Beyond BMI--phenotyping the obesities.
Beyond BMI--phenotyping the obesities.
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DOI：
10.1159/000368783
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发表时间：
2014
期刊：
影响因子：
3.6
通讯作者：
EASO SAB Working Group on BMI
中科院分区：
文献类型：
--
作者：
Blundell JE;Dulloo AG;Salvador J;Frühbeck G;EASO SAB Working Group on BMI
十多年来，肥胖领域的研究人员一直在争论BMI作为分类肥胖状况的最常见和最方便的指标的价值。使用BMI的影响是深远的。< 18.5 kg/m2、18.5-24.9 kg/m2、25.0-29.9 kg/m2、30.0-34.9 kg/m2、35.0-39.9 kg/m2和40.0+ kg/m2的BMI的截止点定义了通常称为体重不足、正常体重、超重（肥胖前期）和肥胖（I、II和III级）的类别。因此，这些分界点定义了属于每一类别的人数，反过来，这又告诉我们地球上肥胖的流行程度。然而，肥胖的本质是体内的脂肪组织（而不是身高和体重的关系），因此BMI只能作为肥胖的间接估计。肥胖被定义为身体脂肪的过度积累，这种多余的脂肪通常被认为是健康状况不佳的指标，反过来，构成了一系列疾病的风险因素，包括糖尿病，缺血性心脏病，糖尿病，睡眠呼吸暂停，关节炎等[1]。因此，BMI是衡量世界上健康状况不佳的人数的指标，这些人的健康状况威胁到他们的寿命或生活质量。这对谁应该关心（关于自己）和谁应该成为治疗的候选人（由他人）有影响。由于早死或终身患病的风险促使公共卫生当局或医疗机构采取行动，因此经济后果是深远的。如果BMI提供了一个错误的量化谁处于危险之中，那么个人，社会和经济后果是严重的。
For more than a decade, researchers in the field of obesity have debated the value of the BMI as the most common and convenient index for classifying the obese condition. The implications of using BMI are profound. The cut-off points of BMI of< 18.5 kg/m 2, 18.5–24.9 kg/m 2, 25.0–29.9 kg/m 2, 30.0–34.9 kg/m 2, 35.0–39.9 kg/m 2 and 40.0+ kg/m 2 define categories usually referred to as underweight, normal weight, overweight (pre-obese) and obese (grades I, II and III). These cut-off points therefore define the number of individuals falling into each category which, in turn, tells us the prevalence of obesity on the planet. However, the essence of obesity is adipose tissue in the body (not a relationship of height and weight), so the BMI can only serve as an indirect estimate of obesity. Obesity is defined as an excess accumulation of body fat, and this excess fat is normally conceived as an indicator of poor health and, in turn, constitutes a risk factor for a range of diseases including diabetes, ischaemic heart disease, hyperlipidaemia, sleep apnoea, arthritis and others [1]. The BMI is therefore a measure of the number of people in the world who are in poor health, and who possess a condition that is threatening to their longevity or their quality of life. This has implications for who should be concerned (about themselves) and who should be a candidate for treatment (by others). Since the risk of early death or a life of disease prompts actions by public health authorities or medical agencies, the economic consequences are profound. If BMI provides a faulty quantification of who is at risk, then the personal, social and economic consequences are serious.
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影响因子：
3.6
作者：
Frühbeck G;Toplak H;Woodward E;Yumuk V;Maislos M;Oppert JM;Executive Committee of the European Association for the Study of Obesity
通讯作者：
Executive Committee of the European Association for the Study of Obesity
影响因子：
5.8
作者：
Aung, Koko;Lorenzo, Carlos;Haffner, Steven M.
通讯作者：
Haffner, Steven M.
影响因子：
4.9
作者：
Dulloo, A. G.;Jacquet, J.;Schutz, Y.
通讯作者：
Schutz, Y.
影响因子：
4.9
作者：
Bosy-Westphal, A;Geisler, C;Müller, MJ
通讯作者：
Müller, MJ
影响因子：
6.9
作者：
Gomez-Ambrosi, Javier;Silva, Camilo;Fruehbeck, Gema
通讯作者：
Fruehbeck, Gema