期刊
CLINICAL NUTRITION
卷 25, 期 6, 页码 1030-1039出版社
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.clnu.2006.04.009
关键词
receiver-operating characteristic; body mass index; waist circumference; waist-to-hip ratio; percentage body fat; obesity
资金
- NIAMS NIH HHS [5R01 AR050496-02, K01 AR02170-01A2] Funding Source: Medline
- NIGMS NIH HHS [R01 GM60402] Funding Source: Medline
Background & aims: Recent data suggest that current obesity diagnostic criterion based on body mass index (BMI) above 30 in Caucasians may not be appropriate for Asian populations. Our aim was to identify the usefulness of BMI, waist circumference (WC) and waist-to-hip ratio (WHR) in screening for obesity in an Asian population. Methods: A cross-sectional sample of 1109 males and 879 females aged 20-45-yr were recruited. Height, weight, WC, hip circumference and percentage body fat (PBF) were measured in all subjects. Then receiver-operating characteristic analyses were used to evaluate the performances of the three anthropometric indices. Results: BMI, WC and WHR showed strong positive correlation with PBF (r = 0.47-0.75) in both males and females within both age groups. True-positive rates ranged from 82.4% to 94.1% and 68.8% to 86.3% in males and females, respectively. True-negative rates ranged from 64.1% to 84.7% and from 56.9% to 79.0%, respectively. The areas under the curves (AUCs) for WC and BMI were high (0.76-0.92) in both sexes and divided age groups (20-30-yr and 31-45-yr), and those for WHR were a little lower (0.74-0.88). Conclusions: BMI and WC are two important predictors for obesity in Chinese, and WHR is an alternative. (c) 2006 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
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