Waist circumference matters more than weight as obesity risk rises with age

Sumit Jha

Jan 22, 2026

Health

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A study tracking over 120,000 people for 16 years has revealed that the BMI, the standard tool physicians use to assess obesity, gives a misleading picture as people grow older.

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They compared BMI against three measurements of waist size: waist circumference, waist-to-hip ratio, and waist-to-height ratio.

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Obesity, measured by waist circumference, increases steadily with age until people reach their seventies or eighties.

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BMI, however, follows a different path. It climbs through adolescence and middle age, peaks around 50, then descends in older adults.

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Unlike BMI and other waist measures, it uses a single threshold regardless of age or sex. A person simply divides their waist circumference by their height. If the ratio exceeds 0.5, they face an elevated risk.

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The findings also support recent updates to UK obesity guidelines, which now recommend using the waist-to-height ratio alongside BMI rather than relying on BMI alone.