Classifying Weight Status Using Body Mass Index and Percent Body Fat

2007 ◽  
Vol 39 (Supplement) ◽  
pp. S379
Author(s):  
Allen W. Jackson ◽  
James R. Morrow ◽  
Steven N. Blair
2016 ◽  
Vol 41 (2) ◽  
pp. 186-193 ◽  
Author(s):  
Alexandra P Frost ◽  
Tracy Norman Giest ◽  
Allison A Ruta ◽  
Teresa K Snow ◽  
Mindy Millard-Stafford

Background: Body composition is important for health screening, but appropriate methods for unilateral lower extremity amputees have not been validated. Objectives: To compare body mass index adjusted using Amputee Coalition equations (body mass index–Amputee Coalition) to dual-energy X-ray absorptiometry in unilateral lower limb amputees. Study design: Cross-sectional, experimental. Methods: Thirty-eight men and women with lower limb amputations (transfemoral, transtibial, hip disarticulation, Symes) participated. Body mass index (mass/height2) was compared to body mass index corrected for limb loss (body mass index–Amputee Coalition). Accuracy of classification and extrapolation of percent body fat with body mass index was compared to dual-energy X-ray absorptiometry. Results: Body mass index–Amputee Coalition increased body mass index (by ~ 1.1 kg/m2) but underestimated and mis-classified 60% of obese and overestimated 100% of lean individuals according to dual-energy X-ray absorptiometry. Estimated mean percent body fat (95% confidence interval) from body mass index–Amputee Coalition (28.3% (24.9%, 31.7%)) was similar to dual-energy X-ray absorptiometry percent body fat (29.5% (25.2%, 33.7%)) but both were significantly higher ( p < 0.05) than percent body fat estimated from uncorrected body mass index (23.6% (20.4%, 26.8%)). However, total errors for body mass index and body mass index–Amputee Coalition converted to percent body fat were unacceptably large (standard error of the estimate = 6.8%, 6.2% body fat) and the discrepancy between both methods and dual-energy X-ray absorptiometry was inversely related ( r = −0.59 and r = −0.66, p < 0.05) to the individual’s level of body fatness. Conclusions: Body mass index (despite correction) underestimates health risk for obese patients and overestimates lean, muscular individuals with lower limb amputation. Clinical relevance Clinical recommendations for an ideal body mass based on body mass index–Amputee Coalition should not be relied upon in lower extremity amputees. This is of particular concern for obese lower extremity amputees whose health risk might be significantly underestimated based on body mass index despite a “correction” formula for limb loss.


1998 ◽  
Vol 22 (12) ◽  
pp. 1164-1171 ◽  
Author(s):  
P Deurenberg ◽  
M Yap ◽  
WA van Staveren

2019 ◽  
Vol 13 (1) ◽  
pp. 570-575 ◽  
Author(s):  
Hosein Sheibani ◽  
Habibollah Esmaeili ◽  
Maryam Tayefi ◽  
Maryam Saberi-Karimian ◽  
Susan Darroudi ◽  
...  

Nutrition ◽  
2019 ◽  
Vol 63-64 ◽  
pp. 9-13 ◽  
Author(s):  
Ahmed Ch Saddam ◽  
Heidi M. Foster ◽  
Moge Zhang ◽  
Terezie T. Mosby

Author(s):  
Katie M. Heinrich ◽  
Konstantin G. Gurevich ◽  
Anna N. Arkhangelskaia ◽  
Oleg P. Karazhelyaskov ◽  
Walker S. C. Poston

In some countries, obesity rates among police officers are higher than the general public, despite physically demanding jobs. Obesity rates based on body mass index (BMI) may lack accuracy as BMI does not directly address body composition. Since data are lacking for obesity rates among Russian police officers, this study documented and compared officer obesity rates to the adult Russian population and compared the accuracy of body mass index (BMI) for obesity classification to two direct measures of body composition. Moscow region police officers (N = 182, 84% men) underwent height, weight, waist circumference (WC), and body fat percentage (BF%) bioelectrical impedance measurements during annual medical examinations. BMI-defined obesity rates were 4.6% for men and 17.2% for women, which were >3 and >1.8 times lower than Russian adults, respectively. WC-defined obesity rates were similar to BMI (3.3% for men and 10.3% for women), but BF%-defined obesity rates were much higher (22.2% for men and 55.2% for women). Although obesity rates were lower than those found among police officers in other countries, BMI alone was not a particularly accurate method for classifying weight status among Russian police officers.


2012 ◽  
Vol 44 (4) ◽  
pp. S45
Author(s):  
H. Lee ◽  
I. Contento ◽  
P. Koch ◽  
E. Abrams ◽  
L. Mull ◽  
...  

2012 ◽  
Vol 8 (6) ◽  
pp. 526-532 ◽  
Author(s):  
Sunmin Lee ◽  
Deborah Rohm Young ◽  
Charlotte A. Pratt ◽  
Jared B. Jobe ◽  
Soo Eun Chae ◽  
...  

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