 1: underweight or normal weight and Waist to Height Ratio < 0.5.
• Level 2: overweight or obesity and Waist to Height Ratio < 0.5.
• Level 3: underweight or normal weight and Waist to Height Ratio ≥ 0.5.
• Level 4: overweight and Waist to Height Ratio ≥ 0.5.
• Level 5: obesity and Waist to Height Ratio ≥ 0.5.
With the collaboration of:
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