Background: The premenopausal and menopausal phases are biological processes in women with a decline in estrogen and contribute to the changes of increased abdominal fat deposition. The clinical implications to global cardiometabolic risk have been extensively reviewed but few studies have reported the relationship between different bedside anthropometric obesity indices and subclinical vascular disease, an early marker of cardiac atherosclerosis. Measurement of the carotid intima media thickness (CIMT) is relatively simple, noninvasive test for risk stratification to determine who may require more aggressive therapy. The objective of this study was to assess the usefulness of both the new waist to height ratio (WHtR) and traditional anthropometric measurements as predictors of carotid intima media thickness and carotid plaque, which are markers of atherosclerosis.