alexa Comparison of anthropometric and body composition measures as predictors of components of the metabolic syndrome in a clinical setting.


Journal of Nutritional Disorders & Therapy

Author(s): Mooney SJ, Baecker A, Rundle AG

Abstract Share this page

Abstract PROBLEM: The use of body mass index (BMI) to assess obesity and health risks has been criticized in scientific and lay publications because of its failure to account for body shape and inability to distinguish fat mass from lean mass. We sought to determine whether other anthropometric measures (waist circumference (WC), waist-to-height ratio (WtH), percent body fat (\%BF), fat mass index (FMI), or fat-free mass index (FFMI)) were consistently better predictors of components of the metabolic syndrome than BMI is. METHODS: Cross-sectional measurements of height, weight, waist circumference and percent body fat were obtained from 12,294 adults who took part in annual physical exams provided by EHE International, Inc. Blood pressure was measured during the exam and HDL, LDL, and fasting glucose were measured from blood samples. Pearson correlations, linear regression, and adjusted Receiver Operator Characteristic (ROC) curves were used to relate each anthropometric measure to each metabolic risk factor. RESULTS: None of the measures was consistently the strongest predictor. BMI was the strongest predictor of blood pressure, measures related to central adiposity (WC and WtH) performed better at predicting fasting glucose, and all measures were roughly comparable at predicting cholesterol levels. In all, differences in areas under ROC curves were 0.03 or less for all measure/outcome pairs that performed better than BMI. CONCLUSION: Body mass index is an adequate measure of adiposity for clinical purposes. In the context of lay press critiques of BMI and recommendations for alternative body-size measures, these data support clinicians making recommendations to patients based on BMI measurements. © 2013 Asian Oceanian Association for the Study of Obesity . Published by Elsevier Ltd. All rights reserved. This article was published in Obes Res Clin Pract and referenced in Journal of Nutritional Disorders & Therapy

Relevant Expert PPTs

Relevant Speaker PPTs

Recommended Conferences

Relevant Topics

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version