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LMU 142 – Unlocking Heart Health: The Significance of Waist Circumference


LMU 142 – Unlocking Heart Health: The Significance of Waist Circumference

Source: North American Menopause Society (NAMS)-2019, and the Journal of the American Heart Association-2018

Lifestyle Medicine Update (September 5, 2019)


Have you ever thought about the size of your waist? It turns out that this seemingly simple measurement holds a key to understanding your heart health and risk for chronic diseases. Emerging evidence is shedding light on the powerful predictive value of waist circumference in relation to heart attacks, heart disease, and even type 2 diabetes. In this article, we’ll delve into the intriguing link between waist circumference and these health outcomes, emphasizing the importance of accurate measurement and proactive wellness.

The Hidden Indicator: Waist Circumference’s Role in Heart Health

Surprisingly, the measurement of your waist circumference can unveil significant insights about your cardiovascular health. The American Diabetic Association highlights the compelling role that waist circumference plays as a robust and independent predictor of various health risks, including type 2 diabetes, coronary heart disease, and overall mortality. Recent studies, such as the one featured in the Journal of the American Heart Association in 2018 and another in the journal Menopause in 2019, underscore the profound association between excessive abdominal fat and heightened risks of heart disease and heart attacks.

Gender Matters: Belly Fat and Heart Health

The impact of waist circumference on heart health is particularly pronounced in women. Scientific evidence reveals that fat accumulation in the abdominal area poses a substantially higher risk for heart attacks compared to fat stored in other regions such as the buttocks, pelvis, or legs. In essence, having a pear-shaped body with fat legs or a larger buttock size might not necessarily elevate heart disease or diabetes risk. However, the accumulation of belly fat is a key driver of these health concerns.

Defining the Safe Zone: Ideal Waist Circumference

So, what is the ideal waist circumference that promotes heart health? While experts may slightly differ in their recommendations, a general consensus suggests that women should aim for a waist circumference no greater than 33 inches (83 cm), while men should target a circumference not exceeding 36 inches (90 cm). The Heart Foundation advocates for even lower values, suggesting that the safest waist circumference for women should be at or below 31.5 inches (80 cm), and for men, it should be below 37 inches (94 cm). According to the National Heart, Lung, and Blood Institute, a woman’s waist circumference surpassing 35 inches, and a man’s exceeding 40 inches, significantly elevates the risk of heart attack.

Measuring the Future: Accurate Waist Circumference Assessment

The journey to improved heart health begins with precise waist circumference measurement. To measure it accurately:

  1. Have a friend or family member measure the circumference around your waist at the level of your belly button after you exhale.
  2. Stand upright with bare feet, both feet touching, and arms hanging freely.
  3. Ensure the tape measure used is non-stretchable.
  4. Take three consecutive measurements after exhaling to ensure accuracy.

Taking Control: Strategies for Reducing Waist Circumference

If your waist circumference exceeds the recommended values, taking proactive steps toward reducing it can significantly improve your heart health. A modest calorie reduction of 100 calories per day coupled with an additional 100 calories burned through physical activity can lead to a loss of 24 pounds of body fat over a year. Engaging in simple exercises like walking, where an extra 100 calories can be burned in a 20–30-minute session, can pave the way for effective weight management. A brisk walk of 130 steps per minute or a jog at 140 steps per minute can provide optimal cardiovascular benefits.

Conclusion: A Telling Measure of Heart Health

In a world dominated by modern health concerns, understanding the role of waist circumference in predicting heart health is paramount. Recent studies underscore its significance as a predictor of heart attacks, heart disease, and diabetes. For women, especially, the location of fat storage in the abdominal area carries higher risks. Monitoring waist circumference, aiming for the ideal range, and adopting strategies for healthy weight management can significantly contribute to reducing heart disease risk and promoting overall well-being.


  1. Jun-Hwan Cho, Hack-Lyoung Kim, Myung-A Kim, Sohee Oh, Mina Kim, Seong Mi Park, Hyun Ju Yoon, Mi Seung Shin, Kyung-Soon Hong, Gil Ja Shin, Wan-Joo Shim. Association between obesity type and obstructive coronary artery disease in stable symptomatic postmenopausal women. Menopause, 2019. obesity-type-and-risk-of-cardiovascular-disease-8-28-19.pdf
  2. The Journal of the American Heart Association (2019) [](
  3. The Heart Foundation [](
  4. The American Diabetic Association: [](
Eat Smart, Live Well, Look Great

Dr. Meschino

Dr. James Meschino


Dr. James Meschino, DC, MS, ROHP, is an educator, author, and researcher having lectured to thousands of healthcare professionals across North America. He holds a Master’s Degree in Science with specialties in human nutrition and biology and is recognized as an expert in the field of nutrition, anti-aging, fitness, and wellness as well as the author of numerous books.

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