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©2013 UpToDate ® Print Email Classification of overweight and obesity by BMI, waist circumference, and associated disease risk BMI kg/m 2 Obesity class Disease risk* relative to normal weight and waist circumference Men ≤102 cm (≤40 in) >102 cm (>40 in) Women ≤88 cm (≤35 in) >88 cm (>35 in) Underweight <18.5 - - Normal • 18.5 to 24.9 - - Overweight 25.0 to 29.9 Increased High Obesity 30.0 to 34.9 I High Very high 35.0 to 39.9 II Very high Very high Extreme obesity ≥40 III Extremely high Extremely high * Disease risk for type 2 diabetes, hypertension, and CVD. • Increased waist circumference can also be a marker for increased risk even in persons of normal weight. Reproduced from: Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults--The Evidence Report. National Institutes of Health. Obes Res 1998; 6:515.