It’s all about the waist!


Jumping on and off the scales may give you an idea of how weight loss attempts are going but certainly doesn’t give you the full picture and doesn’t always reflect whether you are a healthy weight with a healthy waist.


Feeling fruity?

The amount of fat we carry around our waist is a really important indicator of our health – more so, perhaps, than our weight. Even if we are a reasonable weight, a bit of middle age spread or an impressive beer belly can be a warning sign that we are at risk of diabetes, heart disease and more. Having a bountiful backside with a classic ‘pear’ shape is better for many aspects of your health than being more of an ‘apple’!


What’s the magic number?

The best way to tell is to compare your waist measurement (halfway between the bottom of the ribs and the top of pelvis / hip bone) and compare it to your hip measurement (widest part, incorporating your backside).

If your waist/hip ratio is 1 or more as a man (0.85 or more as a woman), beware.

You may be at risk.



We know we need to watch our weight if we can ‘pinch more than an inch’. But the fat we carry on the inside is even more of an issue. Having a big belly is an indication of excess fat in the liver and around other internal organs and is associated with the metabolic syndrome – a collection of problems like high blood pressure, fatty liver disease and type 2 diabetes, predisposing to heart attacks, stroke and more.


What causes it?

We don’t fully understand why fat gets distributed in different ways but sex, genetics, stress, certain drugs like steroids and more can all play a role.


What can we do about it?

Shifting a bit of weight is the obvious place to start. We can’t lose fat from certain areas preferentially, but losing a few pounds will reduce fat in internal organs and around the waist, as well as everywhere else – improving our health risk at the same time. So cutting back is the first step.


But it’s not just how much we eat, it’s what we eat.

There is a lot of evidence now that high sugar diets are contributing to this issue – so sticking to the recommendations of 6 teaspoons or less of added sugar per day is one of the best things you can do. Remember, that’s all sugar (including hidden sugars in processed foods) other than sugar found naturally in milk and whole fruit.

There has also been attention focused on a substance called inulin, found in veg like onions, bananas, leeks, artichokes, and asparagus as well as wheat. Inulin seems to help glucose control – one of the earliest indicators of metabolic syndrome. It also boosts healthy gut bacteria and may help weight loss in some studies. But don’t go rushing off to buy supplements – there is no good evidence that it is a magic pill for weight loss and it can have side effects, including making irritable bowel syndrome (IBS) worse in some people. Instead, a diet low in processed sugary foods and high in veg and whole grains is a sure-fire way to help your health.


Get moving

Exercise has also been shown to help. Even if we don’t lose weight we may reduce the fat in and around our internal organs. Some studies suggest that short bursts of high intensity (HIIT) exercise help more than standard exercise but the jury’s still out on that one.


Stress less

But try not to get too stressed about it all – as stress and the hormones it releases may contribute too! Instead, focus on keeping mind and body, in tip-top condition if you want to lose that belly fat. Then, the only thing you will have to worry about as your waistline shrinks is your trousers falling down!




Keating SE et al. Effect of aerobic exercise training dose on liver fat and visceral adiposity. J Hepatol. 2015


Lee S et al. Aerobic exercise but not resistance exercise reduces intrahepatic lipid content and visceral fat and improves insulin sensitivity in obese adolescent girls: a randomized controlled trial. Am J Physiol Endocrinol Metab. 2013

Koster A et al. Waist circumference and mortality. Am J Epidemiol. 2008

Björntorp P. Do stress reactions cause abdominal obesity and comorbidities? Obes Rev. 2001

Guess ND et al. A randomized controlled trial: the effect of inulin on weight management and ectopic fat in subjects with prediabetes. Nutrition & Metabolism. 2015