TY - JOUR

T1 - Low body mass index but high percent body fat in Taiwanese subjects

T2 - Implications of obesity cutoffs

AU - Chang, C. J.

AU - Wu, C. H.

AU - Chang, C. S.

AU - Yao, W. J.

AU - Yang, Y. C.

AU - Wu, J. S.

AU - Lu, F. H.

PY - 2003/2/1

Y1 - 2003/2/1

N2 - OBJECTIVES: To compare the different correlations of body mass index (BMI) and percent body fat (BF%) with other ethnic groups and to evaluate the appropriateness of Asia-Pacific redefining obesity criteria in the Taiwanese population. The corresponding BF% to BMI cutoffs of overweight and obesity will also be studied. DESIGN: A cross-sectional epidemiological survey. SUBJECTS: A total of 509 male and 570 female Taiwanese subjects aged ≥20y sampled by the systematic stratified clustering sampling method were analyzed. MEASUREMENTS: BMI was obtained by body weight (kg) divided by squared body height (m2). The estimated BMI (BMIe) was deduced from the Caucasian-based four-compartment equation (4C). BF% measured by the methods of dual-energy X-ray absorptiometry (DXA) or Caucasian-based 4C were used and abbreviated as DXA-BF and 4C-BF, respectively. RESULTS: The curvilinear relationship between age and BMI or DXA-BF was established. When compared by age-stratified groups, Taiwanese subjects had a higher BF% (4C-BF) in any given BMI than Caucasians. That is, the level of 4C-BF for BMI≥25 kg/m2 in Taiwanese subjects was similar to BMI≥30 kg/m2 in Caucasians. The BMIe values of 25 and 30 kg/m2 were nearly equal to the BMIs of 23.6 and 25.3 kg/m2 in males, and 22.7 and 24.8 kg/m2 in females, respectively. The 4C-BF of 25% was nearly equal to a BMI of 26.2 kg/m2 in males, and 35% was equal to a BMI of 24.4 kg/m2 in females. Consequently, the DXA-BF cutoffs for BMIs of 23 and 25 kg/m2 were compatible to 23 and 25% in males, and 35 and 38% in females, respectively. CONCLUSION: It was demonstrated that Taiwanese subjects had a relatively lower BMI but a higher BF% than Caucasians. In general, the newly proposed Asia-Pacific BMI cutoffs for overweight (≥23 kg/m2) and obesity (≥25 kg/m2) may be acceptable to both male and female Taiwanese subjects. The corresponding BF% (DXA-BF) cutoffs for obesity would be 25% in male and 38% in female Taiwanese subjects, respectively.

AB - OBJECTIVES: To compare the different correlations of body mass index (BMI) and percent body fat (BF%) with other ethnic groups and to evaluate the appropriateness of Asia-Pacific redefining obesity criteria in the Taiwanese population. The corresponding BF% to BMI cutoffs of overweight and obesity will also be studied. DESIGN: A cross-sectional epidemiological survey. SUBJECTS: A total of 509 male and 570 female Taiwanese subjects aged ≥20y sampled by the systematic stratified clustering sampling method were analyzed. MEASUREMENTS: BMI was obtained by body weight (kg) divided by squared body height (m2). The estimated BMI (BMIe) was deduced from the Caucasian-based four-compartment equation (4C). BF% measured by the methods of dual-energy X-ray absorptiometry (DXA) or Caucasian-based 4C were used and abbreviated as DXA-BF and 4C-BF, respectively. RESULTS: The curvilinear relationship between age and BMI or DXA-BF was established. When compared by age-stratified groups, Taiwanese subjects had a higher BF% (4C-BF) in any given BMI than Caucasians. That is, the level of 4C-BF for BMI≥25 kg/m2 in Taiwanese subjects was similar to BMI≥30 kg/m2 in Caucasians. The BMIe values of 25 and 30 kg/m2 were nearly equal to the BMIs of 23.6 and 25.3 kg/m2 in males, and 22.7 and 24.8 kg/m2 in females, respectively. The 4C-BF of 25% was nearly equal to a BMI of 26.2 kg/m2 in males, and 35% was equal to a BMI of 24.4 kg/m2 in females. Consequently, the DXA-BF cutoffs for BMIs of 23 and 25 kg/m2 were compatible to 23 and 25% in males, and 35 and 38% in females, respectively. CONCLUSION: It was demonstrated that Taiwanese subjects had a relatively lower BMI but a higher BF% than Caucasians. In general, the newly proposed Asia-Pacific BMI cutoffs for overweight (≥23 kg/m2) and obesity (≥25 kg/m2) may be acceptable to both male and female Taiwanese subjects. The corresponding BF% (DXA-BF) cutoffs for obesity would be 25% in male and 38% in female Taiwanese subjects, respectively.

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U2 - 10.1038/sj.ijo.802197

DO - 10.1038/sj.ijo.802197

M3 - Article

C2 - 12587007

AN - SCOPUS:0037325271

VL - 27

SP - 253

EP - 259

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

IS - 2

ER -