A comparative study of methods for diagnosis of obesity in an urban mixed-race population in Minas Gerais, Brazil

Public Health Nutr. 2007 Sep;10(9):883-90. doi: 10.1017/S1368980007352452. Epub 2007 May 29.

Abstract

Background: Obesity is defined as an excess of total body fat and may be assessed by different methods. The objective of the present study was to establish the discriminatory power of anthropometric data in determining obesity.

Methods: The subjects comprised 685 individuals, aged 20-79 years, sampled from a population-based survey. The following indicators were used: body mass index (BMI), waist circumference (WC) and total body fat percentage estimated with both Siri's equation (%BF Siri) and foot-to-foot bioelectrical impedance analysis (%BF BIA). Sensitivity and specificity of different cut-off points for each method were determined using %BF BIA as reference.

Results: Of 685 participants, 57.6% were aged >/= 40 years, 69.9% were women and 72.6% self-referred themselves as non-white. To classify obesity based on sex and age among women aged 0.05). Classifying according to skin colour did not change cut-off points in any indicator.

Conclusion: BMI and WC better discriminate obesity among women and men aged >/= 40 years from a mixed-race population.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adipose Tissue / metabolism
  • Adult
  • Age Factors
  • Aged
  • Anthropometry
  • Area Under Curve
  • Body Composition / physiology*
  • Body Mass Index*
  • Brazil / epidemiology
  • Electric Impedance
  • Female
  • Humans
  • Male
  • Middle Aged
  • Obesity / diagnosis*
  • Obesity / epidemiology*
  • Reference Values
  • Sensitivity and Specificity
  • Sex Factors
  • Waist-Hip Ratio*