BACKGROUND: Mexico has a high prevalence of short stature (SS) population; thus, body mass index (BMI) criteria for diagnosis of obesity should be different from that in a tall stature (TS) population. The aim of this study was to determine whether SS at the same BMI would have greater body fat mass than those with TS. METHODS: We studied 116 individuals, 58 with SS (women < or =1.50 m and men < or =1.60 m) matched by gender, age (+/-5 years), and BMI (+/-2). Body fat was measured by bioelectrical impedance analysis. RESULTS: Paired comparisons between matched subjects showed that SS have greater body fat percentage than TS (Delta = 1.40%, p = 0.04). Subjects with BMI > or =25 and SS showed higher difference (Delta = 4.2%, p = 0.004) in body fat percentage. Subjects with SS have more body fat percentage than TS. CONCLUSIONS: This finding supports the hypothesis that in SS population BMI for diagnosis of obesity must be re-evaluated; from these results, we propose that diagnosis of obesity in SS be from BMI of 25.
BACKGROUND: Mexico has a high prevalence of short stature (SS) population; thus, body mass index (BMI) criteria for diagnosis of obesity should be different from that in a tall stature (TS) population. The aim of this study was to determine whether SS at the same BMI would have greater body fat mass than those with TS. METHODS: We studied 116 individuals, 58 with SS (women < or =1.50 m and men < or =1.60 m) matched by gender, age (+/-5 years), and BMI (+/-2). Body fat was measured by bioelectrical impedance analysis. RESULTS: Paired comparisons between matched subjects showed that SS have greater body fat percentage than TS (Delta = 1.40%, p = 0.04). Subjects with BMI > or =25 and SS showed higher difference (Delta = 4.2%, p = 0.004) in body fat percentage. Subjects with SS have more body fat percentage than TS. CONCLUSIONS: This finding supports the hypothesis that in SS population BMI for diagnosis of obesity must be re-evaluated; from these results, we propose that diagnosis of obesity in SS be from BMI of 25.
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