Identification of Obesity: Waistlines or Weight?

Title

Identification of Obesity: Waistlines or Weight?

Creator

Logue Everett; Smucker William D; Bourguet Claire C

Publisher

Journal of Family Practice

Date

1995
1995-10

Description

Background. Obesity can be divided into "general" and "central." Since abnormal glucose and lipid metabolism are more strongly associated with central obesity, it may not be adequate to use a general measure, such as weight-for-height index, to assess for obesity. An index of central obesity, such as the waist-to-hip ratio, might be more appropriate. Methods. Nurses measured height and weight for the body mass index (BMI = kilograms of mass divided by the square of the height in meters) and girths for the waist to hip ratio (WHR) in 414 patients aged 45 years and over. Patients completed an obesity-related questionnaire. Results. Fifty-seven percent of patient of had an elevated BMI. Fifty percent of men (95% confidence interval [CI] 46 to 55) and 78% of women (95% CI, 75 to 80) had central obesity based on elevated WHRs. Using an elevated WHR as the standard for central obesity, elevated BMI had a positive predictive value of only 64% and a negative predictive value of 68% in men. For women, the corresponding positive and negative predictive values were 84% and 31%, respectively. Conclusion. The data indicate that the practice of using only scales to identify "overweight" patients should be reevaluated since doing so will miss patients at risk. In primary care patients, particularly those 50 years of age and over, weight-for-height indices such as the BMI result in underdiagnosis of central obesity. [ABSTRACT FROM AUTHOR]

Subject

MEDICAL research; GLUCOSE; LIPIDS; METABOLIC disorders; OBESITY

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

357–363

Issue

4

Volume

41

Citation

Logue Everett; Smucker William D; Bourguet Claire C, “Identification of Obesity: Waistlines or Weight?,” NEOMED Bibliography Database, accessed February 26, 2021, https://neomed.omeka.net/items/show/5785.

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