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 Along with the increase in waist circumference measurements, the
number of Americans with abdominal obesity increased by about eight
percentage points between 1999-2000 and 2011-2012, researchers from
the Centers of Disease Control and Prevention (CDC) found.
"We’ve been doing these studies for a number of years now," said Dr.
Earl Ford, the study's lead author. "We’ve had three previous
publications. Our last one looked through 2008 so we wanted to see
what was happening in recent years."
Many studies on obesity use a measurement known as body mass index
(BMI), which is a measurement of weight in relation to height.
BMI may not be an accurate measure of abdominal obesity, because it
gives a measurement of overall body mass. BMI can't measure how the
weight is distributed.
"There are some researchers that feel waist circumference is a
better measure of abdominal obesity," Ford said.
Abdominal obesity tends to be associated with worse health outcomes.
Sometimes the fat tends to collect around the body's internal
organs, but it's still unclear why it worsens outcomes.
Abdominal obesity is defined as a waist circumference of about 40
inches for men and about 35 inches for women, the researchers write
in JAMA, the journal of the American Medical Association.
For the new study, they used data from a national study conducted
every two years. Overall, they had data on 32,816 men and
nonpregnant women 20 years old and older.
The average waist circumference increased from 37.6 inches in
1999-2000 to 38.8 inches in 2011-2012.
Overall, men had the smallest average increase in waist
circumference of 0.8 inches. The average waist circumference of
women increased by about 1.5 inches.
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The prevalence of abdominal obesity increased from 46.4 percent in
1999-2000 to 54.2 percent in 2011-2012. Again, women had the
greatest increase in rates of abdominal obesity.
African and Mexican Americans also had larger increases in waist
circumference and abdominal obesity, compared to white Americans,
researchers found.
In contrast to the increases in waist circumference and abdominal
obesity, Ford and his colleagues write that past studies have found
no change in BMI between 2003-2004 and 2011-2012.
They say the difference between stagnate BMI scores and increasing
waist circumference may be attributable to worse sleep, disruption
to hormones and certain medications. Those are just speculations,
however.
"We’re still at a high level of obesity regardless of how you want
to measure it," Ford said.
"People still have to watch their diets and physical activity
levels," he said.
SOURCE: http://bit.ly/1siMIty
JAMA, online September 16, 2014.
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