It’s All About the Waist

Lady measuring her waist Pic: Rex/Shutterstock

By Dr Sally Norton, NHS Weight Loss Consultant & Surgeon and founder of    

Need to breathe in to do up your trousers? Find out why your waistband could be telling you something very important.

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.

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 bottom of ribs and 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 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 insulin, found in veg like onions, bananas, leeks, artichokes, and asparagus as well as wheat. Insulin 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

Walking with friends is a great exercise Pic: Rex/Shutterstock

Power walking with friends is a great exercise Pic: Rex/Shutterstock

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

Try not to get too stressed about it all – as stress and the hormones it releases may contribute too! Instead, focus on keeping mind as well as 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!

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Moira Chisholm

I'm the Health Editor on My Weekly and am always interested to hear what's new in this fascinating field. I also deal with the gardening, shopping pages, general features, our website content and the Ask Helen problem page. I have a special interest in Christmas content because I'm on the team for Your Best Ever Christmas Magazine, too!