Adiposity rather than BMI determines metabolic risk

Adiposity rather than BMI determines metabolic risk
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DOI:
10.1016/j.ijcard.2011.10.006
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发表时间:
2013-06-05
影响因子:
3.5
通讯作者:
Di Renzo, Laura
Di Renzo, Laura
中科院分区:
医学2区
文献类型:
--
作者:
De Lorenzo, Antonino;Bianchi, Alessia;Di Renzo, Laura

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Background and aim: There is increasing evidence suggesting that WHO body mass index (BMI) cut-off values are outdated and should not be applied to different population. To overcome misclassifications, direct measurements of percentage body fat (PBF) would be a better tool for preobesity and obesity diagnosis. The aim of this study was to analyze the body composition in a adult population in Centre-South of Italy, by age and gender, and to verify the accordance between BMI and PBF cut-off points for health status classification.Methods: The total subject pool cover a total of 4408 participants adults. A completed screening of anthropometry and body composition by Dual X-ray Absorptiometry, (DXA) was assessed on 3.258 subjects.Results: Distributions and quantitative reliable estimates of PBF, total body fat and lean, according to gender and age are provided. The prevalence of "at risk" subjects (preobese and obese) was 69% and 85%, for men and women respectively, according to PBF cut-off points. The agreement of BMI and PBF categories resulted low for the total and male population, even scarce for female population (all P