A better index of body adiposity.

A better index of body adiposity.
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DOI:
10.1038/oby.2011.38
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发表时间:
2011-05
期刊:
影响因子:
6.9
通讯作者:
Watanabe, Richard M.
Watanabe, Richard M.
中科院分区:
医学2区
文献类型:
--
作者:
Bergman, Richard N.;Stefanovski, Darko;Buchanan, Thomas A.;Sumner, Anne E.;Reynolds, James C.;Sebring, Nancy G.;Xiang, Anny H.;Watanabe, Richard M.

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肥胖是美国的一个日益严重的问题,这是许多慢性病的风险因素。对于男性和男性肥胖的男性,我们在这里定义了一个替代参数,身体肥胖指数(bai =((hip circlemprention)/((高度)1.5)-18)。 BAI可用于反映具有数值校正的种族的成年男性和女性的体内脂肪。双能X射线绝对测定法(DXA)用作验证的“黄金标准”。作为我们对BAI的主要人体测量值。对于C_B = 0.95的Tara,可以在不加权的情况下测量BAI是问题的。总结,我们已经定义了一个新参数,即可以从臀部圆周计算出来,即使在偏远的位置也可以在临床环境中使用%肥胖直接。
Obesity is a growing problem in the United States and throughout the world. It is a risk factor for many chronic diseases. The BMI has been used to assess body fat for almost 200 years. BMI is known to be of limited accuracy, and is different for males and females with similar %body adiposity. Here, we define an alternative parameter, the body adiposity index (BAI = ((hip circumference)/((height)1.5) − 18)). The BAI can be used to reflect %body fat for adult men and women of differing ethnicities without numerical correction. We used a population study, the “BetaGene” study, to develop the new index of body adiposity. %Body fat, as measured by the dual-energy X-ray absorptiometry (DXA), was used as a “gold standard” for validation. Hip circumference (R = 0.602) and height (R = −0.524) are strongly correlated with %body fat and therefore chosen as principal anthropometric measures on which we base BAI. The BAI measure was validated in the “Triglyceride and Cardiovascular Risk in African-Americans (TARA)” study of African Americans. Correlation between DXA-derived %adiposity and the BAI was R = 0.85 for TARA with a concordance of C_b = 0.95. BAI can be measured without weighing, which may render it useful in settings where measuring accurate body weight is problematic. In summary, we have defined a new parameter, the BAI, which can be calculated from hip circumference and height only. It can be used in the clinical setting even in remote locations with very limited access to reliable scales. The BAI estimates %adiposity directly.
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