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Abstract

Background and Objectives: Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR),and waist-to-stature ratio (WSR) have increasingly been used as screening tools for obesity. However, optimalcut-off values may be different between populations. The current study determined the optimum cut-off valuesfor BMI, WC, WHR, and WSR for obesity screening in Indonesian adults using receiver-operating characteristic(ROC) analysis. Methods and Study Design: Stature, body weight, waist and hip circumferences were measuredon 600 Indonesians aged 18-65 years (males, n=292; females, n=308) and BMI, WHR, and WSR calculated. Percentageof body fat (%BF) was determined using the deuterium isotope (D2O) dilution technique. Some existingcut-off points for obesity determination were evaluated for sensitivity and specificity. Results: The existing cutoffvalues showed low sensitivity in our sample (between 18.4 and 71.1%) and new proposed cut-offs increasedthe sensitivity to reach 66.7 to 88.5%. The new cut-offs for BMI, WC, WHR, and WSR for determination of obesitywere 21.9 (kg/m2), 76.8 (cm), 0.86, and 0.48, respectively, for males and 23.6 (kg/m2), 71.7 (cm), 0.77, and0.47, respectively, for females. Conclusions: WC and WSR are the most predictive both for males and females,and therefore are considered as better screening tools for obesity in this population.

Item Type:	Article
Authors/Creators:	Hastuti, J and Kagawa, M and Byrne, N and Hills, AP
Keywords:	anthropometric measures, cut-off values, obesity screening, percentage of body fat, Indonesian adults
Journal or Publication Title:	Asia Pacific Journal of Clinical Nutrition
Publisher:	H E C Press
ISSN:	0964-7058
DOI / ID Number:	https://doi.org/10.6133/apjcn.072016.09
Copyright Information:	Copyright 2016 Asia Pacific Journal of Clinical Nutrition
Related URLs:	Google Scholar: Byrne, N UTAS Profile: Byrne, N Google Scholar: Hills, AP UTAS Profile: Hills, AP
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