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The ultimate risk of diseases in
relation of obesity is not the weight but the shape of
the weight your body carries.
Now many studies before have established the fact that if
you have a pear shape - namely carrying
most of your fat in your butt and your thighs - you are
better off than an apple shape where your waist
measurement is beyond your hip measurement.
Here is an eight-year followup to the nurses health
study which began with almost 45,000 women.
A definite pattern emerged which tells you that it's
not how much you weigh, but where that weight is
that can be critical for heart disease.
For woman, risk for dying from heart disease is much
greater than the risk of dying from breast cancer and
yet, the latter seems to get a lot more attention and
fear.
To find out what the risks are this simple test would
help.
First, lets start with waist-hip ratio.
To measure your waist-hip ratio, measure your waist at
the level of your belly button and your hips at the
largest circumference with a tape measure.
On division of waist and hip measures we get the waist
-hip ratio which should be somewhere between .7
to 1.0.
If it's above one, that implies your waist is
larger than your hips.
That's not good.
Now lets go for the body mass index.
The body mass index, or BMI, is the ratio of your
weight in kilograms divided by your height in meters
squared.
It is now found that even if your BMI is higher than
desirable, it doesn't seem to make as much difference as
your waist-hip ratio.
BMI's of less than 25 has been considered
desirable, over 25 is considered to be undesirable.
It is also to be understood that the risk for women under
the age of 60 is more pronounced than women over the age
of 60. The risk factors that we are concerned here are
mainly for coronary heart disease which includes non
fatal heart attacks as well as fatal heart attacks.
If your
waist-hip ratio is .72 or below, you are
the standard, and don't at least have to worry about
heart attacks based on your body shape.
If your waist-hip ratio is .72 to .76 and you are under
60, your risk is 1.7 times higher than the standard or 70
percent higher.
If your ratio is .76 to .80, your risk is two and a half
times higher.
If your ratio is .80 to .88, your risk approaches three
times higher.
If your waist-hip ratio is over .88, your risk is four
and a half times higher.
If you are older than 60, the top category of risk is 1.9
times higher so you can see that the effects of this are
diminished in women over the age of 60, implying
that extra abdominal fat is less risky for older woman.
Now here is the major point of this study. With minor
exceptions, it didn't matter whether your body mass index
was under 25 or over 25. In other words, an overweight woman, if she
has more of an hour-glass figure, seems to be protected. In addition, you can look at the absolute
waist circumference measurements.
At 71.1 centimeters, your waist is fine.
At a waist circumference of 81.3 to 86.4 centimeters,
your risk is a couple of times higher.
If your ratio is over 96 centimeters, and you are under
60, your risk is up four times. If you are over 60, your
risk is only up two times.
A waist circumference above 100 cm
in men and above 90 cm in women is associated with
increased levels of triglyceride and reduced levels of
HDL cholesterol.
So, for
those who are in a high risk category its important to
take preventive measures concerning exercise and
cholesterol and take care of oneself as best as possible.

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