 The study aimed to assess the utility of waist to height ratio, WHTR, in identifying abdominal obesity and related cardiometabolic risk profile among normal weight and overweight obese children, based on accepted body mass index, BMI, threshold values. The study used cross-sectional data from 3091 black and white children aged 4 to 18 years, with information on various cardiometabolic risk factors. Children were classified as normal weight or overweight obese based on H-dash, R-dash, and sex-specific percentiles of BMI. The risk profiles of each group were compared based on WHTR, less than 0.5 indicating no central obesity, greater than or equal to 0.5 indicating central obesity. Results showed that 9.2 percent of normal weight children were centrally obese and 19.8 percent of overweight obese children were not. On multivariate analysis, normal weight centrally obese children had significantly higher prevalence of adverse levels of LDL cholesterol, HDL cholesterol, triglycerides, and insulin, as well as a higher prevalence of parental history of type 2 diabetes mellitus and metabolic syndrome. In the overweight obese group, those without central obesity had significantly lower prevalence of parental history of hypertension, type 2 diabetes mellitus, and metabolic syndrome. This article was offered by Shujihua, Chen Wei, Fernandez Camillo, and others. We are article.tv, links in the description below.