Although, the majority of studies recommend waist circumference (WC) as a better indicator of abdominal obesity and a better predictor for cardiovascular risk than either BMI or waist-to-hip ratio
(WHR), such findings have not been confirmed in Asians.
Appropriateness of waist circumference and waist-to-hip ratio
cutoff for different ethnic groups.
The waist-to-hip ratio
, however, classified few women (18%) as high risk while the lower risk group formed the majority (57%).
Further research into the mechanisms underlying the increased health risks associated with high waist-to-hip ratio
is needed, specifically to delineate the role of intra-abdominal visceral fat, relative to pelvic bone size, gluteal muscle, and gluteal fat, in older adults' health risks.
BMI was inversely associated with education and vigorous exercise, and was positively associated with waist-to-hip ratio
, waist circumference, and current smoking status, reported Dr.
Health-related physical testing included a set of tests: 1) body composition evaluation (body weight, body mass index, waist-to-hip ratio
, body fat, muscle mass), 2) abdominal muscles and hamstring muscles manual tests, dynamometry and hamstring muscles and m.
The INTERHEART study concluded that waist-to-hip ratio
was a better predictor than BMI (kg/m2), but subsequent studies could not confirm this.
They found that those with coronary artery disease and central obesity, measured by waist circumference and waist-to-hip ratio
, have up to twice the risk of dying.
The 71 243 women in the study did not smoke or drink, so researchers rated their lifestyles from 0 to 5, with a point each for taking daily exercise, eating plenty of fruit and vegetables, having a normal weight, having a normal waist-to-hip ratio
, and avoiding any exposure to second-hand smoke from their husbands.
The study tells us if we have a woman in our office, and we know from her waist-to-hip ratio
that she's carrying excess fat on her hips, we might be more aggressive with weight loss," Kerwin said.
METHODS: We examined the association of BMI, waist circumference, and waist-to-hip ratio
with the risk of death among 359,387 participants from nine countries in the European Prospective Investigation into Cancer and Nutrition (EPIC).
Waist circumference's predecessor, waist-to-hip ratio
(WHR), works like BMI, on a proportional scale, but with the added value of scrutinizing midsection fat.