The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study

Purpose: Obesity is a common health problem in both developed and developing countries. BMI is commonly used to identify obesity. However, there is increasing evidence that the relationship between BMI and BF% differs among various ethnicities. The main objectives of this study are (1) to evaluate t...

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Main Authors: Mohammed A Bakir, Mahfouz M Al-Bachir, Kholoud B Hammad, Khuzama M Habil, Husam H Ahmad
Format: Article
Language:English
Published: Milano University Press 2016-09-01
Series:Epidemiology, Biostatistics and Public Health
Online Access:http://ebph.it/article/view/11852
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author Mohammed A Bakir
Mahfouz M Al-Bachir
Kholoud B Hammad
Khuzama M Habil
Husam H Ahmad
author_facet Mohammed A Bakir
Mahfouz M Al-Bachir
Kholoud B Hammad
Khuzama M Habil
Husam H Ahmad
author_sort Mohammed A Bakir
collection DOAJ
description Purpose: Obesity is a common health problem in both developed and developing countries. BMI is commonly used to identify obesity. However, there is increasing evidence that the relationship between BMI and BF% differs among various ethnicities. The main objectives of this study are (1) to evaluate the correlation between BF% as determined by BIA, DEXA, Deuterium oxide (D2O) and BMI, (2) to assess the accuracy of currently used WHOÅLs BMI cut-off points to identify overweight and obesity among Syrian women. Material and Methods: A total of 908 healthy Syrian women aged 18-60 years participated in this study. Weight, height, BMI, BF% assessed by BIA and DEXA, and D2O have been determined. Results: BF% results obtained by BIA and DEXA, and D2O revealed strong correlations. BMI showed a statistically significant correlation with BF% determined by BIA, DEXA and D2O. Obesity when defined as BMI ≥ 30 and as BF% > 35% (derived from BIA, DEXA and D2O) classified 43%, 52.5%, 75.9% and 72.7% of women as obese, respectively. ROC analysis defined BMI cut-off points for overweight and obesity of 22.5 and 25.7, respectively. Using the new BMI cut-off point, the prevalence of obesity among Syrian women was increased by 24%. Conclusions: The current BMI cut-off points recommended by WHO underestimate the prevalence of overweight and obesity among Syrian women. Our data suggests that it is important to lower the proposed WHOÅLs BMI cut-off points for the Syrian women.
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spelling doaj-art-4f18a7ed2eca485fb618bb5dcd428bd62025-08-20T01:56:53ZengMilano University PressEpidemiology, Biostatistics and Public Health2282-09302016-09-0113310.2427/1185210730The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation studyMohammed A Bakir0Mahfouz M Al-Bachir1Kholoud B Hammad2Khuzama M Habil3Husam H Ahmad4Radiation Medicine Department, AECS, P.O. Box 6091, Damascus, SyriaRadiation Technology Department, AECS, P.O. Box 6091, Damascus, SyriaRadiation Medicine Department, AECS, P.O. Box 6091, Damascus, SyriaRadiation Medicine Department, AECS, P.O. Box 6091, Damascus, SyriaRadiation Technology Department, AECS, P.O. Box 6091, Damascus, SyriaPurpose: Obesity is a common health problem in both developed and developing countries. BMI is commonly used to identify obesity. However, there is increasing evidence that the relationship between BMI and BF% differs among various ethnicities. The main objectives of this study are (1) to evaluate the correlation between BF% as determined by BIA, DEXA, Deuterium oxide (D2O) and BMI, (2) to assess the accuracy of currently used WHOÅLs BMI cut-off points to identify overweight and obesity among Syrian women. Material and Methods: A total of 908 healthy Syrian women aged 18-60 years participated in this study. Weight, height, BMI, BF% assessed by BIA and DEXA, and D2O have been determined. Results: BF% results obtained by BIA and DEXA, and D2O revealed strong correlations. BMI showed a statistically significant correlation with BF% determined by BIA, DEXA and D2O. Obesity when defined as BMI ≥ 30 and as BF% > 35% (derived from BIA, DEXA and D2O) classified 43%, 52.5%, 75.9% and 72.7% of women as obese, respectively. ROC analysis defined BMI cut-off points for overweight and obesity of 22.5 and 25.7, respectively. Using the new BMI cut-off point, the prevalence of obesity among Syrian women was increased by 24%. Conclusions: The current BMI cut-off points recommended by WHO underestimate the prevalence of overweight and obesity among Syrian women. Our data suggests that it is important to lower the proposed WHOÅLs BMI cut-off points for the Syrian women.http://ebph.it/article/view/11852
spellingShingle Mohammed A Bakir
Mahfouz M Al-Bachir
Kholoud B Hammad
Khuzama M Habil
Husam H Ahmad
The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
Epidemiology, Biostatistics and Public Health
title The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
title_full The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
title_fullStr The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
title_full_unstemmed The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
title_short The accuracy of currently used WHO´s Body Mass Index cut-off points to measure Overweight and Obesity in Syrian women: A correlation study
title_sort accuracy of currently used who´s body mass index cut off points to measure overweight and obesity in syrian women a correlation study
url http://ebph.it/article/view/11852
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