2018
DOI: 10.1038/s41598-018-29362-1
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Relative fat mass (RFM) as a new estimator of whole-body fat percentage ─ A cross-sectional study in American adult individuals

Abstract: High whole-body fat percentage is independently associated with increased mortality. We aimed to identify a simple anthropometric linear equation that is more accurate than the body mass index (BMI) to estimate whole-body fat percentage among adult individuals. National Health and Nutrition Examination Survey (NHANES) 1999–2004 data (n = 12,581) were used for model development and NHANES 2005–2006 data (n = 3,456) were used for model validation. From the 365 anthropometric indices generated, the final selected… Show more

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Cited by 211 publications
(293 citation statements)
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“…Specifically, the relative fat mass (RFM) metric approximates BFP using only height and waist circumferences, making it one of the simplest methods of determining obesity status in American adults. While these established methods have proven effective for military personnel and provided improvement over BMI alone in the American adult population, they do not account for the additional effect of age in predicting body composition. When looking at correlations between anthropometric measures such as waist circumference and BMI with body composition, previous research has found that both age and race also play significant roles in predicting BFP .…”
Section: Introductionmentioning
confidence: 99%
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“…Specifically, the relative fat mass (RFM) metric approximates BFP using only height and waist circumferences, making it one of the simplest methods of determining obesity status in American adults. While these established methods have proven effective for military personnel and provided improvement over BMI alone in the American adult population, they do not account for the additional effect of age in predicting body composition. When looking at correlations between anthropometric measures such as waist circumference and BMI with body composition, previous research has found that both age and race also play significant roles in predicting BFP .…”
Section: Introductionmentioning
confidence: 99%
“…Methods relying only on anthropometric measurements including circumference measurements and height have also been employed for the purpose of predicting BFP. These methods have the advantage of accounting for individual body shape, while not requiring the equipment and training necessary to perform skinfold measurements.…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…Although we used BMI as a measure of adiposity, it is also worth mentioning the issues raised against the usage of BMI. First, BMI is limited in its inability to accurately estimate body fat percentage due to misclassification of body fat-defined obesity [8,66]. Second, there are variations in the thresholds; for example, the World Health Organization (WHO) has different measures.…”
Section: Discussionmentioning
confidence: 99%
“…There is mixed evidence pertaining to BMI distribution across females and males. While some studies appear to show that BMI is higher in males than in females [4][5][6], others show the opposite [7,8]. Gender-differential studies on BMI in low-and middle-income countries are scarce [9], despite a rapid increase in obesity, cardiovascular diseases [10,11], and other diseases associated with higher BMI.…”
Section: Introductionmentioning
confidence: 99%