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NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Obesity in Adults (US). Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. Bethesda (MD): National Heart, Lung, and Blood Institute; 1998 Sep.

Cover of Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults

Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report.

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Instructions for Measuring Waist Circumference, According to NHANES III Protocol

To define the level at which waist circumference is measured, a bony landmark is first located and marked. The subject stands and the examiner, positioned at the right of the subject, palpates the upper hip bone to locate the right iliac crest. Just above the uppermost lateral border of the right iliac crest, a horizontal mark is drawn, then crossed with a vertical mark on the midaxillary line. The measuring tape is placed in a horizontal plane around the abdomen at the level of this marked point on the right side of the trunk. The plane of the tape is parallel to the floor and the tape is snug, but does not compress the skin. The measurement is made at a normal minimal respiration (see Figure 5).

REF: U.S. Department of Health and Human Services, PHS. NHANES III Anthropometric Procedures Video. U.S. Government Printing Office Stock Number 017-022-01335-5. Washington, D.C.: U.S. GPO, Public Health Service; 1996 [538].

Figure 5

Figure 5

Measuring tape position for waist (abdominal) circumference

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