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Although body mass index (BMI) is widely used for diagnosing and stratifying obesity, it has limitations, including its inability to capture body fat distribution or differentiate between visceral and subcutaneous fat, key determinants in metabolic disease. This article reviews the incorporation of anthropometric and body composition assessment tools, including waist circumference (WC), waist to hip ratio, waist to height ratio, body roundness index, conicity index, sagittal abdominal diameter, a body shape index, and skinfold measurements in obesity diagnosis and their potential to offer greater insight into obesity\u2010related health risks than BMI alone. Additionally, we explore home\u2010based assessment tools\u2014including digital scales, at\u2010home WC measurements, bioelectrical impedance analysis, body scanning apps, and commercial dual\u2010energy x\u2010ray absorptiometry (DEXA)\u2014in supporting remote weight management in telehealth settings. Although these tools show promise, they vary in accuracy, accessibility, and usability. Integrating both clinic\u2010based and home\u2010based assessments into routine obesity care may improve risk stratification and support individualized interventions.<\/jats:p>","DOI":"10.1002\/ncp.70065","type":"journal-article","created":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T03:11:07Z","timestamp":1762744267000},"page":"43-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Practical tools for evaluating body fat distribution: Applications in clinical and home\u2010based weight management"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7638-7262","authenticated-orcid":false,"given":"Molly","family":"DePrenger","sequence":"first","affiliation":[{"name":"Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Morales\u2010Perez","sequence":"additional","affiliation":[{"name":"Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Lynch","sequence":"additional","affiliation":[{"name":"Department of Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,9]]},"reference":[{"issue":"508","key":"e_1_2_8_2_1","article-title":"Obesity and severe obesity prevalence in adults: United states, August 2021\u2010August 2023","author":"Emmerich SD","year":"2024","journal-title":"NCHS Data Brief"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-012-9862-x"},{"key":"e_1_2_8_4_1","unstructured":"National Institute of Diabetes and Digestive and Kidney Diseases. 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