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Waist Circumference
There’s another way to get an idea of how an unhealthy weight might affect your health — just measure your waist.
The waist is key because tummy fat can be more serious and is linked to metabolic and cardiovascular risks. This puts you at a greater risk of things such as type 2 diabetes, high blood pressure, and heart disease.
Your waist doesn’t show for sure that you’re overweight. Both BMI and waist measurements are screening tools. But in general, here are the guidelines for men/people AMAB and women/people AFAB:
- Men and people AMAB: Waist should be no more than 40 inches.
- Nonpregnant women and people AFAB: Waist should be no more than 35 inches.
Here’s how to measure your waist:
- Stand up and wrap a measuring tape around your waist (just above the hip bones).
- The tape should be snug but not pressed into your skin.
- Breathe out before you measure.
Waist-to-Hip Ratio (WHR)
You get your WHR by taking the circumference of your waist and dividing it by the circumference of the widest part of your hips.
Your WHR tells your doctor where you fall in the range from excellent to at risk.
SexExcellentGoodAverageAt RiskMen & people AMAB<0.850.85-0.890.90-0.95>0.95Women & people AFAB<0.750.75-0.790.80-0.86>0.86
Studies show your WHR may be better at predicting chronic health problems than BMI is. Doctors think this may be because it’s a more accurate way to measure belly fat, including the most harmful type, visceral fat (fat around your organs).
Waist-to-Height Ratio (WHtR)
Like WHR, you calculate your WHtR by measuring your waist circumference and dividing it by your height.
Here are general risk categories based on your waist-to-height ratio (WHtR):
- WHtR < 0.5: No increased risk
- WHtR 0.5-0.59: Increased risk
- WHtR 0.6 or more: Very high risk
The general rule is to keep your waist circumference to less than half your height.
Body Composition Analysis
To find out your body composition, you can have a body composition analysis with dual X-ray absorptiometry (DXA). This is a scan that analyzes your fat tissue, lean mass, and bone density.
DXA works by using low-power X-ray beams to scan your body. You can’t feel the scan. The beams give you a readout of how much of your body is bone, muscle, and fat.
When you get a body composition analysis, it can tell you:
- Total body fat percentage
- Fat mass index (total fat relative to your height)
- Visceral adipose tissue (fat around your organs)
- Android to gynoid ratio (where fat is stored in your body — for example, “apple-shaped” or “pear-shaped”)
- Fat-free mass index (nonfat mass relative to your height)
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Skeletal muscle mass (total skeletal muscle)
- Skeletal muscle mass percentage (percentage of your body made of skeletal muscle)
- Appendicular lean mass to height ratio (amount of lean mass in your arms and legs relative to your height)
- Appendicular lean mass to BMI ratio (amount of lean mass in arms and legs relative to your BMI)
- Resting metabolic rate (number of calories you need to burn at rest to maintain your current mass)
- Whole body bone density (average bone density for your whole skeleton)
Body composition analysis can help monitor changes in your muscles, bones, and fat.
How Do I Get to the Ideal Body Weight?
A key part of changing your weight involves changing your behavior. It’s important to build healthy habits for the long term, not just to get to a goal weight.
Also, it's important to spot and control triggers in your daily life that increase stress. The higher your stress, the harder it is to focus on nutritious food choices, exercise, and portion control.
Your weight is a result of a complex web of factors. You can’t control some factors, such as genes and hormones, but there are some factors you can control. When you eat more calories than your body uses in a day, your body holds on to those calories and turns them into fat.
Two major components of healthy, sustainable weight loss are:
Eat nutrient-dense foods. Fast food, sodas, and processed foods are high in calories while being low in vitamins, minerals, fiber, and other important nutrition your body needs to thrive. Reach for fewer packaged foods each day and increase the number of whole foods — foods as close to their natural state as possible — on your plate at each meal.
Move more. Our lifestyles can be short on physical activity, including exercise, playing, or just moving enough to burn the fuel we take in. Increasing your daily step count can burn calories and help your heart, bones, and muscles too.
Healthy tips to lose weight
The Office of Disease Prevention and Health Promotion recommends:
- 1,600-2,400 calories a day for women and people AFAB in a healthy weight range
- 2,000-3,000 calories a day for men and people AMAB in a healthy weight range
These ranges depend on activity level and age. The younger and more active you are, the more calories you need each day.
To lose weight, you’ll need to take in fewer calories than you burn each day. Typically, if this difference is 500 calories daily, you’ll lose about a pound a week. Talk to your doctor about how many calories you should take each day to lose weight.
Remember that you need a certain number of calories to function well. Lowering your calorie intake too much can prevent you from getting proper nutrition. In general, doctors don’t advise going below 1,200 calories a day.
Make the calories you eat count:
- Eat more fruits and vegetables.
- Get enough protein and fiber.
- Limit salt, sugar, and fat.
- Be careful with your portions.
If you have many pounds to lose or aren’t losing weight even after diet and exercise changes, your doctor might also want to talk about:
- Medicines
- Weight-loss or bariatric surgery
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