The Claim

In adults aged 50 and older, waist-to-hip ratio has lower discriminatory power for predicting type 2 diabetes compared to waist circumference and waist-to-height ratio, with C-statistics of 0.632, 0.645, and 0.657 respectively.

Source: Misclassification Bias in the Waist‐To‐Hip Ratio: Implications for Obesity‐Related Risk of Incident Type 2 Diabetes

What the research says

Supports is higher

Support is ahead, but a single strong opposing study can change this.

Supports
67score
Challenges
0score

These are independent scores, not a percentage. Higher-grade studies count more, so a single strong opposing study can outweigh several weaker ones.

Quantitative
1 study reviewed
In plain English

In adults aged 50 and older, waist circumference and waist-to-height ratio are better at identifying who will develop type 2 diabetes than waist-to-hip ratio, based on their statistical performance metrics.

See the scientific wording

Waist-to-hip ratio has lower discriminatory power for predicting type 2 diabetes than waist circumference and waist-to-height ratio in adults aged 50 and older, with C-statistics of 0.632, 0.645, and 0.657 respectively.

Why this might work

Fat around the belly releases fatty acids that flood the liver and block insulin action, raising blood sugar. Fat on the hips and thighs releases helpful signals that protect against this, but when belly fat is large, its harmful effects overpower the protection from hip fat, leading to type 2 diabetes.

Verified mechanismbased on 1 study

What the research says

1 study
  1. Study: Misclassification Bias in the Waist‐To‐Hip Ratio: Implications for Obesity‐Related Risk of Incident Type 2 Diabetes

    In older adults, measuring just the waist or waist compared to height is better at predicting diabetes than comparing waist to hip size, because the waist measurements show how much fat is around the middle — which matters more for diabetes risk.

Score breakdown, mechanism chain, raw evidence, ideal studies needed & 1 supporting studies

Fit Body Science verdict — we translate health claims into clear verdicts backed by peer-reviewed research.

Not medical advice. For informational purposes only. Always consult a qualified healthcare professional before making health decisions.