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Central obesity is defined by the International Diabetes Federation as an increased waist circumference using the guidelines in the table below which are gender and ethnic group (not the country of residence) specific.

Central obesity is independently associated with components of metabolic syndrome, including insulin resistance, and as such is a prerequisite risk factor for diagnosing metabolic syndrome. Central obesity is also extensively associated with increased visceral fat.

The consensus group acknowledges that these are pragmatic cut-points taken from various different data sources and that better data will be needed to link these to risk.

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Central Obesity Risk Based on Waist Circumference:

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