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June 23/30, 1999

Abdominal Adiposity and Risk of Heart Disease

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(24):2284-2285. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-24-jbk0623

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.