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

Journal of Lipid Research

Volumn 45, Issue 10, 2004, Pages 1892-1898

  Goh, Victor H H ^a   Tain, C F ^a   Tong, Terry Y Y ^a   Mok, Helen P P ^a   Wong, M T ^a  

^a NATIONAL UNIVERSITY HOSPITAL   (Singapore)

Author keywords

Body mass index; Hip circumference; Percentage of body fat; Waist circumference; Waist height ratio; Waist hip ratio

Indexed keywords

ADULT; AGED; ANTHROPOMETRY; ARTICLE; ASIA; BODY FAT; BODY MASS; CARDIOVASCULAR DISEASE; CARDIOVASCULAR RISK; COST EFFECTIVENESS ANALYSIS; FEMALE; HUMAN; INSULIN RESISTANCE; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; OBESITY; PRIORITY JOURNAL; RISK FACTOR; BODY COMPOSITION; DIAGNOSTIC ERROR; MIDDLE AGED; SENSITIVITY AND SPECIFICITY;

ADULT; AGED; ANTHROPOMETRY; ASIA; BODY COMPOSITION; BODY MASS INDEX; CARDIOVASCULAR DISEASES; DIAGNOSTIC ERRORS; FEMALE; HUMANS; INSULIN RESISTANCE; MALE; MIDDLE AGED; OBESITY; RISK FACTORS; SENSITIVITY AND SPECIFICITY;

EID: 16644390873     PISSN: 00222275     EISSN: None     Source Type: Journal    
DOI: 10.1194/jlr.M400159-JLR200     Document Type: Article

References (33)

1. Ministry of Home Affairs. 2000. Report of the Registry of Births and Deaths. Ministry of Home Affairs, Singapore.
2. Lipids - Ministry of Health Clinical Practice Guidelines. November 2001. Ministry of Health of Singapore, www.moh.gov.sg/cmaweb/ attachments/
3. World Health Organization. 1998. WHO Statistics Annals 1996. World Health Organization, Geneva.
4. Deurenberg, P., M. Yap, and W. A. van Staveren. 1998. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int. J. Obes. Relat. Metab. Disord. 22: 1164-1171.
5. Stevens, J., and E. M. Nowicki. 2003. Body mass index and mortality in Asian populations: implications for obesity cut-points. Nutr. Rev. 61: 104-107.
6. Ko, G. T., J. Tang, J. C. Chan, R. Sung, M. M. Wu, H. P. Wai, and R. Chen. 2001. Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance. Br. J. Nutr. 85: 239-242.
7. Wang, J., J. C. Thornton, M. Russell, and S. Burastero. 1994. Asians have lower body mass index (BMI) but higher percent body fat than do whites: comparisons of anthropometric measurements. Am. J. Clin. Nutr. 60: 23-28.
8. He, M., K. C. Tan, E. T. Li, and A. W. Kung. 2001. Body fat determination by dual energy X-ray absorptiometry and its relation to body mass index and waist circumference in Hong Kong Chinese. Int. J. Obes. Relat. Metab. Disord. 25: 748-752.
9. Chang, C. J., C. H. Wu, C. S. Chang, W. J. Yao, Y. C. Yang, J. S. Wu, and F. H. Lu. 2003. Low body mass index but high percent body fat in Taiwanese subjects: implications of obesity cutoffs. Int. J. Obes. Relat. Metab. Disord. 27: 253-259.
10. Norgan, N. G. 1994. Population differences in body composition in relation to the body mass index. Eur. J. Clin. Nutr. 48 (Suppl. 3): 10-25; discussion 26-27.
11. Deurenberg-Yap, M., G. Schmidt, W. A. van Staveren, and P. Deurenberg. 2000. The paradox of low body mass index and high body fat percentage among Chinese, Malays and Indians in Singapore. Int. J. Obes. Relat. Metab. Disord. 24: 1011-1017.
12. Dudeja, V., A. Misra, R. M. Pandey, G. Devina, G. Kumar, and N. K. Vikram. 2001. BMI does not accurately predict overweight in Asian Indians in northern India. Br. J. Nutr. 86: 105-112.
13. Deurenberg-Yap, M., S. K. Chew, and P. Deurenberg. 2002. Elevated body fat percentage and cardiovascular risks at low body mass index levels among Singaporean Chinese, Malays and Indians. Obes. Rev. 3: 209-215.
14. Deurenberg, P., M. Deurenberg-Yap, L. F. Foo, G. Schmidt, and J. Wang. 2003. Differences in body composition between Singapore Chinese, Beijing Chinese and Dutch children. Eur. J. Clin. Nutr. 57: 405-409.
15. Deurenberg-Yap, M., S. K. Chew, V. F. Lin, B. Y. Tan, W. A. van Staveren, and P. Deurenberg. 2001. Relationships between indices of obesity and its co-morbidities in multi-ethnic Singapore. Int. J. Obes. Relat. Metab. Disord. 25: 1554-1562.
16. Tai, E. S., S. C. Ho, A. C. Fok, and C. E. Tan. 1999. Measurement of obesity by anthropometry and bioelectric impedance analysis: correlation with fasting lipids and insulin resistance in an Asian population. Ann. Acad. Med. Singapore. 28: 445-450.
17. WHO Expert Consultation. 2004. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 363: 157-163.
18. World Health Organisation Expert Committee. 1995. Physical Status: The Use and Interpretation of Anthropometry. Technical Report Series No. 854. World Health Organisation, Geneva. 427-438.
19. Dalsky, G. P., W. Kraemer, A. E. Zetterlund, B. Conroy, A. Fry, J. O. Judge, and J. Smith. 1990. A comparison of methods to assess body composition (Abstract). Med. Sci. Sport Exercise. 22 (Suppl.): 112.
20. Jackson, A. S., and M. L. Pollock. 1978. Generalised equations for predicting body density of men. Br. J. Nutr. 40: 497-504.
21. Kohrt, W. M. 1998. Preliminary evidence that DEXA provides an accurate assessment of body composition. J. Appl. Physiol. 84: 372-377.
22. Prior, B. M., K. J. Cureton, C. M. Modlesky, E. M. Evans, M. A. Sloniger, M. Saunders, and R. D. Lewis. 1997. In vivo validation of whole body composition estimates from dual-energy X-ray absorptiometry. J. Appl. Physiol. 83: 623-630.
23. Morabia, A., A. Ross, F. Curtin, C. Pichard, and D. O. Slosman. 1999. Relation of BMI to a dual-energy X-ray absorptiometry measure of fatness. Br. J. Nutr. 82: 49-55.
24. Chang, C. J., C. H. Wu, F. H. Lu, J. S. Wu, N. T. Chiu, and W. J. Yao. 1999. Discriminating glucose tolerance status by regions of interest of dual-energy X-ray absorptiometry. Clinical implications of body fat distribution. Diabetes Care. 22: 1938-1943.
25. Ettinger, W. H., P. W. Wahl, L. H. Kuller, T. L. Bush, R. P. Tracy, T. A. Manolio, N. O. Borhani, N. D. Wong, and D. H. O'Leary. 1992. Lipoprotein lipids in old people. Results from the Cardiovascular Health Study. The CHS Collaborative Research Group. Circulation. 86: 858-869.
26. World Health Organization. 1997. Obesity: Preventing and Managing the Global Epidemic. Report on a WHO Consultation on Obesity. World Health Organization, Geneva.
27. Deurenberg, P., J. A. Weststrate, and J. C. Seidell. 1991. Body mass index as a measure of body fatness: age- and sex-specific prediction formulas. Br. J. Nutr. 65: 105-114.
28. Deurenberg-Yap, M., G. Schmidt, W. A. van Staveren, J. G. Hautvast, and P. Deurenberg. 2001. Body fat measurement among Singaporean Chinese, Malays and Indians: a comparative study using a four-compartment model and different two-compartment models. Br. J. Nutr. 85: 491-498.
29. Hughes, K., K. C. Lun, and P. P. Yeo. 1990. Cardiovascular diseases in Chinese, Malays, and Indians in Singapore. I. Differences in mortality. J. Epidemiol. Community Health. 44: 24-28.
30. Chiu, H. C., H. Y. Chang, L. W. Mau, T. K. Lee, and H. W. Liu. 2000. Height, weight, and body mass index of elderly persons in Taiwan. J. Gerontol. A Biol. Sci. Med. Sci. 55: M684-M690.
31. 2 could be indicative of obesity in the Spanish population. Med. Clin. (Barc). 117: 681-684.
32. Deurenberg-Yap, M., and P. Deurenberg. 2003. Is a re-evaluation of WHO body mass index cut-off vallues needed? The case of Asians in Singapore. Nutr. Rev. 61: S80-S87.
33. He, M., K. C. Tan, E. T. Li, and A. W. Kung. 2001. Body fat determination by dual energy X-ray absorptiometry and its relation to body mass index and waist circumference in Hong Kong Chinese. Int. J. Obes. Relat. Metab. Disord. 25: 748-752.