Researchers followed more than 500,000 participants between the ages of 40–69 and found the incidence of heart attack was associated with body mass index (BMI), waist circumference, waist-to-hip ratio and waist-to-height ratios.
The greater the waist-to-hip ratio (calculated as waist circumference divided by hip circumference), the higher the heart attack risk in women. For men, a waist circumference over 40 inches poses the greatest risk, compared to 35 inches for women.
Fat in the abdominal cavity is associated with increased risk of high blood sugar, inflammation, elevated triglycerides and lower levels of HDL “good” cholesterol, making it more dangerous than fat stored elsewhere in the body.
Thus, “in two people with the same BMI, the person who has more of an apple shape and stores fat in their abdomen is at higher risk of heart disease than the one who stores their fat elsewhere,” says Michos.
Thus, “in two people with the same BMI, the person who has more of an apple shape and stores fat in their abdomen is at higher risk of heart disease than the one who stores their fat elsewhere,” says Michos.
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