Rationale for Exclusion of Waist Circumference Measurement in Obesity Screening under Screen for Life Programme
Ministry of HealthSpeakers
Summary
This question concerns the exclusion of waist circumference measurement from the Screen for Life (SFL) programme despite clinical recommendations to use it alongside Body Mass Index (BMI). Mr Leon Perera inquired about the rationale for this exclusion and whether the Government would consider including it in standardized health screenings. Minister for Health Ong Ye Kung explained that while BMI was initially prioritized for its practicality in mass screenings, both metrics are suitable for population-based screening. He stated that the Ministry of Health is currently in the process of incorporating waist circumference measurement into SFL to better assess abdominal obesity. This addition serves as an indicator for higher cardiovascular risk and will be implemented soon to complement existing obesity screening protocols.
Transcript
39 Mr Leon Perera asked the Minister for Health given the recommendation in the HPB-MOH Clinical Practice Guidelines on Obesity (2016) that waist circumference measurement should be used in conjunction with Body Mass Index to identify increased disease risk (a) what is the rationale for the exclusion of the waist circumference measurement in obesity screening under the Screen for Life programme; and (b) whether the Government will consider the inclusion of waist circumference measurement in the Screen for Life programme and other standardised health screening tests.
Mr Ong Ye Kung: MOH takes reference from the Screening Test Review Committee (STRC) recommendations for the population-based screening tests offered under the Screen for Life (SFL) programme. The STRC reviews robust scientific evidence to ensure that the tests are safe, suitable and cost-effective in detecting the condition screened for at a population level.
The Body Mass Index (BMI) and waist circumference are both considered suitable population screening tests for obesity by the STRC. The BMI test was first included under SFL over the waist circumference measurement as the former was considered a more practical method to measure overweight/obesity, especially in mass screenings and is done together with screening tests for diabetes, hypertension and hyperlipidaemia. To complement the BMI test, MOH is already in the process of including waist circumference measurement under SFL to assess individuals for abdominal obesity, as it is an indicator for higher cardiovascular risk and will be implementing it soon.