Using a waist size of 86.5 cm instead of standard cutoffs makes different doctors agree much more on who has metabolic syndrome in men with spinal cord injuries (Kappa 0.95 vs 0.47).

Using a waist size of 86.5 cm instead of general cutoffs identifies about 1.5 times more men with spinal cord injuries as having metabolic syndrome across different diagnostic criteria.

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%).

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%).

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.

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.