Mixed

For a given waist circumference or BMI, white adults have higher levels of visceral adipose tissue (VAT) than African-American adults, particularly at higher levels of adiposity.

If you are African-American, your waist circumference might underestimate your visceral fat risk compared to a white person with the same waist size. White adults tend to store more visceral fat at the same waist measurement. This means standard waist cut-offs might need to be lower for white adults to accurately flag visceral fat risk, or higher for African-American adults, though specific thresholds require further research.