Training guide

How to get a smaller waist: what shrinks it, what doesn't, and what your frame decides

A smaller, slimmer waist comes mostly from losing fat from your whole body. Ab and oblique exercises make your trunk stronger, but in trials they didn't take fat off the waist, and nothing safe shrinks it in a week. Part of your waist is bone, your lower ribs and pelvis, which no exercise changes, and that's a normal shape.

This guide covers what sets your waist size, what works and how much, smaller waist exercises and what they can and can't do, waist trainers and corsets, stomach vacuums, your ribcage, how to measure your waist, and how long it takes. If your waist is more than half your height, it matters for your health as well as your shape.

The short version

Ab exercises don't shrink your waist

Six weeks of ab exercises on 5 days a week changed no fat measure or waist size in 24 adults, adding 12 weeks of ab training to a diet did no better than the diet alone in 40 women, and across 13 studies training a body part didn't take the fat off it.

Sources 1, 2, 3

Lose fat from your whole body

Eat a little less (the NHS suggests about 600 calories a day less, losing 0.5 to 1 kg a week), move more (each extra 30 minutes a week of aerobic exercise took about half a centimetre off the waist in trials), strength train on 2 days a week, sleep 7 to 9 hours and keep alcohol within 14 units a week.

Sources 4, 5, 6, 7, 8, 9, 10, 11

Oblique work won't noticeably widen it

No study has measured waist size after oblique training, so this is an inference: the side ab muscles grew only a little in trials, and much bigger obliques were seen only after years of professional tennis.

Sources 12, 13, 14

Waist trainers don't make it last

We found no trial showing a lasting change in waist size. A hospital doctor's article says the effect is only temporary, and that long or tight wear can make breathing harder and worsen reflux; a tight belt raised acid reflux in people with reflux disease.

Sources 15, 16, 17

Stomach vacuums: no good evidence for a smaller waist

A review of the related hypopressive exercise found waist reductions only in studies with serious flaws, and couldn't recommend it for that.

Source 18

Your frame sets part of it

Your lower ribs and pelvis are bone: training can't change them. Pelvic width is largely inherited, and rib cages differ between people and between the sexes. Surgery to reshape the ribs exists and carries real risks.

Sources 19, 20, 21, 22

What sets your waist size

Fat under the skin and around your organs

Your waist takes in the fat under your skin and the visceral fat inside your abdomen, around the organs. Waist size predicts disease beyond BMI (body mass index) because it reflects that deeper fat, which is why NICE (the National Institute for Health and Care Excellence) uses the waist-to-height ratio.

Sources 23, 24, 25

The trunk muscles

The six-pack muscle at the front, the obliques at the sides and the deep transversus abdominis, which wraps the waist like a corset. They hold your trunk, and their size changed only a little with training in trials.

Sources 12, 13

What's in your gut

Gas, food and fluid. Bloating is very common and can make your tummy feel full or bigger than usual, which is why a tape can change through the day.

Source 26

The bones

Your lower ribs above and your pelvis below. In 40 adults, women's rib cages were smaller relative to their height than men's, with more steeply angled ribs, and pelvic width was strongly inherited in twin studies. Training doesn't change bone.

Sources 21, 19, 20

Where your body keeps fat

Largely inherited: in twins, genes explained about 82 to 85% of the differences in trunk fat. Men tend to keep more fat at the waist and women more on the hips and thighs. At the start of the menopause transition, the rate of fat gain doubled while muscle fell.

Sources 27, 28, 29, 30

After a pregnancy

The two six-pack muscles often separate during pregnancy (diastasis recti), and the gap usually closes by 8 weeks after the birth.

Source 31

What the evidence says

Training one body part doesn't burn the fat over itStrong evidence

Across 13 studies of 1,158 people aged 14 to 71, training one limb didn't take more fat off it than off the untrained limb, and the results were consistent.

Source 1

Ab exercises didn't shrink the waistEmerging evidence

In 24 inactive adults, 6 weeks of 7 ab exercises on 5 days a week, with their diet held steady, changed no fat measure or waist size; their ab endurance improved. In 40 women with overweight or obesity, adding 12 weeks of ab training to a diet didn't reduce belly fat or waist size more than the diet alone.

Sources 2, 3

Aerobic exercise trims the waistStrong evidence

In 116 trials of 6,880 adults with overweight or obesity, each extra 30 minutes a week of aerobic exercise took off about 0.56 cm of waist and 0.52 kg, fairly evenly up to 300 minutes a week. Across 25 trials, aerobic exercise cut waist size by 3.2 cm on average: 4.2 cm with vigorous and 2.5 cm with moderate exercise.

Sources 6, 7

Strength training helps tooStrong evidence

On its own, strength training cut body fat by about 1.5 percentage points, including some deep belly fat; the review looked at 58 studies and pooled 54. In 119 adults over 8 months, aerobic training took off more fat while strength training added more muscle.

Sources 9, 32

The waist can be among the slower placesEmerging evidence

In 61 women with obesity on a 6-month diet, fat under the skin fell everywhere measured, and proportionally more at the mid-arm and mid-thigh than at the waist and hips.

Source 33

Oblique muscles grow only a littleEmerging evidence

The side ab muscles thickened a little with 12 weeks of ab training plus diet in 19 women. In 9 women, 36 weeks of Pilates raised their volume by 8% on one side. Professional tennis players' side ab muscles were 18% bigger on one side than the other after years of play. No study has measured waist size after oblique training.

Sources 12, 13, 14

Sleep and fat lossEmerging evidence

On the same 14-day diet, 5.5 hours in bed instead of 8.5 cut the fat lost by more than half in 10 adults.

Source 34

What works, and how much

Eat a little less

The NHS suggests reducing your intake by around 600 calories a day and aiming to lose 0.5 to 1 kg (1 to 2 lb) a week. Our calories per day calculator works out a daily figure. If you're lean or also want to build muscle, a smaller cut keeps more muscle, as our body recomposition guide explains.

Sources 4, 5

Move more

Build towards at least 150 minutes a week of moderate activity, such as brisk walking, cycling or swimming. More minutes took more off the waist in trials, up to about 300 a week, and vigorous exercise took off a little more than moderate.

Sources 8, 6, 7

Strength train on 2 days a week

Work all your major muscles, as the NHS advises: a squat, a hinge, a push and a pull, as in our 20-minute strength workout. It trims fat on its own and keeps your muscle while you lose fat.

Sources 8, 9, 32

Sleep, and alcohol

Adults need 7 to 9 hours' sleep. Keep alcohol within 14 units a week, spread over 3 or more days: the NHS says regularly drinking more than it recommends can have a noticeable impact on your waistline.

Sources 10, 11

Train your trunk for strength

Our oblique workout, once or twice a week: side planks for 15 to 40 seconds each side, half-kneeling Pallof presses 10 each side and suitcase carries 20 m each hand. Its own tip says it: this trains your obliques; it won't trim your waist.

Moves for the fat-loss half

Whole-body moves, as in our 20-minute strength workout, plus your weekly walking, cycling or rowing. Indoor rowing and the cross-trainer have starting doses on their move pages.

Smaller waist exercises: what they do

These build a strong, steady trunk; in trials, ab exercises didn't shift belly fat or waist size. Use our oblique workout and core session B for the sets; the stomach vacuum is a control drill, not a waist shrinker.

Your week, step by step

Our editorial plan, built on NHS and NICE advice, the trials in this guide and our oblique workout.

  1. Eat a little less: our calories calculator gives a daily figure, about 600 calories below your needs. Take a smaller cut if you're lean or want to build muscle at the same time.
  2. Walk, cycle, row or use the cross-trainer on most days, building towards at least 150 minutes a week at a pace where you can talk but not sing.
  3. Strength train twice a week: a squat, a hinge, a push and a pull, as in our 20-minute strength workout.
  4. Add our oblique workout or core session B once or twice a week, for strength. Pallof press: kneel side-on to a band anchored at chest height, press it straight out and don't let it turn you.
  5. Sleep 7 to 9 hours, and keep alcohol within 14 units a week.
  6. Measure your waist every 2 to 4 weeks, at the same time of day, as in the steps below. Judge by months, not days.

Loading the 3D figure…

Gets into position, then repeats the movement. Technical checks passed; qualified exercise review is pending.

The movement on the figure: Half-kneeling Pallof press

Waist trainers, corsets and cinchers

No trial shows a lasting changeMixed evidence

We found no trial showing a waist trainer changes waist size after you take it off, or removes fat. In 69 adults with overweight, a compression garment combined with goal setting and self-monitoring led to 1.3 kg more weight loss in 12 weeks; the authors linked it to changes in eating, and the garment's own effect can't be separated out.

Source 35

What a hospital doctor says: expert opinionEmerging evidence

In a US hospital's health article, a liver specialist says waist trainers give only a temporary change, mostly by squeezing and by making you eat less, and that long or tight wear can make breathing harder, worsen reflux and bloating, and irritate the skin. She suggests a few hours at a special event at most, and stopping for more reflux than usual, food coming back up after eating, difficulty breathing or swelling in your legs. That's expert opinion, not a trial.

Source 15

A tight belt and refluxEmerging evidence

In 14 people with reflux disease, a weightlifting belt pulled tight raised the pressure in the stomach, increased acid reflux about 8-fold and slowed how fast the gullet cleared the acid. The NHS says not to wear clothes that are tight around your waist if you get heartburn.

Sources 16, 17

Rare serious problems: case reportsEmerging evidence

Two case reports linked tight waist garments with a blocked leg artery in a woman wearing a waist training corset after liposuction, and a bleed under the liver's outer layer in a woman wearing a faja corset. Case reports can't show how common this is, or prove the garment caused it.

Sources 36, 37

If you wear one

Keep it to a few hours, loosen it to eat, and take it off for exercise, which needs full breaths. After liposuction or other surgery, wear only the garment your surgeon prescribes, as they direct (our suggestions).

Stomach vacuums

What they are

Standing tall with your hands on your hips, you breathe in slowly, then out as far as it goes, drawing your belly in towards your spine, and hold it for a count while breathing lightly. It works the deep and internal oblique muscles rather than the six-pack.

Do they shrink the waist?Mixed evidence

There's no good evidence. A review of hypopressive exercise in healthy women found 5 studies: waist size fell, but the studies had serious flaws and the reviewers couldn't recommend it. Across 13 trials on the core muscles, 12 had a high risk of bias. In 12 women after a birth, a 4-week programme narrowed the tummy gap, while their abdominal circumference went up at follow-up.

Sources 18, 38, 39

How to use them

As a control drill: 5 to 10 slow holds of a few breaths, once a day, is our editorial starting point. After a birth, draw in gently for control and comfort rather than sucking in as hard as you can, as our diastasis recti guide explains. In pregnancy, ask your midwife first (our suggestion).

Your ribs, hips and frame

Bone doesn't train

No exercise changes the shape of your ribs or pelvis. Rib cages differ between people and between the sexes, and pelvic width is largely inherited. A wide rib cage or wide hips are normal frames.

Sources 21, 19, 20

Rib surgeryEmerging evidence

Surgery to reshape the lower ribs exists. In a survey of 2,351 patient records from surgeons who do it, 3.7% had complications, including rare collapsed lung (0.17%) and pressure sores linked to a corset. It's outside what this site covers: speak to a regulated surgeon, not a gym (our suggestion).

Source 22

Ribs that stick out at the front

Our rib flare guide covers what posture work can and can't change.

How to measure your waist

NICE's method and the NHS's measuring steps; the timing is our suggestion.

  1. On the side of your body, feel for your lowest rib and the top of your hip bone.
  2. Find the middle point between them: roughly level with your belly button.
  3. Wrap the tape measure around this point.
  4. Breathe out naturally, don't hold your tummy in, and take your measurement.
  5. Divide it by your height in the same units: under 0.5 is NICE's healthy range for adults with a BMI under 35. Our waist-to-height ratio calculator does the sum.
  6. Measure at the same time of day, before breakfast, every 2 to 4 weeks.

How long it takes

At the whole-body pace

Months. The NHS suggests losing 0.5 to 1 kg a week at most, waists shrank by 3.2 cm on average in trials of aerobic exercise, and fat came off the arms and thighs proportionally faster than the waist and hips in one diet study.

Sources 4, 7, 33

Not in a week

A tape can change by a centimetre or more through the day with food, drink and gas (our reading). That's why quick changes in a few days are mostly bloating and what's in your gut, not fat.

Source 26

Around the menopause

Fat gain speeds up and shifts towards the waist, so the same plan may move more slowly then. Nobody can promise a smaller waist by a date.

Source 30

Workouts to follow

There's no workout that shrinks your waist on its own. The walking, cardio and whole-body strength sessions do the fat-loss work; the oblique and core sessions build your trunk.

Easy cardio workout

A steady 30 to 45 minute cardio session at talk-but-not-sing pace: walk, cycle, row or cross-train, counting toward weekly activity guidelines.

40 minBeginner3 movesCardio machine, A wall

Interval walking workout: 3 minutes fast, 3 minutes easy

A 40-minute walk alternating 3 minutes fast and 3 minutes easy, five times over: the interval walking tested in Japanese trials, built up from three rounds.

40 minBeginner3 movesCardio machine, A wall

Incline walking workout: hills or a treadmill slope

A 50-minute walk with hills, outdoors or on a treadmill slope: brisk on the flat, slower on the climbs, building from gentle slopes to about 6%.

50 minBeginner5 movesCardio machine, A step

10-minute walk and move after meals

A 10-minute routine for straight after a meal: an easy walk, a few simple standing moves from blood sugar trials, then a short walk to finish.

10 minBeginner6 movesCardio machine, A bench or box

Low-impact cardio workout (no jumping)

A 25-minute standing cardio circuit with no jumping: marching, step jacks, sit-to-stands, punches, step-ups and wall push-ups, with a seated option for most moves.

25 minBeginner9 movesA bench or box, A step

Cardio intervals workout

A 25-minute interval session on a bike or rower: one-minute hard efforts with two minutes easy, building from 4 to 8 rounds.

25 minIntermediate1 movesCardio machine

Circuit training workout: 8 stations, dumbbells or bodyweight

A full-body circuit of 8 stations: dumbbell squats, push-ups, rows, lunges, deadlifts and cardio moves, 40 seconds each, for 2 or 3 rounds.

35 minBeginner14 movesA dumbbell, A bench or box

20-minute full-body strength workout

A 20-minute full-body dumbbell workout: two supersets of squats, rows, Romanian deadlifts and push-ups. Twice a week covers the minimum dose.

20 minBeginner8 movesA dumbbell, A bench or box

Weights then cardio: a steadier-glucose workout

Strength moves first, then 20 to 30 minutes of steady cardio, with glucose checks built in. In one small type 1 diabetes trial, weights first kept glucose steadier.

45 minBeginner11 movesA dumbbell, A bench or box

Oblique workout: side planks, Pallof presses, carries and Russian twists

A 25-minute oblique workout at home: side planks, a band Pallof press and a suitcase carry to hold your trunk steady, then slow Russian twists and side-lying crunches.

25 minIntermediate8 movesA band, An anchor point

Core session B: side planks, bird dogs and a carry

A 12-minute core session for the sides and back: side planks, bird dogs, a band press that resists twisting and an optional one-sided carry.

12 minBeginner10 movesA band, An anchor point

Beginner core workout

A 15-minute beginner core workout on the floor: dead bugs, bird dogs, knee planks, side planks and curl-ups.

15 minBeginner6 movesNo equipment

Chop and lift workout: from resisting a twist to cable wood chops

Resist a twist, then make one under control: Pallof presses, the press and turn, cable lifts and wood chops, with side planks and a carry.

30 minIntermediate9 movesA band, An anchor point

Plans

The weight-loss plan is the main one. The body recomposition plan suits you if you also want to build muscle; the walking plan builds to 150 minutes a week from very little.

Men, women, after a birth and after the menopause

Men

The same plan works. Men tend to keep more fat at the waist, so whole-body fat loss often shows there; our V taper guide covers the shoulders and back too.

Source 29

Smaller waist, bigger hips

Whole-body fat loss trims your waist, and glute training builds your hips, which our glute guide covers. The width of your pelvis is bone, and largely inherited.

Source 19

After a birth

The NHS advises avoiding sit-ups, planks and high-impact exercises to start with, and contacting a GP if the gap is still obvious 8 weeks after the birth. Our diastasis recti and postpartum guides cover the rest.

Source 31

Pregnancy

The NHS advises avoiding lying flat on your back for more than a few minutes in later pregnancy, so do side planks from your knees and Pallof presses standing or kneeling instead of moves on your back (our suggestion). Pregnancy isn't the time to cut calories.

Source 40

After the menopause

The waist tends to gain around the menopause. Strength training and aerobic activity still work; our menopause guide has more.

Source 30

Warning signs: when your waist needs a doctor, not a workout

Stop and get medical help

If you get chest pain or pressure, feel faint or dizzy, are unusually breathless, or your heart races or beats irregularly during exercise, as our plans advise.

Call 999 (911 in the US)

For chest pain that comes on suddenly and doesn't go away, feels tight or like squeezing, spreads to your arms, neck, jaw, stomach or back, or comes with sweating, feeling sick, light-headedness or breathlessness; severe difficulty breathing; someone who faints while exercising; palpitations that don't go away, or come with chest pain, shortness of breath or feeling faint; or a headache that starts suddenly and is extremely painful, especially while lifting or straining, or comes with numbness or weakness, difficulty speaking or loss of vision. The NHS says a bleed on the brain may be more likely when lifting something heavy. Don't drive yourself to A&E.

Sources 41, 42, 43, 44

Bloating: call 999

If you have bloating with a swollen stomach and a stomach ache that is severe and came on very suddenly, you're vomiting blood or your vomit looks like ground coffee, or you have severe difficulty breathing. Don't drive yourself to A&E. During exercise, stop and get help for chest pain or pressure, unusual breathlessness, dizziness or fainting, as our plans advise.

Source 26

Bloating: urgent GP appointment or NHS 111

If you have bloating with being sick, diarrhoea or constipation, or with a stomach ache; a high temperature, or you feel hot, cold or shivery; a swelling or lump in your tummy; a burning feeling in your chest caused by stomach acid travelling up towards your throat (acid reflux); or you can't pee, poo or fart. In the US, contact your doctor or urgent care.

Source 26

Bloating: see a GP

If you feel bloated regularly, or have bloating with weight loss you can't explain or blood in your poo: the NHS says bloating that doesn't go away can sometimes be a sign of something more serious, such as ovarian cancer.

Source 26

Heartburn

See a GP if lifestyle changes and pharmacy medicines aren't helping, you have heartburn most days, or you also have food getting stuck in your throat, are often sick or are losing weight for no reason (our suggestion, from the NHS).

Source 17

Waist trainers and tight garments

Take it off, and don't wear it again, if it brings on more reflux than usual, food coming back up after eating, difficulty breathing or swelling in your legs (the signs the hospital article lists), sore or broken skin, or leg pain, coldness or numbness (from a case report). These are our suggestions.

Sources 15, 36

Back pain that needs 999 or A&E

Call 999 or go to A&E: loss of feeling or numbness around the genitals or bottom, new trouble peeing or controlling your bladder or bowels, changes in genital sensation during sex or problems with erections or orgasm, or pain, tingling, weakness or numbness in both legs. These are signs of cauda equina syndrome, which needs treating in hospital urgently. Don't drive yourself.

Source 45

Hernia

See a GP if you think you have a hernia, a bulge or lump that may get bigger when you strain and smaller when you lie down. Get help from NHS 111 if you have a hernia and pain in or around it, a bloated tummy, you feel or are sick, you're vomiting blood or your vomit looks like coffee grounds, you're constipated, you have a high temperature or feel hot, cold or shivery, or you've suddenly become confused. Call 999 or go to A&E for a femoral hernia (a small lump at the top of your thigh, in your groin) with very bad tummy pain, sickness, being unable to fart or poo, a high temperature or sudden confusion.

Sources 46, 47

Help to lose weight

The NHS suggests seeing a GP if your BMI is in the overweight or obese range and you want help to lose weight, your waist is more than half your height, or you have conditions such as diabetes, high blood pressure or sleep apnoea.

Source 4

When eating, training or your body becomes a worry

The NHS lists spending a lot of time worrying about your weight and body shape, eating very little food, exercising too much, and having very strict routines around food among the signs of an eating disorder, and says to see a GP as soon as you can. Worrying a lot about one area of your body can be body dysmorphic disorder. Beat's helpline in England is 0808 801 0677, and our eating disorders guide has the other numbers.

Sources 48, 49, 50

Myths

"Waist trainers shrink your waist for good"Mixed evidence

We found no trial showing a lasting change after the garment comes off. A hospital doctor says the effect is only temporary, the one garment trial measured weight and paired the garment with eating support, and a tight belt worsened reflux in people with reflux disease.

Sources 35, 15, 16

"Crunches, side bends and twists burn waist fat"Strong evidence

Six weeks of ab exercises changed no waist or fat measure in 24 adults, ab training added nothing to a diet in 40 women, and 13 studies found no spot reduction. They build trunk strength.

Sources 2, 3, 1

"Oblique exercises make your waist wider"Mixed evidence

No study has measured it. The side ab muscles grew only a little in trials, and much bigger obliques were seen only after years of professional tennis. A little more muscle under a smaller fat layer usually makes a waist look firmer, not wider (our reading).

Sources 12, 13, 14

"Stomach vacuums shrink your waist"Mixed evidence

The studies behind the claim had serious flaws, and in one small series after a birth, abdominal circumference went up. They're a fine control drill.

Sources 18, 38, 39

"You can get a smaller waist in a week"Strong evidence

Fat comes off at the whole-body pace: the NHS suggests 0.5 to 1 kg a week, and each extra 30 minutes a week of aerobic exercise took about half a centimetre off the waist over months. Day-to-day changes on the tape are mostly bloating, food and fluid.

Sources 4, 6, 26

"You can shrink your ribcage with exercise"Emerging evidence

Exercise doesn't change your bones, and rib cages differ between people and sexes. Surgery to reshape the ribs exists, with complications in about 1 in 27 patients in a surgeons' survey.

Sources 21, 22

"Sweating in a waist belt burns fat"Mixed evidence

Sweat is water, not fat (our reading), and we found no trial showing a belt removes waist fat.

Source 35

Questions people ask

How can I get a smaller waist?

Lose fat from your whole body: eat a little less, move more, strength train twice a week and sleep well. Ab exercises build strength but didn't shrink waists in trials.

What are the best exercises for a smaller waist?

The ones that burn the most energy and keep your muscle: walking, cycling, rowing and whole-body strength training. Side planks, Pallof presses and carries build a strong trunk, but in trials, ab exercises didn't shift belly fat.

Do waist trainers work?

Only while you wear them. We found no trial showing a lasting change in waist size, and a hospital doctor warns that long or tight wear can make breathing harder and worsen reflux. If you wear one, keep it to a few hours.

Do stomach vacuums make your waist smaller?

There's no good evidence: a review of the related hypopressive exercise found waist reductions only in flawed studies and couldn't recommend it. They're a fine way to learn to control your deep tummy muscles.

Will oblique exercises make my waist wider?

No study has measured it, and the side ab muscles grew only a little in trials. A little more muscle under less fat usually looks firmer, not wider.

How fast can I get a smaller waist?

At the pace your whole body loses fat: the NHS suggests 0.5 to 1 kg a week, and waists shrank by about 3 cm on average in trials of aerobic exercise. Nothing safe shrinks a waist in a week; quick changes on the tape are mostly bloating.

Can I make my ribcage smaller?

Not with exercise: your ribs are bone, and rib cages differ between people. Rib surgery exists and has risks, including rare collapsed lung; it's a question for a regulated surgeon, not a workout.

Why is my waist wide when I'm slim?

Your ribs and pelvis set part of it, and where you store fat is largely inherited. That's a normal shape, not a problem to fix.

How do I get a smaller waist and bigger hips?

Whole-body fat loss trims your waist, and glute training builds your hips; our glute guide covers that half. The width of your pelvis is bone and doesn't change.

How do men get a smaller waist?

The same way. Men tend to store more fat at the waist, so whole-body fat loss often shows there first; our V taper guide covers the shoulders and back too.

Why has my waist got bigger after the menopause?

Fat gain speeds up at the start of the menopause transition and shifts towards the middle while muscle falls. Strength training and aerobic activity still work; our menopause guide has more.

What waist size is healthy?

Less than half your height, for adults with a BMI under 35, as NICE advises. Measure midway between your lowest rib and the top of your hip, breathing out naturally; our waist-to-height ratio calculator does the sum.

Sources

  1. Ramírez-Campillo 2022 · Spot reduction of fat by training one body part: 13 studies, 1,158 people (systematic review and meta-analysis, Hum Mov)
  2. Vispute 2011 · Six weeks of ab exercises and belly fat in 24 adults (randomised trial, J Strength Cond Res)
  3. Kordi 2015 · Diet with or without 12 weeks of abdominal resistance training in 40 women with overweight or obesity (RCT, J Manipulative Physiol Ther)
  4. NHS · Overweight and obesity in adults
  5. NHS Better Health · Calorie counting: calories and weight loss
  6. Jayedi 2024 · Aerobic exercise and weight loss in adults: 116 trials (dose-response meta-analysis, JAMA Netw Open)
  7. Armstrong 2022 · Aerobic exercise and waist circumference in adults with overweight or obesity: 25 trials (meta-analysis, Obes Rev)
  8. NHS · Physical activity guidelines for adults aged 19 to 64
  9. Wewege 2022 · Strength training and body fat, fat mass and visceral fat in healthy adults: 58 studies reviewed, 54 pooled (meta-analysis, Sports Med)
  10. NHS · Insomnia
  11. NHS · Calories in alcohol (past its review date: reviewed June 2023, review due June 2026)
  12. Noormohammadpour 2012 · Ab training, diet and the thickness of the side ab muscles in 19 women (trial, J Bodyw Mov Ther)
  13. Dorado 2012 · Abdominal muscle size on MRI after 36 weeks of Pilates in inactive women (study, Med Sci Sports Exerc)
  14. Sanchis-Moysi 2013 · Side ab muscle size in professional tennis and football players (MRI study, Sports Biomech)
  15. Cleveland Clinic · Why waist trainers aren't the same as shapewear (expert article by a hepatologist, Health Essentials)
  16. Mitchell 2017 · A tight waist belt and acid reflux in 14 people with reflux disease (physiology study, Gastroenterology)
  17. NHS · Heartburn and acid reflux
  18. Martins Rodrigues 2024 · Hypopressive exercises in healthy women: 5 studies (systematic review, J Bodyw Mov Ther)
  19. Li 2005 · Genetic effects on body size measures, including shoulder and pelvic breadth, in 116 pairs of twins aged 6 to 12 (twin study, Zhonghua Yu Fang Yi Xue Za Zhi; English abstract)
  20. Dupae 1982 · Genes and body measurements, including shoulder and pelvic breadth, in 167 pairs of Belgian twins aged 18 to 25 (twin study, Acta Genet Med Gemellol)
  21. Bellemare 2003 · Sex differences in the size and shape of the rib cage in 40 adults (imaging study, Am J Respir Crit Care Med)
  22. Aguilar 2026 · Complications of rib remodelling surgery for the waist: 2,351 patient records (surgeon survey, Plast Reconstr Surg Glob Open)
  23. Ross 2020 · Waist circumference as a vital sign in clinical practice (IAS and ICCR consensus statement, Nat Rev Endocrinol)
  24. NICE NG246 · Identifying and assessing overweight, obesity and central adiposity (waist-to-height ratio) (guideline)
  25. NHS · Calculate your waist to height ratio: how to measure your waist
  26. NHS · Bloating
  27. Malis 2005 · How much total and regional body fat is inherited, in young and older Danish twins (twin study, Obes Res)
  28. Shungin 2015 · Genes linked to where body fat sits, in up to 224,459 people (genome-wide meta-analysis, Nature)
  29. Karastergiou 2012 · Sex differences in body fat: the biology of pear shape (review, Biol Sex Differ)
  30. Greendale 2019 · Body composition and weight through the menopause transition (SWAN cohort study, JCI Insight)
  31. NHS · Your post-pregnancy body
  32. Willis 2012 · Aerobic, resistance or combined training and body and fat mass in 119 adults (STRRIDE AT/RT randomised trial, J Appl Physiol)
  33. Wang 2002 · Where fat under the skin is lost on a 6-month diet, in 61 women with obesity (study, Obes Res)
  34. Nedeltcheva 2010 · 5.5 against 8.5 hours in bed during 14 days of dieting, in 10 adults (randomised crossover trial, Ann Intern Med)
  35. Kanda 2023 · A compression garment with eating-behaviour support for weight loss in 69 adults with overweight (Mutsu City randomised trial, Healthcare)
  36. Ramcharan 2020 · A waist training corset and a blocked leg artery after liposuction (case report, Cureus)
  37. Kumaraswamy 2020 · A tight faja corset and a bleed under the liver's capsule (case report, Cureus)
  38. Hernandez-Lucas 2025 · Hypopressive techniques and the core muscles: 13 trials (systematic review, Healthcare)
  39. Ramírez-Jiménez 2023 · Hypopressive exercises for the tummy gap after birth in 12 women (case series, Physiother Theory Pract)
  40. NHS · Exercise in pregnancy
  41. NHS · Chest pain (past its review date: reviewed August 2023, review due August 2026)
  42. NHS · Heart palpitations
  43. NHS · Fainting
  44. NHS · Subarachnoid haemorrhage
  45. NHS · Back pain
  46. NHS · Hernia
  47. NHS · Femoral hernia
  48. NHS · Eating disorders: overview
  49. NHS · Body dysmorphic disorder (BDD) (past its review date: reviewed October 2023, review due October 2026)
  50. Beat · Support now: helplines

Exercise education, not a personal prescription, and clinical review of these guides is pending. Check with a GP before starting hard training if you have a heart condition, chest pain, dizziness or breathlessness when active, and stop for sharp or increasing pain. Health disclaimer.