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April 17, 1996

The Waist-to-Hip Ratio as an Index of Central Obesity-Reply

JAMA. 1996;275(15):1160. doi:10.1001/jama.1996.03530390026027

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In Reply.  —We agree with Dr Kahn's views on the existence of better indicators of abdominal obesity than the WHR. Given that the WHR is widely used in epidemiological studies, the intent of our article was to shed some light on its association with metabolic risks compared with the body mass index, based on a large, representative sample of a North American population. We stand by our conclusions relating to the relative strengths of association of body mass index and WHR, but welcome similar studies using more "direct" measure of abdominal obesity.