Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: The article by Dr Rexrode
and colleagues1 confirms earlier reports2 that
waist circumference and waist-hip ratio (WHR) are important indicators
of cardiovascular risk even after adjustment for body mass index (BMI).
However, exactly what these circumferences and ratios reflect in terms
of body composition and fat distribution after they are adjusted for
age and BMI remains poorly understood. A correct interpretation of such
data is particularly important if actions are to be taken with respect
to risk reduction or treatment.
Seidell JC, Bouchard C. Abdominal Adiposity and Risk of Heart Disease. JAMA. 1999;281(24):2284-2285. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-24-jbk0623