Waist to Hip Ratio Numerous studies have demonstrated that increases waist hip ratios represent a significant risk for metabolic syndrome and cardiovascular disease (CVD), independent of BMI. While our sample size is not adequate to measure significant changes in total body fat, previous experience has demonstrated that for publication in peer reviewed journals, multiple anthropometric measurements are beneficial even if they do not change significantly. As this test if fairly ease to perform and of no risk to subjects we propose to include it in our study design.