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Belly Fat Matters More than BMI When Determining Your Heart Disease Risks

For a while, I've been warning you body mass index (BMI) -- a number based on your weight and height -- may be a far less accurate barometer of your health than you think, as athletes and patients who are completely out of shape may have similar scores. When it comes to obesity, however, experts are beginning to believe the measurement of belly fat matters even more.

Researchers reviewed the health statistics of more than 100,000 patients, based on measuring their sagittal abdominal diameter (the distance from the back to the upper abdomen midway between the top of the pelvis and the bottom of the ribs), to determine if it was a more accurate indicator of heart disease.

Both male and female patients with the largest measurements of belly fat increased their chances of heart disease by more than 40 percent. Even worse, the correlation between larger belly fat numbers was especially stronger among the youngest patients of both sexes.

There's no better way to trim the fat around your waist than following an approach that emphasizes diet AND exercise. Emphasizing one and ignoring the other just won't help you achieve optimal health.

The easiest way to get your diet under control: Eating the foods your body burns best based on your unique nutritional type. Because exercise can be the tricky part of your optimal health plan, keep in mind that you must treated it like a drug that must be prescribed precisely to make any difference.

American Journal of Epidemiology, Vol. 164, No. 12, December 15, 2006

Yahoo News December 26, 2006




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Article's Comment     ( 5 Comments )
 
 
 +5 Points           
 
Author of the Article
BY runr   
  
[ Joined on 06/06 ]
[ Posted on January 01, 2007 ]
Post Reply
For those with mp3 players, the latest Fitness Rocks podcast from Dr. Monte Ladner
(see http://www.fitnessrocks.org/ ) comes to the same conclusion but also provides some additional journal references and a different perspective. 

 
 +3 Points           
 
Author of the Article
BY Josh Rubin   
  
[ Joined on 06/06 ]
[ Posted on December 28, 2006 ]
Post Reply
The midsection has most of the receptor sites for cortisol in the body. That is why most americans living the crapy lifestyles that they live and eating the crapy foods are becoming belly obese.  When cortisol goes up from chronic stress, insulin goes up as well. At that point, insulin unlocks the door so fat can enter an be stored. So to make a long story short, most americans that have belly fat, the pear shape look or spare tire look are most likely insulin resistant and have cortisol dysfunctions as well.
 

            
 
Author of the Article
BY Dr. Ayars   
  
[ Joined on 12/06 ]
Author of the Article [ Posted on January 11, 2007 ]
 

These are points of clarification: (1) "Pear-shaped" deposition of body fat (around the hips and thighs and most common in women) is actually a more protective (with regard to heart disease) type of fat deposition than the "apple-shaped" (around the midsection and most common in men). Although excessive deposition of fat in either place is risky for one's health and well being. The "apple shape" is what is being measured by SAD. (2) We need to be careful in applying the concept of SAD to children. The growth of body fat in chidlren before puberty is not the same as for adults and teens. For example, children will tend to gain weight in a pattern that is evenly distributed across the body. By the time the midsection begins to "bulge", it is too late ---- the child is already at risk. Studies have shown that children above the 75th percentile for BMI (age and gender adjusted) are already experiencing adverse lipid profiles and blood pressure. Currently the 85th percentile is the standard "cut-off" for "at risk".


 -2 Points           
 
Author of the Article
BY Matilda   
  
[ Joined on 12/06 ]
Author of the Article [ Posted on December 30, 2006 ]
 

Would this not also apply to our children? Also, what can be done- other than stress reduction to assist in repairing cortisol dysfunction? does cortisol have precursors? is cortisol a precursor to say-  seritonin?

 

 

 


 
 -2 Points           
 
Author of the Article
BY Russ Bianchi   
  
[ Joined on 09/06 ]
[ Posted on December 28, 2006 ]
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