The prevalence of obesity and relationship between obesity indicators and chronic diseases in Northern Shaanxi, China

Yang, Xiong; Hao, Xiaoxia; Liu, Mingxia; Hu, Yaoda; Wang, Xing; Liu, Yonglin

doi:10.5603/ep.96227

Cited by 1 publication

(1 citation statement)

References 42 publications

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“…The waist-to-hip ratio focuses specifically on the ratio between waist and hip measurements, potentially overlooking other important factors that contribute to overall body composition and health status. The waist-to-height ratio was found to be associated with dyslipidemia and hyperuricemia in a sample of 4565 adults in China [ 57 ]. One key limitation of waist-to-height is that it does not account for individual variations in body shape, muscle mass, and bone structure.…”

Section: Resultsmentioning

confidence: 99%

Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity

Wu,

Li,

Vermund

2024

IJERPH

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Obesity reflects excessive fat deposits. At-risk individuals are guided by healthcare professionals to eat fewer calories and exercise more, often using body mass index (BMI; weight/height2) thresholds for screening and to guide progress and prognosis. By conducting a mini-narrative review of original articles, websites, editorials, commentaries, and guidelines, we sought to place BMI in the context of its appropriate use in population health, clinical screening, and monitoring in clinical care. The review covers studies and publications through 2023, encompassing consensus reviews and relevant literature. Recent consensus reviews suggest that BMI is a valuable tool for population surveys and primary healthcare screening but has limitations in predicting the risk of chronic diseases and assessing excess fat. BMI can guide nutritional and exercise counseling, even if it is inadequate for reliable individual risk prediction. BMI cut-offs must be reconsidered in populations of varying body build, age, and/or ethnicity. Since BMI-diagnosed overweight persons are sometimes physically and physiologically fit by other indicators, persons who are overweight on BMI should be more fully evaluated, diagnosed, and monitored with combined anthropometric and performance metrics to better clarify risks. The use of combined anthropometric and performance metrics involves integrating measurements of body composition with assessments of physical function and fitness to provide a more comprehensive evaluation of an individual’s health and fitness status. Eligibility for bariatric surgery or semaglutide satiety/appetite-reduction medications should not be determined by BMI alone. Awareness of the advantages and limitations of using BMI as a tool to assess adult obesity can maximize its appropriate use in the context of population health and in rapid clinical screening and evaluation.

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Section: Resultsmentioning

confidence: 99%