Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population
We have examined the relationships between percentage of body fat (PBF) and risk factors for cardiovascular disease and insulin resistance and how good body mass index (BMI) and other anthropometric measures are as indices of obesity. High PBF levels were associated with increased risk of cardiovasc...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2004-10-01
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| Series: | Journal of Lipid Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0022227520312633 |
| _version_ | 1818384612800331776 |
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| author | Victor H.H. Goh C.F. Tain Terry Y.Y. Tong Helen P.P. Mok M.T. Wong |
| author_facet | Victor H.H. Goh C.F. Tain Terry Y.Y. Tong Helen P.P. Mok M.T. Wong |
| author_sort | Victor H.H. Goh |
| collection | DOAJ |
| description | We have examined the relationships between percentage of body fat (PBF) and risk factors for cardiovascular disease and insulin resistance and how good body mass index (BMI) and other anthropometric measures are as indices of obesity. High PBF levels were associated with increased risk of cardiovascular disease and insulin resistance. The World Health Organization BMI of 30 kg/m2 for obesity has low sensitivity, 6.7% and 13.4% for men and women, respectively. For every obese man and woman identified, 6.7 and 1.76 times nonobese men and women, respectively, will be misclassified as obese. With the locally established BMI cutoff point for obesity of 27 kg/m2 for men and 25 kg/m2 for women, the sensitivity was improved to 46.7% and 60.8%, respectively. For every obese man and woman identified, 3.76 and 1.64 times nonobese men and women, respectively, will be misclassified as obese. None of the other anthropometric indices was better than the locally established BMIs.We showed that the BMIs for obesity for our local men and women are different. These BMIs were most precise among all indices studied. However, they still lead to high false-positive rates. For more effective management of the problem of obesity, we need to develop more precise, simple, and cost-effective methods for the measurement of PBF. |
| first_indexed | 2024-12-14T03:25:02Z |
| format | Article |
| id | doaj.art-7fff51f60a3547dc9cbbaf3ded890183 |
| institution | Directory Open Access Journal |
| issn | 0022-2275 |
| language | English |
| last_indexed | 2024-12-14T03:25:02Z |
| publishDate | 2004-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Lipid Research |
| spelling | doaj.art-7fff51f60a3547dc9cbbaf3ded8901832022-12-21T23:18:54ZengElsevierJournal of Lipid Research0022-22752004-10-01451018921898Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian populationVictor H.H. Goh0C.F. Tain1Terry Y.Y. Tong2Helen P.P. Mok3M.T. Wong4Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074We have examined the relationships between percentage of body fat (PBF) and risk factors for cardiovascular disease and insulin resistance and how good body mass index (BMI) and other anthropometric measures are as indices of obesity. High PBF levels were associated with increased risk of cardiovascular disease and insulin resistance. The World Health Organization BMI of 30 kg/m2 for obesity has low sensitivity, 6.7% and 13.4% for men and women, respectively. For every obese man and woman identified, 6.7 and 1.76 times nonobese men and women, respectively, will be misclassified as obese. With the locally established BMI cutoff point for obesity of 27 kg/m2 for men and 25 kg/m2 for women, the sensitivity was improved to 46.7% and 60.8%, respectively. For every obese man and woman identified, 3.76 and 1.64 times nonobese men and women, respectively, will be misclassified as obese. None of the other anthropometric indices was better than the locally established BMIs.We showed that the BMIs for obesity for our local men and women are different. These BMIs were most precise among all indices studied. However, they still lead to high false-positive rates. For more effective management of the problem of obesity, we need to develop more precise, simple, and cost-effective methods for the measurement of PBF.http://www.sciencedirect.com/science/article/pii/S0022227520312633body mass indexpercentage of body fatwaist-hip ratiowaist circumferencehip circumferencewaist-height ratio |
| spellingShingle | Victor H.H. Goh C.F. Tain Terry Y.Y. Tong Helen P.P. Mok M.T. Wong Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population Journal of Lipid Research body mass index percentage of body fat waist-hip ratio waist circumference hip circumference waist-height ratio |
| title | Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population |
| title_full | Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population |
| title_fullStr | Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population |
| title_full_unstemmed | Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population |
| title_short | Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population |
| title_sort | are bmi and other anthropometric measures appropriate as indices for obesity a study in an asian population |
| topic | body mass index percentage of body fat waist-hip ratio waist circumference hip circumference waist-height ratio |
| url | http://www.sciencedirect.com/science/article/pii/S0022227520312633 |
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