Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China

Background: The current overweight and obesity guidelines based on the Westerners are not consistent with many studies based on the Asians. The guidelines may be different because of regional diversity. This study aimed to determine the appropriate body mass index (BMI) and waist-hip ratio (WHR) cut...

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Main Authors: Qiong YU, Bo PANG, Rui LIU, Wenwang RAO, Shangchao ZHANG, Yaqin YU
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2017-07-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/10602
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author Qiong YU
Bo PANG
Rui LIU
Wenwang RAO
Shangchao ZHANG
Yaqin YU
author_facet Qiong YU
Bo PANG
Rui LIU
Wenwang RAO
Shangchao ZHANG
Yaqin YU
author_sort Qiong YU
collection DOAJ
description Background: The current overweight and obesity guidelines based on the Westerners are not consistent with many studies based on the Asians. The guidelines may be different because of regional diversity. This study aimed to determine the appropriate body mass index (BMI) and waist-hip ratio (WHR) cutoff points in the adults of Northeast China. Methods: Overall, 21206 adults were selected from Jilin Province Adult Chronic Disease and Risk Factor Survey conducted in 2012. A representative sample was collected in the Jilin Province of northeast China by a multistage stratified random cluster sampling design. The age of participants was from 20 to 79 yr old. The test items were clustered by risk factors, and receiver operating characteristic (ROC) curves were computed to analyze. Results: Under different risk factors, BMI cutoff points were affected greatly. Especially for diabetes, the cutoff value was apparently larger than others were. WHR increased with age in both genders. From a general view, male WHR was slightly larger than female. In the male, WHR cutoff point was near 0.88 with a tiny change, as for in the female was near 0.86. Conclusion: The cutoff values of sensitivity and specificity are relatively good and false positives rate is relatively low. BMI cutoffs values of overweight and obesity are 24.5 kg/m2 and 29.0 kg/m2, WHR cutoff values of the male are 0.88, the female is 0.86.
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spelling doaj.art-73faa784dbc94c94855d5ace5c4736f72022-12-21T20:24:17ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932017-07-01468Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast ChinaQiong YU0Bo PANG1Rui LIU2Wenwang RAO3Shangchao ZHANG4Yaqin YU5Dept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaDept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaDept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaDept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaDept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaDept. of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, ChinaBackground: The current overweight and obesity guidelines based on the Westerners are not consistent with many studies based on the Asians. The guidelines may be different because of regional diversity. This study aimed to determine the appropriate body mass index (BMI) and waist-hip ratio (WHR) cutoff points in the adults of Northeast China. Methods: Overall, 21206 adults were selected from Jilin Province Adult Chronic Disease and Risk Factor Survey conducted in 2012. A representative sample was collected in the Jilin Province of northeast China by a multistage stratified random cluster sampling design. The age of participants was from 20 to 79 yr old. The test items were clustered by risk factors, and receiver operating characteristic (ROC) curves were computed to analyze. Results: Under different risk factors, BMI cutoff points were affected greatly. Especially for diabetes, the cutoff value was apparently larger than others were. WHR increased with age in both genders. From a general view, male WHR was slightly larger than female. In the male, WHR cutoff point was near 0.88 with a tiny change, as for in the female was near 0.86. Conclusion: The cutoff values of sensitivity and specificity are relatively good and false positives rate is relatively low. BMI cutoffs values of overweight and obesity are 24.5 kg/m2 and 29.0 kg/m2, WHR cutoff values of the male are 0.88, the female is 0.86.https://ijph.tums.ac.ir/index.php/ijph/article/view/10602Body mass indexWaist-hip ratioAdultCutoff pointChina
spellingShingle Qiong YU
Bo PANG
Rui LIU
Wenwang RAO
Shangchao ZHANG
Yaqin YU
Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
Iranian Journal of Public Health
Body mass index
Waist-hip ratio
Adult
Cutoff point
China
title Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
title_full Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
title_fullStr Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
title_full_unstemmed Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
title_short Appropriate Body Mass Index and Waist-hip Ratio Cutoff Points for Overweight and Obesity in Adults of Northeast China
title_sort appropriate body mass index and waist hip ratio cutoff points for overweight and obesity in adults of northeast china
topic Body mass index
Waist-hip ratio
Adult
Cutoff point
China
url https://ijph.tums.ac.ir/index.php/ijph/article/view/10602
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