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.
Abdominal fat affects organs like the heart, liver and kidneys more adversely in terms of cardiometabolic risk, than fat around the hips and bottom.
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.
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.
Dr. Brian Mowll is a certified diabetes care and education specialist, master diabetes educator, and the medical director of SweetLife Diabetes Health Centers. He is the six-time host of the global Diabetes Summit, and of the #1 rated Mastering Blood Sugar podcast. He also serves of
the board of the Low Carb Diabetes Association.
Dr. Mowll has been helping patients and clients around the world to reverse type 2 diabetes and blood sugar problems through his personalized blood sugar programs for over 20 years. In addition, he speaks at health and diabetes conferences around the world and blogs at drmowll.com.
Brian has four children and resides in Rehoboth Beach, Delaware.