A nurse in a provider's office is collecting data from a client to help her plan healthy weight goals. The client's waist is 33 inches in circumference. and her hips are 45 inches in circumference. Which of the following evaluations should the nurse give the client?

A. A high waist-to-hip ratio (WHR) indicates central or abdominal obesity, which is linked to an increased risk of cardiovascular disease, type 2 diabetes, and metabolic syndrome. However, before labeling a WHR as high, it must be calculated. For this client: WHR = Waist ÷ Hips = 33 ÷ 45 ≈ 0.73 For women, a WHR greater than 0.8 is considered high and indicates elevated health risk. Since this client’s WHR is 0.73, it falls within the healthy range, so no intervention specific to abdominal fat reduction is needed based solely on this measurement. B. The client’s WHR of 0.73 is considered healthy, meaning her fat distribution is not associated with an increased risk of cardiovascular or metabolic disease. The nurse can use this information to reinforce that while her fat distribution is healthy, overall lifestyle factors such as diet, physical activity, and weight management remain important. WHR is one of several anthropometric measures used to assess health risk; it complements body mass index (BMI), waist circumference, and other indicators. C. A low WHR is not a risk factor for cardiovascular disease. Health concerns arise with a high WHR, particularly when excess abdominal fat is present. A low ratio is generally associated with lower cardiovascular risk and better fat distribution.