Research

Energy balance

High waist-to-hip ratio (WHR) is a significant predictor of all-cause mortality, whereas BMI is not, and psychological stress does not directly predict all-cause mortality when WHR is considered.

Do not rely on BMI to assess your long-term health risk. Instead, measure your waist and hip circumferences. A high waist-to-hip ratio is a much stronger predictor of early death than BMI. Focus on reducing abdominal fat through lifestyle changes, as this specific body shape is linked to higher mortality.

GoodRefutesHIGH confidence
We found that only age and waist-to-hip ratio contributed to all-cause mortality, but not stress or BMI... waist-to-hip ratio contributed to the risk of all-cause mortality in both genders (Exp (B) = 34.66 (6.43–186.92); P < 0.001 for men; Exp (B) = 60.65 (9.33–394.22); P < 0.001 for women).
Britta Kubera et al. · Comprehensive Psychoneuroendocrinology · 2021

Why this rating

Large cohort study with long follow-up and robust statistical adjustment.

Source

Psychological stress, body shape and cardiovascular events: Results from the Whitehall II study

Britta Kubera et al. · Comprehensive Psychoneuroendocrinology · 2021

DOI 10.1016/j.cpnec.2021.100104

cohort · n=7107Cited 9×
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DOI resolved against Crossref · corpus check 2026-06-10

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