Abstract
Vague observed in 1956 that women with android (central) obesity had a high prevalence of diabetes and atherosclerosis, and a review by Stern and Haffner in 1986 greatly stimulated interest in the health effects of body fat distribution. Numerous studies have since documented the importance of visceral adipose tissue in the development of coronary heart disease (CHD) and type 2 diabetes. Moser et al. are to be congratulated for their efforts in obtaining and analyzing data on the relation of various measures of body size to levels of SBP and DBP among 1,441 10to 16-year-olds. Their main finding, that body mass index (BMI, kg/m) appears to be a more important predictor of high blood pressure levels among children than waist circumference (WC), waist-to-height ratio, or triceps skinfold thickness, is in general agreement with the results of other studies. There are, however, several points that should be considered in the interpretation of these findings. It is exceedingly difficult to disentangle the effects of body size measures that are highly intercorrelated (r = 0.80 to 0.90, Table 2), and
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