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Volume 360:1042-1044 March 5, 2009 Number 10
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Obesity and Risk of Death

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To the Editor: A challenging issue with the study reported on by Pischon et al. (Nov. 13 issue)1 is where to measure the waist. The accepted standard for measuring the waist circumference put forth by the third National Health and Nutrition Examination Surveys (NHANES III) protocol,2 as noted by Mahley in the Williams Textbook of Endocrinology,3 is: "to measure waist circumference, locate the top of the right iliac crest. Place a measuring tape in a horizontal plane around the abdomen at the level of the iliac crest. Before reading the tape measure, ensure that the tape is snug but does . . . [Full Text of this Article]




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