Since America is the most obese country, then anything huge would be considered American Sized. To include women, big SUVs, value meals, etc.
At the mall
Me: Ugh! Check out tubs over there!
You: Dude she's huge!
Me: Nah, she's just American Sized.
At the fast food restaurant
Cashier: Med or Large?
Me: American Sized!
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