Skip to main content
×
Home
    • Aa
    • Aa
  • Access
  • Cited by 83
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Gába, A and Přidalová, M 2016. Diagnostic performance of body mass index to identify adiposity in women. European Journal of Clinical Nutrition, Vol. 70, Issue. 8, p. 898.


    Carrero, Juan Jesús and Avesani, Carla Maria 2015. Pros and Cons of Body Mass Index as a Nutritional and Risk Assessment Tool in Dialysis Patients. Seminars in Dialysis, Vol. 28, Issue. 1, p. 48.


    Raimi, Taiwo Hussean Fasanmade, Olufemi Odusan, Olatunde and Ohwovoriole, Augustine Efedaye 2015. The Best Central Adiposity Index in the Prediction of Cardiovascular Risk Factors in South-Western Nigeria. Open Journal of Endocrine and Metabolic Diseases, Vol. 05, Issue. 12, p. 184.


    Cheng, I-Chi Wei, Shu-Chen Yeh, Sung-Ling and Wang, Weu 2014. Comparison of Weight Loss and Body Composition Changes in Morbidly Obese Taiwanese Patients with Different Bariatric Surgeries: A 1-Year Follow-up Study. Obesity Surgery, Vol. 24, Issue. 4, p. 572.


    Liu, Jian-Jun Sum, Chee Fang Tavintharan, Subramaniam Yeoh, Lee Ying Ng, Xiao Wei Moh, Angela Mei Chung Lee, Simon Tang, Wern Ee and Lim, Su Chi 2014. Obesity is a determinant of arterial stiffness independent of traditional risk factors in Asians with young-onset type 2 diabetes. Atherosclerosis, Vol. 236, Issue. 2, p. 286.


    Luk, Andrea O.Y. Lau, Eric S.H. So, Wing-Yee Ma, Ronald C.W. Kong, Alice P.S. Ozaki, Risa Chow, Francis C.C. and Chan, Juliana C.N. 2014. Prospective Study on the Incidences of Cardiovascular-Renal Complications in Chinese Patients With Young-Onset Type 1 and Type 2 Diabetes. Diabetes Care, Vol. 37, Issue. 1, p. 149.


    Zhao, Ya-Ning Li, Qin and Li, Yan-Chuan 2014. Effects of body mass index and body fat percentage on gestational complications and outcomes. Journal of Obstetrics and Gynaecology Research, Vol. 40, Issue. 3, p. 705.


    Cuppari, L. 2013. Diagnosis of obesity in chronic kidney disease: BMI or body fat?. Nephrology Dialysis Transplantation, Vol. 28, Issue. suppl 4, p. iv119.


    Kwong, Vickie Wai-Ki Kwan, Bonnie Ching-Ha Chow, Kai-Ming Leung, Chi-Bon Li, Philip Kam-Tao and Szeto, Cheuk-Chun 2013. Long-term outcome of biopsy-proven minimal-change nephrotic syndrome in Chinese children. Hong Kong Journal of Nephrology, Vol. 15, Issue. 1, p. 22.


    Mak, Kwok-Kei McManus, Alison M. and Lai, Ching-Man 2013. Validity of self-estimated adiposity assessment against general and central adiposity in Hong Kong adolescents. Annals of Human Biology, Vol. 40, Issue. 3, p. 276.


    Chin, Kok-Yong Soelaiman, Ima-Nirwana Mohamed, Isa Naina Ibrahim, Suraya and Wan Ngah, Wan Zurinah 2012. The effects of age, physical activity level, and body anthropometry on calcaneal speed of sound value in men. Archives of Osteoporosis, Vol. 7, Issue. 1-2, p. 135.


    Guo, M. Chen, Z. J. Eijkemans, M. J. E. Goverde, A. J. Fauser, B. C. J. M. and Macklon, N. S. 2012. Comparison of the phenotype of Chinese versus Dutch Caucasian women presenting with polycystic ovary syndrome and oligo/amenorrhoea. Human Reproduction, Vol. 27, Issue. 5, p. 1481.


    Lam, Simon C. Lee, Linda Y. K. Wong, S. L. and Wong, Alisa K. P. 2012. Pedometer-Determined Physical Activity and Body Composition in Chinese Working Adults. Journal of Nursing Scholarship, Vol. 44, Issue. 3, p. 205.


    Yoo, Dong Eun Lee, Mi Jung Oh, Hyung Jung Kim, Seung Jun Shin, Dong Ho Yoo, Tae-Hyun Kang, Shin-Wook Choi, Kyu Hun Han, Dae Suk and Han, Seung Hyeok 2012. Low circulating adiponectin levels are associated with insulin resistance in non-obese peritoneal dialysis patients. Endocrine Journal, Vol. 59, Issue. 8, p. 685.


    BINH, TRAN QUANG NAKAHORI, YUTAKA HIEN, VU THI THU KHAN, NGUYEN CONG LAM, NGUYEN THI MAI, LE BACH and YAMAMOTO, SHIGERU 2011. Correlations between genetic variance and adiposity measures, and gene × gene interactions for obesity in postmenopausal Vietnamese women. Journal of Genetics, Vol. 90, Issue. 1, p. 1.


    Chang, Yu-Jhen Lin, Wei and Wong, Yueching 2011. Survey on Eating Disorder–Related Thoughts, Behaviors, and Their Relationship with Food Intake and Nutritional Status in Female High School Students in Taiwan. Journal of the American College of Nutrition, Vol. 30, Issue. 1, p. 39.


    Ho-Pham, Lan T. Campbell, Lesley V. and Nguyen, Tuan V. 2011. More on Body Fat Cutoff Points. Mayo Clinic Proceedings, Vol. 86, Issue. 6, p. 584.


    Kuo, Chin-Chi Wu, Ching-Fang Huang, Chun-Chieh Lee, Yuan-Ju Lin, Wei-Chou Tsai, Ching-Wei Wu, Vin-Cent Chen, Yung-Ming Wu, Ming-Shiou Chu, Tzong-Shinn and Wu, Kwan-Dun 2011. Xanthogranulomatous pyelonephritis: critical analysis of 30 patients. International Urology and Nephrology, Vol. 43, Issue. 1, p. 15.


    Mittal, Rashee Goyal, Madhur M. Dasude, Raju C. Quazi, Syed Zahiruddin and Basak, Anjan 2011. Measuring obesity: results are poles apart obtained by BMI and bio-electrical impedance analysis. Journal of Biomedical Science and Engineering, Vol. 04, Issue. 11, p. 677.


    Ozilgen, S. 2011. Statistical quality control charts: New tools for studying the body mass index of populations from the young to the elderly. The journal of nutrition, health & aging, Vol. 15, Issue. 5, p. 333.


    ×

Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance

  • Gary T.C. Ko (a1), Joyce Tang (a2), Juliana C.N. Chan (a3), Rita Sung (a4), Morris M. F. Wu (a5), Hendena P.S. Wai (a5) and Raymond Chen (a1)
  • DOI: http://dx.doi.org/10.1079/BJN2000251
  • Published online: 01 March 2007
Abstract

There is increasing evidence suggesting that the cut-off values for defining obesity used in the Western countries cannot be readily applied to Asians, who often have smaller body frames than Caucasians. We examined the BMI and body fat (BF) as measured by bioelectrical impedance in 5153 Hong Kong Chinese subjects. We aimed to assess the optimal BMI reflecting obesity as defined by abnormal BF in Hong Kong Chinese. Receiver operating characteristic curve (ROC) analysis was used to assess the optimal BMI predicting BF at different levels. The mean age and SD OF THE 5153 SUBJECTS (3734 WOMEN AND 1419 MEN) WAS 51.5 (sd 16.3) years (range: 18.0–89.5 years, median: 50.7 years). Age-adjusted partial correlation (r) between BMI and BF in women and men were 0.899 (P<0.001) and 0.818 (P<0.001) respectively. Using ROC analysis, the BMI corresponding to the conventional upper limit of normal BF was 22.5–23.1 kg/m2, and the BMI corresponding to the 90 percentiles of BF was 25.4–26.1 kg/m2. Despite similar body fat contents, the BMI cut-off value used to define obesity in Hong Kong Chinese should be lower as compared to Caucasians. We suggest a BMI of 23 kg/m2 and 26 kg/m2 as the cut-off values to define overweight and obesity respectively in Hong Kong Chinese.

    • Send article to Kindle

      To send this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance
      Your Kindle email address
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about sending content to Dropbox.

      Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about sending content to Google Drive.

      Lower BMI cut-off value to define obesity in Hong Kong Chinese: an analysis based on body fat assessment by bioelectrical impedance
      Available formats
      ×
Copyright
Corresponding author
*Corresponding author: Gary T. C. Ko, fax (852) 2689-2785, email: gtc_ko@hotmail.com
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

P Deurenberg , M Yap & WA van Staveren (1998) Body mass index and percent body fat: a meta-analysis among different ethnic groups. International Journal of Obesity 22, 11641171.

MI Harris , KM Flegal , CC Cowie , MS Eberhardt , DE Goldstein , RR Little , HM Wiedmeyer & DD Byrd-Holt (1998) Prevalence of diabetes, impaired fasting glucose, and impaired glucose tolerance in US adults Diabetes Care 21, 518524.

AM Hodge & PZ Zimmet (1994) The epidemiology of obesity Baillière' Clinical Endocrinology and Metabolism 8, 577599.

P Jousilahti , J Tuomilehto , E Vartiainen , J Pekkanen & P Puska (1996) Body weight, cardiovascular risk factors, and coronary mortality. 15-year follow-up of middle-aged men and women in eastern Finland Circulation 93, 13721379.

GTC Ko , JCN Chan , J Woo , E Lau , VTF Yeung , CC Chow , HPS Wai , JKY Li , WY So & CS Cockram (1997) Simple anthropometric indexes and cardiovascular risk factors in Chinese. International Journal of Obesity 21, 9951001.

GTC Ko , JCN Chan & CS Cockram (1998) The association between dyslipidaemia and obesity in Chinese men after adjustment for insulin resistance Atherosclerosis 138, 153161.

GTC Ko , JCN Chan , CS Cockram & J Woo (1999) Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. International Journal of Obesity 23, 11361142.

GTC Ko , MMF Wu , HPS Wai , J Tang , CHS Chan , ECY Kan & R Chen (1999) Rapid increase in the prevalence of undiagnosed diabetes and impaired fasting glucose in asymptomatic Hong Kong Chinese. Diabetes Care 22, 17511752.

RJ Kuczmarski , KM Flegal , SM Campbell & CL Johnson (1994) Increasing prevalence of obesity among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991 JAMA 272, 205211.

MEJ Lean , TS Han & CE Morrison (1995) Waist circumference as a measure for indicating need for weight management. British Medical Journal 311, 158161.

JC Seidell & KM Flegal (1997) Assessing obesity: classification and epidemiology. British Medical Bulletin 53, 238252.

JC Seidell , WM Verschuren , EM van Leer & D Kromhout (1996) Overweight, underweight, and mortality. A prospective study of 48 287 men and women. Archive of Internal Medicine 156, 958963.

SR Srinivasan , W Bao , WA Wattigney & GS Berenson (1996) Adolescent overweight is associated with adult overweight and related multiple cardiovascular risk factors: the Bogalusa Heart Study. Metabolism 45, 235240.

P Zimmet (1992) Challenges in diabetes epidemiology–from West to the rest. Diabetes Care 15, 232252.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: