Zahedan Journal of Research in Medical Sciences

Published by: Kowsar

Appropriate Cutoff Points for Body Mass Index and Waist-To-Hip Ratio for a Large Sample of Adult in Bandar Abbas, Iran

Alireza Shahab Jahanlou 1 , * and Kamiar Kouzekanani 2
Authors Information
1 Department of Health Education, Medical School, Hormozgan University of Medical Sciences, Bandar Abbas, IR Iran
2 Department of Educational Leadership, Curriculum, and Instruction, College of Education, Texas A and M University, Corpus Christi, USA
Article information
  • Zahedan Journal of Research in Medical Sciences: August 2016, 18 (8); e7934
  • Published Online: July 31, 2016
  • Article Type: Research Article
  • Received: May 18, 2015
  • Accepted: June 23, 2015
  • DOI: 10.17795/zjrms-7934

To Cite: Shahab Jahanlou A, Kouzekanani K. Appropriate Cutoff Points for Body Mass Index and Waist-To-Hip Ratio for a Large Sample of Adult in Bandar Abbas, Iran, Zahedan J Res Med Sci. 2016 ; 18(8):e7934. doi: 10.17795/zjrms-7934.

Copyright © 2016, Zahedan University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes (Lond). 2008; 32 Suppl 3-9[DOI][PubMed]
  • 2. Sood A, Sundararaj P, Sharma S, Kurpad AV, Muthayya S. BMI and body fat percent: affluent adolescent girls in Bangalore City. Indian Pediatr. 2007; 44(8): 587-91[PubMed]
  • 3. Friedl KE, DeLuca JP, Marchitelli LJ, Vogel JA. Reliability of body-fat estimations from a four-compartment model by using density, body water, and bone mineral measurements. Am J Clin Nutr. 1992; 55(4): 764-70[PubMed]
  • 4. Basri R, Shaik M, Alam M, Mondol M, Mohammad Q, Gan S. Waist to hip ratio, waist to height ratio and body mass index predict stroke risk in a Bangladeshi population. Int Med J. 2013; 20(6): 740-3
  • 5. Herrera VM, Casas JP, Miranda JJ, Perel P, Pichardo R, Gonzalez A, et al. Interethnic differences in the accuracy of anthropometric indicators of obesity in screening for high risk of coronary heart disease. Int J Obes (Lond). 2009; 33(5): 568-76[DOI][PubMed]
  • 6. Waist circumference and waist-hip ratio 2008;
  • 7. Rahman M, Berenson AB. Accuracy of current body mass index obesity classification for white, black, and Hispanic reproductive-age women. Obstet Gynecol. 2010; 115(5): 982-8[DOI][PubMed]
  • 8. W. H. O. Expert Consultation . Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363(9403): 157-63[DOI][PubMed]
  • 9. Suchanek P, Kralova Lesna I, Mengerova O, Mrazkova J, Lanska V, Stavek P. Which index best correlates with body fat mass: BAI, BMI, waist or WHR? Neuro Endocrinol Lett. 2012; 33 Suppl 2: 78-82[PubMed]
  • 10. Goh VH, Tain CF, Tong TY, Mok HP, Wong MT. Are BMI and other anthropometric measures appropriate as indices for obesity? A study in an Asian population. J Lipid Res. 2004; 45(10): 1892-8[DOI][PubMed]
  • 11. Misra A. Revisions of cutoffs of body mass index to define overweight and obesity are needed for the Asian-ethnic groups. Int J Obes Relat Metab Disord. 2003; 27(11): 1294-6[DOI][PubMed]
  • 12. The Asia-Pacific perspective: redefining obesity and its treatment. 2000;
  • 13. Reaven GM. The metabolic syndrome: requiescat in pace. Clin Chem. 2005; 51(6): 931-8[DOI][PubMed]
  • 14. Deurenberg P, Ge K, Hautvast JG, Wang J. Body mass index as predictor for body fat:comparison between Chinese and Dutch adult subjects. Asia Pac J Clin Nutr. 1997; 6(2): 102-5[PubMed]
  • 15. Huxley R, Barzi F, Lee CM, Lear S, Shaw J, Lam TH, et al. Waist circumference thresholds provide an accurate and widely applicable method for the discrimination of diabetes. Diabetes Care. 2007; 30(12): 3116-8[DOI][PubMed]
  • 16. Obesity in Asia C. Is central obesity a better discriminator of the risk of hypertension than body mass index in ethnically diverse populations? J Hypertens. 2008; 26(2): 169-77[DOI][PubMed]
  • 17. Lear SA, James PT, Ko GT, Kumanyika S. Appropriateness of waist circumference and waist-to-hip ratio cutoffs for different ethnic groups. Eur J Clin Nutr. 2010; 64(1): 42-61[DOI][PubMed]
  • 18. Gharipour M, Sadeghi M, Dianatkhah M, Bidmeshgi S, Ahmadi A, Tahri M, et al. The cut-off values of anthropometric indices for identifying subjects at risk for metabolic syndrome in Iranian elderly men. J Obes. 2014; 2014: 907149[DOI][PubMed]
  • 19. Hajian-Tilaki K, Heidari B, Hajian-Tilaki A, Firouzjahi A, Bagherzadeh M. The discriminatory performance of body mass index, waist circumference, waist-to-hip ratio and waist-to-height ratio for detection of metabolic syndrome and their optimal cutoffs among Iranian adults. J Res Health Sci. 2014; 14(4): 276-81[PubMed]
  • 20. Esmaillzadeh A, Mirmiran P, Azizi F. Waist-to-hip ratio is a better screening measure for cardiovascular risk factors than other anthropometric indicators in Tehranian adult men. Int J Obes Relat Metab Disord. 2004; 28(10): 1325-32[DOI][PubMed]
  • 21. Ejtahed HS, Asghari G, Mirmiran P, Hosseinpour-Niazi S, Sherafat-KazemZadeh R, Azizi F. Body mass index as a measure of percentage body fat prediction and excess adiposity diagnosis among Iranian adolescents. Arch Iran Med. 2014; 17(6): 400-5[PubMed]
  • 22. Romero-Corral A, Somers VK, Sierra-Johnson J, Thomas RJ, Collazo-Clavell ML, Korinek J, et al. Accuracy of body mass index in diagnosing obesity in the adult general population. Int J Obes (Lond). 2008; 32(6): 959-66[DOI][PubMed]
  • 23. Velazquez-Alva Mdel C, Irigoyen-Camacho ME, Huerta-Huerta R, Delgadillo-Velazquez J. A comparison of dual energy x-ray absorptiometry and two bioelectrical impedance analyzers to measure body fat percentage and fat-free mass index in a group of Mexican young women. Nutr Hosp. 2014; 29(5): 1038-46[DOI][PubMed]
  • 24. Yamada Y, Masuo Y, Nakamura E, Oda S. Inter-sport variability of muscle volume distribution identified by segmental bioelectrical impedance analysis in four ball sports. Open Access J Sports Med. 2013; 4: 97-108[DOI][PubMed]
  • 25. Yamada Y, Yamashita D, Yamamoto S, Matsui T, Seo K, Azuma Y, et al. Whole-body and segmental muscle volume are associated with ball velocity in high school baseball pitchers. Open Access J Sports Med. 2013; 4: 89-95[DOI][PubMed]
  • 26. Batterham M, Tapsell LC, Jenkins A. A comparison of bioelectrical impedance and near infra-red interactance with dual energy x-ray absorptiometry for the determination of body fat. DAA. 2002; 59(2): 120-7
  • 27. Wilson JP, Strauss BJ, Fan B, Duewer FW, Shepherd JA. Improved 4-compartment body-composition model for a clinically accessible measure of total body protein. Am J Clin Nutr. 2013; 97(3): 497-504[DOI][PubMed]
  • 28. Leahy S, O'Neill C, Sohun R, Jakeman P. A comparison of dual energy X-ray absorptiometry and bioelectrical impedance analysis to measure total and segmental body composition in healthy young adults. Eur J Appl Physiol. 2012; 112(2): 589-95[DOI][PubMed]
  • 29. Mirzazadeh A, Sadeghirad B, Haghdoost AA, Bahreini F, Kermani MR. The prevalence of obesity in Iran in recent decade; a systematic review and meta-analysis study. Iranian J Publ Health. 2009; 38(3): 1-11
  • 30. Bioelectrical impedance analysis in body composition measurement: National Institutes of Health Technology Assessment Conference Statement. Am J Clin Nutr. 1996; 64(3 Suppl): 524S-32S[PubMed]
  • 31. De Schutter A, Lavie CJ, Milani RV. The impact of obesity on risk factors and prevalence and prognosis of coronary heart disease-the obesity paradox. Prog Cardiovasc Dis. 2014; 56(4): 401-8[DOI][PubMed]
  • 32. Ul-Haq Z, Smith DJ, Nicholl BI, Cullen B, Martin D, Gill JM, et al. Gender differences in the association between adiposity and probable major depression: a cross-sectional study of 140,564 UK Biobank participants. BMC Psychiatry. 2014; 14: 153[DOI][PubMed]
  • 33. Zweig MH, Campbell G. Receiver-operating characteristic (ROC) plots: a fundamental evaluation tool in clinical medicine. Clin Chem. 1993; 39(4): 561-77[PubMed]
  • 34. Hanley JA, McNeil BJ. The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology. 1982; 143(1): 29-36[DOI][PubMed]
  • 35. McGuire S. U.S. Department of Agriculture and U.S. Department of Health and Human Services, Dietary Guidelines for Americans, 2010. 7th Edition, Washington, DC: U.S. Government Printing Office, January 2011. Adv Nutr. 2011; 2(3): 293-4[DOI][PubMed]
  • 36. Al-Lawati JA, Jousilahti P. Body mass index, waist circumference and waist-to-hip ratio cut-off points for categorisation of obesity among Omani Arabs. Public Health Nutr. 2008; 11(1): 102-8[DOI][PubMed]
  • 37. Mansour AA, Al-Jazairi MI. Cut-off values for anthropometric variables that confer increased risk of type 2 diabetes mellitus and hypertension in Iraq. Arch Med Res. 2007; 38(2): 253-8[DOI][PubMed]
  • 38. Lin WY, Lee LT, Chen CY, Lo H, Hsia HH, Liu IL, et al. Optimal cut-off values for obesity: using simple anthropometric indices to predict cardiovascular risk factors in Taiwan. Int J Obes Relat Metab Disord. 2002; 26(9): 1232-8[DOI][PubMed]
  • 39. Ko GT, Chan JC, Cockram CS, Woo J. Prediction of hypertension, diabetes, dyslipidaemia or albuminuria using simple anthropometric indexes in Hong Kong Chinese. Int J Obes Relat Metab Disord. 1999; 23(11): 1136-42[PubMed]
  • 40. McGinn TG, Guyatt GH, Wyer PC, Naylor CD, Stiell IG, Richardson WS. Users' guides to the medical literature: XXII: how to use articles about clinical decision rules. Evidence-Based Medicine Working Group. JAMA. 2000; 284(1): 79-84[PubMed]
  • 41. Peltz G, Aguirre MT, Sanderson M, Fadden MK. The role of fat mass index in determining obesity. Am J Hum Biol. 2010; 22(5): 639-47[DOI][PubMed]
  • 42. Bray G. What is the ideal body weight? J Nutr Biochem. 1998; 9(9): 489-92
  • 43. Ode JJ, Pivarnik JM, Reeves MJ, Knous JL. Body mass index as a predictor of percent fat in college athletes and nonathletes. Med Sci Sports Exerc. 2007; 39(3): 403-9[DOI][PubMed]
  • 44. Lisko I, Tiainen K, Stenholm S, Luukkaala T, Hervonen A, Jylha M. Body mass index, waist circumference, and waist-to-hip ratio as predictors of mortality in nonagenarians: the Vitality 90+ Study. J Gerontol A Biol Sci Med Sci. 2011; 66(11): 1244-50[DOI][PubMed]
  • 45. Mandel D, Zimlichman E, Mimouni FB, Grotto I, Kreiss Y. Height-related changes in body mass index: a reappraisal. J Am Coll Nutr. 2004; 23(1): 51-4[PubMed]
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