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The waist circumference should be measured at the midpoint between the last palpable rib and the top of the iliac crest, using a stretch‐resistant tape.

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The risk factors are high if one’s waist-to-height ratio is greater than 0.543 and only moderate between 0.498 and 0.543 (Kahn, 2003).

 

Waist-height ratio is considered a simpler and more predictive of the ‘early heath risks’ associated with central obesity. The waist to height ratio can be considered as a marker of insulin resistance and it may be a better indicator for screening overweight or obesity-related cardiovascular disease risk factors than the other indices.

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Statistical evidence supports that WHtR is a better predictor of cardiovascular, diabetes and stroke risk than the body mass index (BMI) because it accounts for the distribution of abdominal fat, which is known to increase the aforementioned risks.

In a comprehensive study by Lee et al. that revised 10 studies, BMI was the poorest discriminator for cardiovascular risk factors whilst the WHtR was the best discriminator for hypertension, diabetes, and dyslipidemia in both sexes.

WHtR Interpretation:

Based on the waist to height ratio, body status can be classified as follows:

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