Cardiometabolic diseases in patients with inflammatory bowel disease: An evidence-based review

Table 3 Definitions of obesity based on waist circumference in men and women stratified by reference population[199,205-210]

Reference population	Reference criteria	Waist circumference threshold for men	Waist circumference threshold for women
Europoid	IDF[199]	≥ 94 cm	≥ 80 cm
Caucasian	WHO[205]	≥ 94 cm = increased risk; ≥ 102 cm = higher risk	≥ 80 cm = increased risk; ≥ 88 cm = higher risk
United States of America	ATP III[206]	≥ 102 cm	≥ 88 cm
Canada	Health Canada[207,208]	≥ 102 cm	≥ 88 cm
European	European Cardiovascular Societies[209]	≥ 102 cm	≥ 88 cm
Asian	IDF[199] and WHO[205]	≥ 90 cm	≥ 80 cm
Japanese	Japanese Obesity Society[210]	≥ 85 cm	≥ 90 cm
China	Cooperative Task Force	≥ 85 cm	≥ 90 cm
Middle East/Mediterranean	IDF[199]	≥ 94 cm	≥ 80 cm
Sub-Saharan Africa	IDF[199]	≥ 94 cm	≥ 80 cm
Ethnic Central and South American	IDF[199]	≥ 90 cm	≥ 80 cm

IDF: International diabetes federation; WHO: World Health Organization, ATP III: Adult Treatment Panel III.

Table adapted from Alberti et al[23]. Citation: Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr; International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation 2009; 120: 1640-1645. Copyright ©American Heart Association, Inc 2025. The authors have obtained the permission for table using (Supplementary material).