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http://dx.doi.org/10.5352/JLS.2010.20.1.009

Cutoff Values of Body Mass Index and Body Fat Measures for Metabolic Syndrome in Korean Population  

Lee, Hyun-Jae (Department of Occupational and Environmental Medicine, College of Medicine, Dong-A University)
Kim, Byoung-Gwon (Department of Preventive Medicine, College of Medicine, Dong-A University)
Kim, Joon-Youn (Department of Preventive Medicine, College of Medicine, Dong-A University)
Kim, Jung-Man (Department of Preventive Medicine, College of Medicine, Dong-A University)
Yoo, Byung-Chul (Department of Preventive Medicine, College of Medicine, Kosin University)
Kim, Eun-Jeong (Department of Preventive Medicine, College of Medicine, Dong-A University)
Hong, Young-Seoub (Department of Preventive Medicine, College of Medicine, Dong-A University)
Publication Information
Journal of Life Science / v.20, no.1, 2010 , pp. 9-16 More about this Journal
Abstract
This study investigated cut-off values of body mass index (BMI) and body fat measures for metabolic syndrome (MS) in elderly Koreas. Questionnaire surveys, anthropometric measurements, medical examinations, and body composition analyses were conducted for 10,077 subjects aged 40-65 years in the health examinee cohort in Korea between 2004 and 2006. Cut-off values were identified using receiver-operating characteristic (ROC) curve analysis for both men and women. Stratified analyses by weight range (<60, 60-69, 70-79, and 80-89, ${\geq}90\;kg$ for men; <50, 50-59, 60-69, 70-79, ${\geq}80\;kg$ for women) were conducted. Among male subjects, the cut-off points were $25.5\;kg/m^2$ for BMI with a sensitivity of 70.0% and a specificity of 72.0%, and 26.1% for body fat percentage with a sensitivity of 60.6% and a specificity of 76.4%. Among female subjects, the cutoff points were $24.1\;kg/m^2$ for BMI with a sensitivity of 73.3% and a specificity of 68.8%, and 31.5% for body fat percentage with a sensitivity of 76.7% and a specificity of 65.6%. Stratified analysis by weight range showed that the cutoff points of BMI and body fat measures tended to higher as weight level increased. The results of our study suggest cut-off values of BMI and body fat measure for MS were similar to the general obesity criteria in Korea.
Keywords
Metabolic syndrome; body mass index; body fat; cut-off;
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