For men with spinal cord injuries, using a waist size of 86.5 cm instead of 102 cm identifies more people as obese (36% vs 3%), which is a big difference.

Scientific Claim

In men with chronic spinal cord injury, a waist circumference cutoff of 86.5 cm is associated with a higher prevalence of obesity (36%) compared to the general population cutoff of 102 cm (3%), with a statistically significant difference (P < 0.001).

Original Statement

“Using SCI specific WC cutoff point of 86.5 cm, 36% of participants were classified as obese compared to only 3% when using WC of 102 cm (P < 0.001).”

From study:Waist circumference cutoff identifying risks of obesity, metabolic syndrome, and cardiovascular disease in men with spinal cord injury

Evidence Quality Assessment

Claim Status

appropriately stated

Study Design Support

Design supports claim

Appropriate Language Strength

association

Can only show association/correlation

Assessment Explanation

The study is observational and demonstrates associations, so using 'associated with' is appropriate. No causation is claimed.

Evidence from Studies

Supporting (1)

Waist circumference cutoff identifying risks of obesity, metabolic syndrome, and cardiovascular disease in men with spinal cord injury

Cross-Sectional Study

Human

2020

Contradicting (0)

No contradicting evidence found

Source Study

Waist circumference cutoff identifying risks of obesity, metabolic syndrome, and cardiovascular disease in men with spinal cord injury

Score: 41

DOI: 10.1371/journal.pone.0236752

Similar Assertions

Using a waist size of 86.5 cm instead of 102 cm in men with spinal cord injuries better identifies who has obesity based on body fat percentage, catching more true cases (68.8% vs 6.3%) while still correctly identifying most non-obese people (90% vs 100%).

94%

In men with spinal cord injuries, waist size strongly correlates with total body fat and belly fat, indicating it's a good measure of overall fatness.

90%

For men with spinal cord injuries, a waist size of 86.5 cm better detects belly fat (visceral adipose tissue) than the standard cutoff, identifying more true cases (84.6% vs 7.7%) while still correctly identifying most people without excess belly fat (91.3% vs 100%).

89%

For men with spinal cord injuries, a waist size of 86.5 cm corresponds to a lower heart disease risk threshold (6 instead of 10), identifying more people at risk.

84%

BMI, waist size, and waist-to-height ratio all relate to how much fat is stored around the belly in people with spinal cord injuries.

84%