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To the Editor: A recent issue of Heart contained two articles concerning abdominal obesity.1 2 Both describe waist circumference as a proxy measure of central fat distribution, linked to atherothrombotic inflammatory abnormalities seen in the “metabolic syndrome”, associated with adverse cardiovascular events.
This “vital sign in clinical cardiology”2 needs accurate assessment. Standardised measurement techniques are more complex than one might think. Waist circumference can vary substantially and rapidly during the respiratory cycle (between 91.0 and 94.1 cm …