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I linked to one review earlier, but there's actually a lot of evidence that WHtR is quite good against a number of populations and ages, and certainly for each individual, even if you ignore cutoffs, it will be directionally correct: Corbatón Anchuelo, Arturo, María Teresa Martínez-Larrad, Irene Serrano-García, Cristina Fernández Pérez, and Manuel Serrano-Ríos. “Body Fat Anthropometric Indexes: Which of Those Identify Better High Cardiovascular Risk Subjects? A Comparative Study in Spanish Population.” PLoS ONE 14, no. 5 (May 23, 2019). https://doi.org/10.1371/journal.pone.0216877. Djap, H. S., B. Sutrisna, P. Soewondo, R. Djuwita, K. H. Timotius, Trihono, S. Sharif, and Y. S. Tjang. “Waist to Height Ratio (0.5) as a Predictor for Prediabetes and Type 2 Diabetes in Indonesia.” IOP Conference Series: Materials Science and Engineering 434 (December 2018): 012311. https://doi.org/10.1088/1757-899X/434/1/012311. Zhu, Qihan, Feixia Shen, Tingting Ye, Qi Zhou, Huihui Deng, and Xuejiang Gu. “Waist-to-Height Ratio Is an Appropriate Index for Identifying Cardiometabolic Risk in Chinese Individuals with Normal Body Mass Index and Waist Circumference.” Journal of Diabetes 6, no. 6 (November 2014): 527–34. https://doi.org/10.1111/1753-0407.12157. Vrdoljak, Davorka, Biserka Bergman Marković, Ksenija Kranjčević, Dragica Ivezić Lalić, Jasna Vučak, and Milica Katić. “How Well Do Anthropometric Indices Correlate with Cardiovascular Risk Factors? A Cross-Sectional Study in Croatia.” Medical Science Monitor : International Medical Journal of Experimental and Clinical Research 18, no. 2 (February 1, 2012): PH6–11. https://doi.org/10.12659/MSM.882451. Ochoa Sangrador, C., and J. Ochoa-Brezmes. “Waist-to-Height Ratio as a Risk Marker for Metabolic Syndrome in Childhood. A Meta-Analysis.” Pediatric Obesity 13, no. 7 (2018): 421–32. https://doi.org/10.1111/ijpo.12285. Caminiti, Carolina, Marisa Armeno, and Carmen S. Mazza. “Waist-to-Height Ratio as a Marker of Low-Grade Inflammation in Obese Children and Adolescents.” Journal of Pediatric Endocrinology & Metabolism: JPEM 29, no. 5 (May 1, 2016): 543–51. https://doi.org/10.1515/jpem-2014-0526. |