A male patient has a waist of 42 inches and hips that are 35 inches. What would be your conclusion about his waist to hip ratio?
a. He has a "pear" distribution of body fat.
b. It is associated with the adverse morbidity and mortality of obesity, cardiovascular disease, and diabetes.
c. It is normal.
d. It is associated with bulimia nervosa.
B
Waist-to-hip ratio is an indication of the risk of unhealthy fat distribution. Women typically collect fat in their hips, giving their bodies a "pear" shape. Men, however, build up fat around their waists, giving them an "apple" shape. This patient has an "apple" shape. A waist-to-hip ratio less than 0.8 is normal in women. A waist-to-hip ratio less than 1.0 is normal in men. This patient has waist-to-hip ratio of 1.2, which is abnormal and is associated with health problems of obesity such as cardiovascular disease and diabetes. It is not associated with bulimia.
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