Waist-to-hip ratio (WHR) compares the circumference of the waist to the hips. High WHR indicates central (abdominal/visceral) obesity, which is more strongly associated with cardiovascular disease and metabolic syndrome than peripheral fat.
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WHR is a stronger predictor of heart attack risk than BMI. A landmark INTERHEART study (52 countries, 27,000 people) found WHR predicted 20% of heart attack risk independently of all other factors.
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