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Article
September 1, 1989

Smoking Wastes a Good Parisienne

Author Affiliations

Agricultural University Wageningen, the Netherlands
Sahlgrens Hospital Gothenburg (Sweden) University

Agricultural University Wageningen, the Netherlands
Sahlgrens Hospital Gothenburg (Sweden) University

JAMA. 1989;262(9):1185-1186. doi:10.1001/jama.1989.03430090047022
Abstract

To the Editor. —  Shimokata et al1 observed that smoking increases the waist-hip ratio in men. In some crosssectional studies in Swedish men we observed similar associations.2,3Waist-hip ratio is presumed to be an indicator of accumulation of visceral (or intra-abdominal) adipose tissue.4 With computed tomography, the amount of visceral adipose tissue can be calculated from abdominal scans. We selected 23 men from a healthy population (N = 200) aged 25 to 50 years living in Gothenburg, Sweden. They were selected to cover a maximal range of waist-hip ratios and body mass indexes. Computed tomographic scans were taken at L4/L5 and adipose tissue areas were calculated at a range of — 30 to — 190 Hounsfield units. Table 2 shows that smokers had similar body mass indexes and no significantly different subcutaneous and total fat areas compared with men who never smoked. The visceral fat area, however, was almost

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