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Study Finds Belly Size Beats BMI at Predicting Heart Attacks

The study found waist circumference and waist-to-hip ratio improved risk prediction in 260,000 people over 20 years, researchers said.

  • A new study published in the Journal of the American College of Cardiology shows waist circumference and waist-to-hip ratio are better predictors of cardiovascular risk than BMI alone, challenging current diagnostic standards.
  • BMI is widely used to diagnose obesity, but it fails to distinguish between fat and muscle or identify where fat is stored. Visceral fat surrounding internal organs is more metabolically active than subcutaneous fat, promoting cardiovascular disease.
  • Researchers analyzed data from 260,000 people over 20 years, finding that normal-weight or overweight individuals with elevated central adiposity face a 15% to 50% greater risk for most cardiovascular outcomes.
  • Yale School of Medicine's Harlan Krumholz called for abandoning sole focus on BMI, saying "where fat is distributed matters" and should be part of routine risk assessment.
  • Relying solely on BMI may result in misclassification of cardiovascular risk, as some individuals with obesity have lower abdominal fat and reduced risk. Study lead author Zeina Dardari encourages clinicians to consider central adiposity across the entire BMI spectrum.
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Lean Right

Normal weight on the scale, but still an increased heart risk? This can happen when fat accumulates mainly on the abdomen. A new long-term study shows why the BMI alone is not enough to properly assess the risk. Therefore, where the fat is located is crucial.

Lean Left

People with a lot of fat in the abdomen often suffer from cardiovascular complaints. A study shows that the waist circumference predicts the risk of disease more reliably than the body mass index.

·Hamburg, Germany
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Medical Xpress broke the news in Douglas, United Kingdom on Tuesday, August 11, 2026.
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