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Central obesity is a symptom of Cushing's syndrome [38] and is also common in patients with polycystic ovary syndrome (PCOS). Central obesity is associated with glucose intolerance and dyslipidemia. Once dyslipidemia becomes a severe problem, an individual's abdominal cavity would generate elevated free fatty acid flux to the liver.
More than twenty-five years ago, WHtR was first suggested as a simple health risk assessment tool because "it is a proxy for harmful central adiposity"; [3] it predicts obesity-related cardiovascular disease. A boundary value of 0.5 was proposed to indicate increased risk.
But it is important to recognise that women need at least 9% more body fat than men to live a normal healthy life. [2] Data from the 2003–2006 NHANES survey showed that fewer than 10% of American adults had a "normal" body fat percentage (defined as 5–20% for men and 8–30% for women). [3]
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The BAI is calculated as: [2] Hip circumference (Pearson correlation coefficient, R = 0.602) and height (R = −0.524) are strongly correlated with percentage of body fat.. Comparing BAI with "gold standard" dual-energy X-ray absorptiometry (DXA) results, the correlation between DXA-derived percentage of adiposity and the BAI in a target population was R = 0.85, with a concordance of C_b = 0
Women with a relatively low waist-hip ratio (the hourglass figure) is commonly considered attractive. To enhance their perceived attractiveness, some women may artificially alter their apparent WHR. The methods include the use of a corset to reduce the waist size and hip and buttock padding to increase the apparent size of the hips and buttocks.
This pattern may lead to an "triangle"-shaped body or central obesity, and is more common in males than in females. Thus, the android fat distribution of men is about 48.6%, which is 10.3% higher than that of premenopausal women. [2] In other cases, an ovoid shape forms, which does not differentiate between men and women.
In the United States a waist circumference of >102 cm (≈40") in men and >88 cm (≈34.5") in women [26] or the waist–hip ratio (the circumference of the waist divided by that of the hips) of >0.9 for men and >0.85 for women are used to define central obesity. [27]