“BMI-based assessment of obesity does not comprehensively evaluate [cardiovascular disease] risk, and central adiposity measures meaningfully refine [cardiovascular disease] risk estimation across BMI levels.”
A large study in JACC challenges BMI's central role in risk assessment, showing waist circumference and waist-to-hip ratio are better predictors of cardiovascular events, even in people with normal BMI.
Dardari et al. (Sat,) studied this question.