Obesity is associated with an increased risk of multiple cardiometabolic risk factors. The prevalence of obesity in the US. has increased over the last two decades, with onethird of adults having a BMI 230 kgl'm2 (l). However, obesity is a heterogeneous condition with individual differences in the pattern of adipose tissue deposition. Accumulation of abdominal fat, particularly in the visceral compartment, may confer the majority of obesityassociated health risks {2). The prevalence of abdominal obesity (dened as waist circumference 288 cm in women and 2102 cm in men) has increased over the last decade and now exceeds the prevalence of overall obesity, with rates of 42.4% in men and 61.3% in women (1;). Notably, the largest relative increase in the prevalence of abdominal obesity has been among individuals with BMI