0
Editor's Correspondence |

Waist to Hip Ratio as a Supplement to Body Mass Index—Reply

Gang Hu, MD, PhD; Jaakko Tuomilehto, MD, PhD; Karri Silventoinen, PhD; Pekka Jousilahti, MD, PhD
Arch Intern Med. 2008;168(2):238. doi:10.1001/archinternmed.2007.62.
Text Size: A A A
Published online

Extract

In reply

We appreciate Hartz and Rimm for their comments on our results regarding BMI, waist circumference, and WHR and the risk of total and type-specific stroke.1 We agree with their first comment that the article would be valuable if more than 1 obesity indicator were included in the same regression equation. We have reanalyzed our data and included both BMI and WHR in the multivariate model. After adjustment for age, study year, smoking, and WHR, hazard ratios of ischemic stroke among subjects who were underweight (BMI [calculated as weight in kilograms divided by height in meters squared] <18.5), overweight (BMI, 25.0-29.9), and obese (BMI ≥30.0) were 0 (no ischemic cases), 1.41 (95% confidence interval [CI], 0.96-2.07), and 1.75 (95% CI, 1.12-2.76), respectively, among men, and 5.94 (95% CI, 2.11-16.7), 1.26 (95% CI, 0.84-1.90), and 1.75 (95% CI, 1.11-2.74), respectively, among women, compared with men and women with normal weight (BMI, 18.5-24.9). The joint association of BMI and WHR with the risk of ischemic stroke is also shown in the Figure. After adjustment for age, study year, and smoking, the positive trend of WHR on the risk of ischemic stroke was found at different levels of BMI only among men.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Place holder to copy figure label and caption
Figure.

Adjusted data for ischemic stroke according to joint effects of body mass index (BMI; calculated as weight in kilograms divided by height in meters squared) and waist to hip ratio among men (A) and women (B). Data are given as relative risk; adjusted for age, study year, and smoking.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs
brightcove.createExperiences();