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Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies.

Abstract

A WHO expert consultation addressed the debate about interpretation of recommended body-mass index (BMI) cut-off points for determining overweight and obesity in Asian populations, and considered whether population-specific cut-off points for BMI are necessary. They reviewed scientific evidence that suggests that Asian populations have different associations between BMI, percentage of body fat, and health risks than do European populations. The consultation concluded that the proportion of Asian people with a high risk of type 2 diabetes and cardiovascular disease is substantial at BMIs lower than the existing WHO cut-off point for overweight (> or =25 kg/m2). However, available data do not necessarily indicate a clear BMI cut-off point for all Asians for overweight or obesity. The cut-off point for observed risk varies from 22 kg/m2 to 25 kg/m2 in different Asian populations; for high risk it varies from 26 kg/m2 to 31 kg/m2. No attempt was made, therefore, to redefine cut-off points for each population separately. The consultation also agreed that the WHO BMI cut-off points should be retained as international classifications. The consultation identified further potential public health action points (23.0, 27.5, 32.5, and 37.5 kg/m2) along the continuum of BMI, and proposed methods by which countries could make decisions about the definitions of increased risk for their population.

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  • Publisher Full Text
  • Authors

    Source

    Lancet (London, England) 363:9403 2004 Jan 10 pg 157-63

    MeSH

    Absorptiometry, Photon
    Anthropometry
    Asian Continental Ancestry Group
    Body Mass Index
    Body Weight
    Consultants
    Densitometry
    Deuterium Oxide
    Health Policy
    Humans
    Obesity
    Reference Values
    Reproducibility of Results
    Risk Factors
    World Health Organization

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't
    Review

    Language

    eng

    PubMed ID

    14726171

    Citation

    WHO Expert Consultation. "Appropriate Body-mass Index for Asian Populations and Its Implications for Policy and Intervention Strategies." Lancet (London, England), vol. 363, no. 9403, 2004, pp. 157-63.
    WHO Expert Consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363(9403):157-63.
    WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England), 363(9403), pp. 157-63.
    WHO Expert Consultation. Appropriate Body-mass Index for Asian Populations and Its Implications for Policy and Intervention Strategies. Lancet. 2004 Jan 10;363(9403):157-63. PubMed PMID: 14726171.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. A1 - ,, PY - 2004/1/17/pubmed PY - 2004/2/28/medline PY - 2004/1/17/entrez SP - 157 EP - 63 JF - Lancet (London, England) JO - Lancet VL - 363 IS - 9403 N2 - A WHO expert consultation addressed the debate about interpretation of recommended body-mass index (BMI) cut-off points for determining overweight and obesity in Asian populations, and considered whether population-specific cut-off points for BMI are necessary. They reviewed scientific evidence that suggests that Asian populations have different associations between BMI, percentage of body fat, and health risks than do European populations. The consultation concluded that the proportion of Asian people with a high risk of type 2 diabetes and cardiovascular disease is substantial at BMIs lower than the existing WHO cut-off point for overweight (> or =25 kg/m2). However, available data do not necessarily indicate a clear BMI cut-off point for all Asians for overweight or obesity. The cut-off point for observed risk varies from 22 kg/m2 to 25 kg/m2 in different Asian populations; for high risk it varies from 26 kg/m2 to 31 kg/m2. No attempt was made, therefore, to redefine cut-off points for each population separately. The consultation also agreed that the WHO BMI cut-off points should be retained as international classifications. The consultation identified further potential public health action points (23.0, 27.5, 32.5, and 37.5 kg/m2) along the continuum of BMI, and proposed methods by which countries could make decisions about the definitions of increased risk for their population. SN - 1474-547X UR - https://www.unboundmedicine.com/medline/citation/14726171/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0140-6736(03)15268-3 DB - PRIME DP - Unbound Medicine ER -