Evidence map›Paper›PMID 32020062›Full record

ReviewNature reviews. Endocrinology2020

Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity.

Robert Ross, Ian J Neeland, Shizuya Yamashita, Iris Shai, Jaap Seidell, Paolo Magni, Raul D Santos, Benoit Arsenault, Ada Cuevas, Frank B Hu and 7 more

2 registry-linked trialsAbstract readReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1,156 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,156citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04635332 nacompletednot on this map

Effectiveness of a Combined Food Literacy and Physical Activity Intervention to Optimize Metabolic Health Among Women of Reproductive Age in Urban Uganda

TypeinterventionalSponsorKU LeuvenRan2020 to 2021Enrolled132ConditionsAbdominal ObesityArmsFood literacy and physical activity promotion interactive group sessions + Developed health promotion intervention materials (booklet), Developed health promotion intervention materials (booklet).
NCT07021144 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

VA|PREVENTION: Randomized Controlled Trial of a Person-Centred Digital Intervention to Prevent Diabetes in High-Risk Adults

TypeinterventionalSponsorEgas Moniz - Cooperativa de Ensino Superior, CRLRan2025 to 2026Enrolled180ConditionsPre-diabetes, Pre-diabetic StateArmsVA, PREVENTION web application (digital intervention), Type 2 Diabetes Guidebook
3 · Its place in the literature

Who cites it

1,156 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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1,096 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Robert RossSchool of Kinesiology and Health Studies, School of Medicine, Department of Endocrinology and Metabolism, Queen's University, Kingston, ON, Canada. rossr@queensu.ca.ORCID http://orcid.org/0000-0001-6875-785X
Ian J NeelandDepartment of Internal Medicine, Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Shizuya YamashitaDepartments of Cardiovascular Medicine and Community Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Iris ShaiFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Jaap SeidellDepartment of Health Sciences and the EMGO Institute for Health and Care Research, VU University Amsterdam, Amsterdam, Netherlands.
Paolo MagniDepartment of Pharmacological and Biomolecular Sciences, Universita' degli Studi di Milano, Milan, Italy.
Raul D SantosLipid Clinic Heart Institute (InCor), University of São Paulo, Medical School Hospital, São Paulo, Brazil.
Benoit ArsenaultDepartment of Internal Medicine, Division of Cardiology, University of Texas Southwestern Medical Center, Dallas, TX, USA.ORCID http://orcid.org/0000-0003-2240-8456
Ada CuevasDepartment of Clinical Nutrition and Metabolism, Clínica Las Condes, Santiago, Chile.
Frank B HuDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Bruce A GriffinDepartment of Nutritional Sciences, University of Surrey, Guildford, UK.
Alberto ZambonDepartment of Medicine - DIMED, University of Padua, Padova, Italy.
Philip BarterSchool of Medical Sciences, University of New South Wales Australia, Sydney, NSW, Australia.
Jean-Charles FruchartFondation Cœur et Artères, Lille, France.
Robert H EckelDivision of Endocrinology, Metabolism and Diabetes, and Division of Cardiology, Anschutz University of Colorado School of Medicine, Aurora, CO, USA.
Yuji MatsuzawaDepartment of Endocrinology and Metabolism, Sumitomo Hospital, Osaka, Japan.
Jean-Pierre DesprésDepartment of Kinesiology, Faculty of Medicine, Université Laval, Québec, QC, Canada.ORCID http://orcid.org/0000-0002-5193-583X

Funding

CIHR FDN-167278
6 · The paper itself

Abstract

Despite decades of unequivocal evidence that waist circumference provides both independent and additive information to BMI for predicting morbidity and risk of death, this measurement is not routinely obtained in clinical practice. This Consensus Statement proposes that measurements of waist circumference afford practitioners with an important opportunity to improve the management and health of patients. We argue that BMI alone is not sufficient to properly assess or manage the cardiometabolic risk associated with increased adiposity in adults and provide a thorough review of the evidence that will empower health practitioners and professional societies to routinely include waist circumference in the evaluation and management of patients with overweight or obesity. We recommend that decreases in waist circumference are a critically important treatment target for reducing adverse health risks for both men and women. Moreover, we describe evidence that clinically relevant reductions in waist circumference can be achieved by routine, moderate-intensity exercise and/or dietary interventions. We identify gaps in the knowledge, including the refinement of waist circumference threshold values for a given BMI category, to optimize obesity risk stratification across age, sex and ethnicity. We recommend that health professionals are trained to properly perform this simple measurement and consider it as an important 'vital sign' in clinical practice.

Indexed as

Body Mass IndexFemaleHumansMaleObesity, AbdominalWaist Circumference

Identifiers

PMID32020062
PMCPMC7027970

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.