Assessing health risk and intervention
The latest guidance from the National Institute for Health and Care Excellence on the assessment of the health risk arising from obesity and associated interventions.
 
BMI classification
Waist circumference
Low
High
Very high
Overweight
No increased risk
Increased risk
High risk
Obesity I
Increased risk
High risk
Very high risk
 
  • For men, waist circumference of less than 94 cm is low, 94–102 cm is high and more than 102 cm is very high.
  • For women, waist circumference of less than 80 cm is low, 80–88 cm is high and more than 88 cm is very high.
The  level of intervention for discussion with patients is guided by the following table (with the level of intervention higher for patients with comorbidities (see assess lifestyle comorbidities and willingness to change), regardless of their waist circumference
BMI classification
Waist circumference
Comorbidities present
Low
High
Very high
Overweight
1
2
2
3
Obesity I
2
2
2
3
Obesity II
3
3
3
4
Obesity III
4
4
4
4
 
1 = General advice on healthy weight and lifestyle
2 = Diet and physical activity
3 = Diet and physical activity; consider drugs
4 = Diet and physical activity; consider drugs; consider surgery
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Assessing health risk and intervention
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