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• Action level 1: Men: 78 cm, women: 72 cm.
Any person with WC above these levels should avoid gaining weight and maintain
physical activity to avoid acquiring any of the cardiovascular risk factor.
• These
action level 1 cut-offs need to be researched further.
• Action
level 2: Men: 90 cm, women: 80 cm. Subject with WC above this should seek
medical help so that obesity-related risk factors could be investigated and
managed.
• The
pharmacotherapy should be initiated for BMI above 27 kg/m2 without
co-morbidity, or a BMI above 25 kg/ m2 with co-morbidity.
• The
cut-offs for WC for initiating pharmacotherapy was unanimously agreed upon as a
WC measurement 10 cms more than the upper limit of gender specific normal value
for adult Asian Indians.
Indication for bariatric surgery
• Consensus
Statement for Asian Indians: BMI above 32.5 kg/m2 with co-morbidity, and BMI
above 37.5 kg/m2 without co-morbidity.
