Comparison of the Body Adiposity Index to Body Mass Index in Korean Women

다국어 초록 (Multilingual Abstract)

Purpose: Obesity is a major public health issue and is associated with many metabolicabnormalities. Consequently, the assessment of obesity is very important. A new measurement, the body adiposity index (BAI), has recently been proposed to provide valid estimates of body fat percentages. The objective of this study was to compare the BAI and body mass index (BMI) as measurements of body adiposity and metabolic risk. Materials and Methods: This was a cross-sectional analysis performed on Korean women. The weight, height, and hip circumferences of 2950 women (mean age 25±5 years old, 18--39 years) were measured, and their BMI and BAI [hip circumference (cm)/height (m)1.5-18] values were calculated. Bioelectricimpedance analysis was used to evaluate body fat content. Glucose tolerancestatus was assessed with a 75-g oral glucose tolerance test, and insulin sensitivitywas estimated with the insulin sensitivity index. Results: BMI was more significantly correlated with fat mass and fat percentage. Additionally, BMI was also more significantly associated with metabolic parameters, including fasting glucose, post-load 2-h glucose, fasting insulin, post-load 2-h insulin, triglycerides, and high density lipoprotein cholesterol than BAI. Receiver operating characteristiccurve analysis revealed that BMI was a better tool for predicting body fat percentagethan BAI. Insulin sensitivity and metabolic syndrome were more significantlyassociated with BMI than with BAI. Conclusion: In Korean women, the current BMI-based classifications for obesity might be superior to BAI-based measurementsfor determining obesity and predicting metabolic risk.

참고문헌 (Reference)

1 Stumvoll M, "Use of the oral glucose tolerance test to assess insulin release and insulin sensitivity" 23 : 295-301, 2000

2 Meeuwsen S, "The relationship between BMI and percent body fat, measured by bioelectrical impedance, in a large adult sample is curvilinear and influenced by age and sex" 29 : 560-566, 2010

3 Must A, "The disease burden associated with overweight and obesity" 282 : 1523-1529, 1999

4 Freedman DS, "The body adiposity index (hip circumference÷ height (1.5)) is not a more accurate measure of adiposity than is BMI, waist circumference, or hip circumference" 20 : 2438-2444, 2012

5 Brozek J, "Skinfold distributions in middle-aged American men: a contribution to norms of leanness-fatness" 110 : 492-502, 1963

6 Wang ZM, "Six-compartment body composition model: inter-method comparisons of total body fat measurement" 22 : 329-337, 1998

7 Nevill AM, "Relationship between adiposity and body size reveals limitations of BMI" 129 : 151-156, 2006

8 Stone NJ, "Recent National Cholesterol Education Program Adult Treatment Panel III update: adjustments and options" 96 : 53E-59E, 2005

9 Roubenoff R, "Predicting body fatness: the body mass index vs estimation by bioelectrical impedance" 85 : 726-728, 1995

10 Li L, "Optimal body fat percentage cut-offs for obesity in Chinese adults" 39 : 393-398, 2012

11 Haslam DW, "Obesity" 366 : 1197-1209, 2005

12 Piers LS, "Indirect estimates of body composition are useful for groups but unreliable in individuals" 24 : 1145-1152, 2000

13 Heymsfield SB, "Human body composition: advances in models and methods" 17 : 527-558, 1997

14 Appelhans BM, "How well does the body adiposity index capture adiposity change in midlife women?: The SWAN fat patterning study" 24 : 866-869, 2012

15 VanItallie TB, "Height-normalized indices of the body’s fat-free mass and fat mass: potentially useful indicators of nutritional status" 52 : 953-959, 1990

16 Yoon KH, "Epidemic obesity and type 2 diabetes in Asia" LANCET LTD 368 : 1681-1688, 2006

17 Okorodudu DO, "Diagnostic performance of body mass index to identify obesity as defined by body adiposity: a systematic review and meta-analysis" 34 : 791-799, 2010

18 American Diabetes Association, "Diagnosis and classification of diabetes mellitus" 35 (35): S64-S71, 2012

19 Goran MI, "Cross-calibration of body-composition techniques against dual-energy X-ray absorptiometry in young children" 63 : 299-305, 1996

20 Garrido-Chamorro RP, "Correlation between body mass index and body composition in elite athletes" 49 : 278-284, 2009

21 Johnson W, "Concordance of the recently published body adiposity index with measured body fat percent in European-American adults" 20 : 900-903, 2012

22 Sun G, "Concordance of BAI and BMI with DXA in the Newfoundland population" 21 : 499-503, 2013

23 Geliebter A, "Comparison of body adiposity index (BAI) and BMI with estimations of % body fat in clinically severe obese women" 21 : 493-498, 2013

24 Meng XL, "Comparing correlated correlation coefficients" 111 : 172-175, 1992

25 Zhao D, "Brief communication: body mass index, body adiposity index, and percent body fat in Asians" 152 : 294-299, 2013

26 Barreira TV, "Body adiposity index, body mass index, and body fat in white and black adults" 306 : 828-830, 2011

27 Schulze MB, "Body adiposity index, body fat content and incidence of type 2 diabetes" 55 : 1660-1667, 2012

28 Lichtash CT, "Body adiposity index versus body mass index and other anthropometric traits as correlates of cardiometabolic risk factors" 8 : e65954-, 2013

29 López AA, "Body adiposity index utilization in a Spanish Mediterranean population: comparison with the body mass index" 7 : e35281-, 2012

30 Gibson CD, "Body adiposity index (BAI) correlates with BMI and body fat pre- and post-bariatric surgery but is not an adequate substitute for BMI in severely obese women" 10 : 9-14, 2012

31 Bouchard C, "BMI, fat mass, abdominal adiposity and visceral fat: where is the ‘beef’?" 31 : 1552-1553, 2007

32 Wen CP, "Are Asians at greater mortality risks for being overweight than Caucasians? Redefining obesity for Asians" 12 : 497-506, 2009

33 Allison DB, "Annual deaths attributable to obesity in the United States" 282 : 1530-1538, 1999

34 Rahman M, "Accuracy of current body mass index obesity classification for white, black, and Hispanic reproductive-age women" 115 : 982-988, 2010

35 Romero-Corral A, "Accuracy of body mass index in diagnosing obesity in the adult general population" 32 : 959-966, 2008

36 Godoy-Matos AF, "A new method for body fat evaluation, body adiposity index, is useful in women with familial partial lipodystrophy" 20 : 440-443, 2012

37 Bergman RN, "A better index of body adiposity" 19 : 1083-1089, 2011