Body mass index combined with (waist + hip)/height accurately screened for normal-weight obesity in Chinese young adults
•Predictors of body fat percentage with age and sex for each ethnic group are needed.•Normal-weight obesity is based on body composition plus anthropometric measurements.•Downregulating the upper body mass index is based on (waist + hip)-to-height ratio for easy normal-weight obesity assessment. Onl...
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| Veröffentlicht in: | Nutrition (Burbank, Los Angeles County, Calif.) Los Angeles County, Calif.), 2023-04, Vol.108, p.111939-111939, Article 111939 |
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| container_title | Nutrition (Burbank, Los Angeles County, Calif.) |
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| creator | Zhu, Yuetong Maruyama, Hitoshi Onoda, Ko Zhou, Yue Huang, Qiuchen Hu, Chunying Ye, Zhongqiu Li, Bo Wang, Zimin |
| description | •Predictors of body fat percentage with age and sex for each ethnic group are needed.•Normal-weight obesity is based on body composition plus anthropometric measurements.•Downregulating the upper body mass index is based on (waist + hip)-to-height ratio for easy normal-weight obesity assessment.
Only a few studies have explored the prevalence of normal-weight obesity in young adults or the development of a simple evaluation index for body fat percentage. Therefore, this study aimed to examine the prevalence of normal-weight obesity in young Chinese adults and use anthropometric measurements to develop an evaluation index.
In total, 1322 college students participated in the study and were divided into the normal-weight lean, normal-weight obese, and overweight and obese groups based on their body mass index and body fat percentage. The differences in body composition, circumference, and circumference ratio among these three groups were examined.
When exploring the correlation between the circumference ratio and body fat percentage, the circumference ratio was suitable for early screening of abnormal body fat percentage, and the cutoff value was calculated. Body composition and circumference were significantly different among the three groups: (waist + hip)-to-height, hip-to-height, and waist-to-height ratios were strongly correlated with body fat percentage.
(Waist + hip)-to-height ratio can be used as a simple evaluation index for indicating abnormal body fat percentage when higher than 1.032 in male and 1.047 in female individuals. Downregulating the normal upper limit for body mass index to 24.4 and 23.8 kg/m2 in male and female individuals, respectively, is recommended. Body mass index combined with (waist + hip)-to-height ratio allowed for more accurate screening of normal-weight obesity as an easy and cost-free evaluation measure for abnormal body fat percentage. |
| doi_str_mv | 10.1016/j.nut.2022.111939 |
| format | Article |
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Only a few studies have explored the prevalence of normal-weight obesity in young adults or the development of a simple evaluation index for body fat percentage. Therefore, this study aimed to examine the prevalence of normal-weight obesity in young Chinese adults and use anthropometric measurements to develop an evaluation index.
In total, 1322 college students participated in the study and were divided into the normal-weight lean, normal-weight obese, and overweight and obese groups based on their body mass index and body fat percentage. The differences in body composition, circumference, and circumference ratio among these three groups were examined.
When exploring the correlation between the circumference ratio and body fat percentage, the circumference ratio was suitable for early screening of abnormal body fat percentage, and the cutoff value was calculated. Body composition and circumference were significantly different among the three groups: (waist + hip)-to-height, hip-to-height, and waist-to-height ratios were strongly correlated with body fat percentage.
(Waist + hip)-to-height ratio can be used as a simple evaluation index for indicating abnormal body fat percentage when higher than 1.032 in male and 1.047 in female individuals. Downregulating the normal upper limit for body mass index to 24.4 and 23.8 kg/m2 in male and female individuals, respectively, is recommended. Body mass index combined with (waist + hip)-to-height ratio allowed for more accurate screening of normal-weight obesity as an easy and cost-free evaluation measure for abnormal body fat percentage.</description><identifier>ISSN: 0899-9007</identifier><identifier>EISSN: 1873-1244</identifier><identifier>DOI: 10.1016/j.nut.2022.111939</identifier><identifier>PMID: 36682267</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adults ; Asian people ; Body Composition ; Body composition, Circumference ratio ; Body fat ; Body height ; Body Mass Index ; Body measurements ; Body size ; Body weight ; Coronaviruses ; Cost analysis ; COVID-19 ; East Asian People ; Ethnicity ; Evaluation ; Female ; Females ; Health risk assessment ; Health risks ; Hip ; Humans ; Male ; Males ; Obesity ; Obesity - epidemiology ; Overweight ; Overweight - epidemiology ; Screening ; Simple health risk evaluation ; Variance analysis ; Waist Circumference ; Waist-Hip Ratio ; Young Adult ; Young adults</subject><ispartof>Nutrition (Burbank, Los Angeles County, Calif.), 2023-04, Vol.108, p.111939-111939, Article 111939</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><rights>2022. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-a603aff333d99acb05c522c6aaeea247837ab871e6735ee876aed3ade9724ae03</citedby><cites>FETCH-LOGICAL-c381t-a603aff333d99acb05c522c6aaeea247837ab871e6735ee876aed3ade9724ae03</cites><orcidid>0000-0002-0701-3870</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2782162500?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36682267$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Yuetong</creatorcontrib><creatorcontrib>Maruyama, Hitoshi</creatorcontrib><creatorcontrib>Onoda, Ko</creatorcontrib><creatorcontrib>Zhou, Yue</creatorcontrib><creatorcontrib>Huang, Qiuchen</creatorcontrib><creatorcontrib>Hu, Chunying</creatorcontrib><creatorcontrib>Ye, Zhongqiu</creatorcontrib><creatorcontrib>Li, Bo</creatorcontrib><creatorcontrib>Wang, Zimin</creatorcontrib><title>Body mass index combined with (waist + hip)/height accurately screened for normal-weight obesity in Chinese young adults</title><title>Nutrition (Burbank, Los Angeles County, Calif.)</title><addtitle>Nutrition</addtitle><description>•Predictors of body fat percentage with age and sex for each ethnic group are needed.•Normal-weight obesity is based on body composition plus anthropometric measurements.•Downregulating the upper body mass index is based on (waist + hip)-to-height ratio for easy normal-weight obesity assessment.
Only a few studies have explored the prevalence of normal-weight obesity in young adults or the development of a simple evaluation index for body fat percentage. Therefore, this study aimed to examine the prevalence of normal-weight obesity in young Chinese adults and use anthropometric measurements to develop an evaluation index.
In total, 1322 college students participated in the study and were divided into the normal-weight lean, normal-weight obese, and overweight and obese groups based on their body mass index and body fat percentage. The differences in body composition, circumference, and circumference ratio among these three groups were examined.
When exploring the correlation between the circumference ratio and body fat percentage, the circumference ratio was suitable for early screening of abnormal body fat percentage, and the cutoff value was calculated. Body composition and circumference were significantly different among the three groups: (waist + hip)-to-height, hip-to-height, and waist-to-height ratios were strongly correlated with body fat percentage.
(Waist + hip)-to-height ratio can be used as a simple evaluation index for indicating abnormal body fat percentage when higher than 1.032 in male and 1.047 in female individuals. Downregulating the normal upper limit for body mass index to 24.4 and 23.8 kg/m2 in male and female individuals, respectively, is recommended. Body mass index combined with (waist + hip)-to-height ratio allowed for more accurate screening of normal-weight obesity as an easy and cost-free evaluation measure for abnormal body fat percentage.</description><subject>Adults</subject><subject>Asian people</subject><subject>Body Composition</subject><subject>Body composition, Circumference ratio</subject><subject>Body fat</subject><subject>Body height</subject><subject>Body Mass Index</subject><subject>Body measurements</subject><subject>Body size</subject><subject>Body weight</subject><subject>Coronaviruses</subject><subject>Cost analysis</subject><subject>COVID-19</subject><subject>East Asian People</subject><subject>Ethnicity</subject><subject>Evaluation</subject><subject>Female</subject><subject>Females</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Hip</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Obesity</subject><subject>Obesity - epidemiology</subject><subject>Overweight</subject><subject>Overweight - epidemiology</subject><subject>Screening</subject><subject>Simple health risk evaluation</subject><subject>Variance analysis</subject><subject>Waist Circumference</subject><subject>Waist-Hip Ratio</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>0899-9007</issn><issn>1873-1244</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kctu1DAUQC0EotPCB7BBlti0Qpn6MfFDrGDES6rEBtaWY990PEriwXYYwtf0W_plZJTCggWruzn36OoehF5QsqaEiuv9ehjLmhHG1pRSzfUjtKJK8oqyzeYxWhGldaUJkWfoPOc9IYRqoZ-iMy6EYkzIFfr1LvoJ9zZnHAYPP7GLfRMG8PgYyg5fHm3I5f7u9f3dLhyurncQbncFW-fGZAt0E84uAZz4NiY8xNTbrjouVGwghzLNYrzdzc4MeIrjcIutH7uSn6Enre0yPH-YF-jbh_dft5-qmy8fP2_f3lSOK1oqKwi3bcs591pb15Da1Yw5YS2AZRupuLSNkhSE5DWAksKC59aDlmxjgfALdLl4Dyl-HyEX04fsoOvsAHHMhkmhFJWqFjP66h90H8c0zNfNlGJUsJqchHShXIo5J2jNIYXepslQYk5hzN7MYcwpjFnCzDsvH8xj04P_u_GnxAy8WQCYX_EjQDLZBRgc-JDAFeNj-I_-NxInoOs</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Zhu, Yuetong</creator><creator>Maruyama, Hitoshi</creator><creator>Onoda, Ko</creator><creator>Zhou, Yue</creator><creator>Huang, Qiuchen</creator><creator>Hu, Chunying</creator><creator>Ye, Zhongqiu</creator><creator>Li, Bo</creator><creator>Wang, Zimin</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0701-3870</orcidid></search><sort><creationdate>202304</creationdate><title>Body mass index combined with (waist + hip)/height accurately screened for normal-weight obesity in Chinese young adults</title><author>Zhu, Yuetong ; Maruyama, Hitoshi ; Onoda, Ko ; Zhou, Yue ; Huang, Qiuchen ; Hu, Chunying ; Ye, Zhongqiu ; Li, Bo ; Wang, Zimin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-a603aff333d99acb05c522c6aaeea247837ab871e6735ee876aed3ade9724ae03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adults</topic><topic>Asian people</topic><topic>Body Composition</topic><topic>Body composition, Circumference ratio</topic><topic>Body fat</topic><topic>Body height</topic><topic>Body Mass Index</topic><topic>Body measurements</topic><topic>Body size</topic><topic>Body weight</topic><topic>Coronaviruses</topic><topic>Cost analysis</topic><topic>COVID-19</topic><topic>East Asian People</topic><topic>Ethnicity</topic><topic>Evaluation</topic><topic>Female</topic><topic>Females</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Hip</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>Obesity</topic><topic>Obesity - epidemiology</topic><topic>Overweight</topic><topic>Overweight - epidemiology</topic><topic>Screening</topic><topic>Simple health risk evaluation</topic><topic>Variance analysis</topic><topic>Waist Circumference</topic><topic>Waist-Hip Ratio</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Yuetong</creatorcontrib><creatorcontrib>Maruyama, Hitoshi</creatorcontrib><creatorcontrib>Onoda, Ko</creatorcontrib><creatorcontrib>Zhou, Yue</creatorcontrib><creatorcontrib>Huang, Qiuchen</creatorcontrib><creatorcontrib>Hu, Chunying</creatorcontrib><creatorcontrib>Ye, Zhongqiu</creatorcontrib><creatorcontrib>Li, Bo</creatorcontrib><creatorcontrib>Wang, Zimin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Yuetong</au><au>Maruyama, Hitoshi</au><au>Onoda, Ko</au><au>Zhou, Yue</au><au>Huang, Qiuchen</au><au>Hu, Chunying</au><au>Ye, Zhongqiu</au><au>Li, Bo</au><au>Wang, Zimin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Body mass index combined with (waist + hip)/height accurately screened for normal-weight obesity in Chinese young adults</atitle><jtitle>Nutrition (Burbank, Los Angeles County, Calif.)</jtitle><addtitle>Nutrition</addtitle><date>2023-04</date><risdate>2023</risdate><volume>108</volume><spage>111939</spage><epage>111939</epage><pages>111939-111939</pages><artnum>111939</artnum><issn>0899-9007</issn><eissn>1873-1244</eissn><abstract>•Predictors of body fat percentage with age and sex for each ethnic group are needed.•Normal-weight obesity is based on body composition plus anthropometric measurements.•Downregulating the upper body mass index is based on (waist + hip)-to-height ratio for easy normal-weight obesity assessment.
Only a few studies have explored the prevalence of normal-weight obesity in young adults or the development of a simple evaluation index for body fat percentage. Therefore, this study aimed to examine the prevalence of normal-weight obesity in young Chinese adults and use anthropometric measurements to develop an evaluation index.
In total, 1322 college students participated in the study and were divided into the normal-weight lean, normal-weight obese, and overweight and obese groups based on their body mass index and body fat percentage. The differences in body composition, circumference, and circumference ratio among these three groups were examined.
When exploring the correlation between the circumference ratio and body fat percentage, the circumference ratio was suitable for early screening of abnormal body fat percentage, and the cutoff value was calculated. Body composition and circumference were significantly different among the three groups: (waist + hip)-to-height, hip-to-height, and waist-to-height ratios were strongly correlated with body fat percentage.
(Waist + hip)-to-height ratio can be used as a simple evaluation index for indicating abnormal body fat percentage when higher than 1.032 in male and 1.047 in female individuals. Downregulating the normal upper limit for body mass index to 24.4 and 23.8 kg/m2 in male and female individuals, respectively, is recommended. Body mass index combined with (waist + hip)-to-height ratio allowed for more accurate screening of normal-weight obesity as an easy and cost-free evaluation measure for abnormal body fat percentage.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36682267</pmid><doi>10.1016/j.nut.2022.111939</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-0701-3870</orcidid></addata></record> |
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| ispartof | Nutrition (Burbank, Los Angeles County, Calif.), 2023-04, Vol.108, p.111939-111939, Article 111939 |
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| subjects | Adults Asian people Body Composition Body composition, Circumference ratio Body fat Body height Body Mass Index Body measurements Body size Body weight Coronaviruses Cost analysis COVID-19 East Asian People Ethnicity Evaluation Female Females Health risk assessment Health risks Hip Humans Male Males Obesity Obesity - epidemiology Overweight Overweight - epidemiology Screening Simple health risk evaluation Variance analysis Waist Circumference Waist-Hip Ratio Young Adult Young adults |
| title | Body mass index combined with (waist + hip)/height accurately screened for normal-weight obesity in Chinese young adults |
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