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Elevated body mass index (BMI, 30 kg/m ) and waist circumference were not associated with CVD risk. Elevated waist-to-hip ratio (WHR, 0.9 men, 0.85 women) and elevated waist-to-height ratio ( 0.5) were associated with all three categories of CVD risk. Area under the receiver curve was highest for WHR for each category of CVD risk. Elevated WHR demonstrated odds of 2.39, 2.58, and 3.32 (p 0.0001) for CVD risk of 7.5, 10 and 20% respectively. Findings suggest that WHR is a better indicator than BMI