Why Indian thresholds differ

Metabolic risk can appear at a lower body weight, so waist matters.

Metabolic risk can appear at a lower BMI in South Asians. Indian consensus guidance uses BMI 23 and a waist of 90 cm for men and 80 cm for women.

A thin person can still carry risk. In one US study, a BMI cut-off of 25 missed 36% of Asian Americans with diabetes.

These thresholds are prompts to look closer. Lower cut-offs also flag more people who are not affected, so a flag is the start of a conversation with your doctor.

23.7 BMI

Indian guidance looks closer from 23. Much global guidance waits until 25.

88 cm waist

Indian guidance looks closer from 90 cm.

One is above the Indian cut-off, though a global chart might not show it.

Sources

  1. Consensus guidelines for Asian Indians, 2009
  2. Araneta et al., Diabetes Care, 2015

General information, not medical advice. Reviewed 2 November 2026.

Check yourself against Indian cut-offs

Next: Early heart disease in Indians

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