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Ethics declarations Competing interests The authors declare that they have nocompeting interests Additional information Handling editor: Patrick Butaye Publisher's Note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations

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NHS guidance suggests increased health risks at waist measurements above 94 cm (37 inches) for men and 80 cm (31.5 inches) for women, with substantially increased risk above 102 cm (40 inches) for men and 88 cm (34.5 inches) for women

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