J. Lipid Res.
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Originally published In Press as doi:10.1194/jlr.M400159-JLR200 on July 16, 2004

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Journal of Lipid Research, Vol. 45, 1892-1898, October 2004
Copyright © 2004 by American Society for Biochemistry and Molecular Biology

Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population

Victor H. H. Goh1, C. F. Tain, Terry Y. Y. Tong, Helen P. P. Mok and M. T. Wong

Department of Obstetrics and Gynecology, National University of Singapore, National University Hospital, Kent Ridge, Singapore 119074

1 To whom correspondence should be addressed. e-mail: obggohhh{at}nus.edu.sg

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.

Supplementary key words body mass index • percentage of body fat • waist-hip ratio • waist circumference • hip circumference • waist-height ratio


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