Pawel Macek1,2, Malgorzata Biskup1,3, Malgorzata Terek-Derszniak3, Michal Stachura4, Halina Krol1,5, Stanislaw Gozdz1,6, Marek Zak1. 1. Department of Physical Activity, Posturology, and Gerontology, Institute of Health Sciences, Collegium Medicum, The Jan Kochanowski University, Kielce, Poland. 2. Department of Epidemiology and Cancer Control, Holycross Cancer Centre, Kielce, Poland. 3. Department of Rehabilitation, Holycross Cancer Centre, Kielce, Poland. 4. Department of Economics and Finance, Faculty of Law and Social Sciences, The Jan Kochanowski University, Kielce, Poland. 5. Clinical Oncology Clinic, Holycross Cancer Centre, Kielce, Poland. 6. Research and Education Department, Holycross Cancer Centre, Kielce, Poland.
Abstract
BACKGROUND: Reliable obesity assessment is essential in evaluating the risk of cardiovascular risk factors (CRFs). Non-availability of clearly defined cut-offs for body fat percentage (BF%), as well as a widespread application of surrogate measures for obesity assessment, may result in incorrect prediction of cardio-metabolic risk. PURPOSE: The study aimed to determine optimal cut-off points for BF%, with a view of predicting the CRFs related to obesity. PATIENTS AND METHODS: The study involved 4735 (33.6% of men) individuals, the Polish-Norwegian Study (PONS) participants, aged 45-64. BF% was measured with the aid of bioelectrical impedance analysis (BIA) method. The gender-specific cut-offs of BF% were found with respect to at least one CRF. A P-value approach, and receiver operating characteristic curve analyses were pursued for BF% cut-offs, which optimally differentiated normal from the risk groups. The associations between BF% and CRFs were determined by logistic regression models. RESULTS: The cut-offs for BF% were established as 25.8% for men and 37.1% for women. With the exception of dyslipidemia, in men and women whose BF% was above the cut-offs, the odds for developing CRFs ranged 2-4 times higher than those whose BF% was below the cut-offs. CONCLUSION: Controlling BF% below the thresholds indicating an increased health hazard may be instrumental in appreciably reducing overall exposure to developing cardio-metabolic risk.
BACKGROUND: Reliable obesity assessment is essential in evaluating the risk of cardiovascular risk factors (CRFs). Non-availability of clearly defined cut-offs for body fat percentage (BF%), as well as a widespread application of surrogate measures for obesity assessment, may result in incorrect prediction of cardio-metabolic risk. PURPOSE: The study aimed to determine optimal cut-off points for BF%, with a view of predicting the CRFs related to obesity. PATIENTS AND METHODS: The study involved 4735 (33.6% of men) individuals, the Polish-Norwegian Study (PONS) participants, aged 45-64. BF% was measured with the aid of bioelectrical impedance analysis (BIA) method. The gender-specific cut-offs of BF% were found with respect to at least one CRF. A P-value approach, and receiver operating characteristic curve analyses were pursued for BF% cut-offs, which optimally differentiated normal from the risk groups. The associations between BF% and CRFs were determined by logistic regression models. RESULTS: The cut-offs for BF% were established as 25.8% for men and 37.1% for women. With the exception of dyslipidemia, in men and women whose BF% was above the cut-offs, the odds for developing CRFs ranged 2-4 times higher than those whose BF% was below the cut-offs. CONCLUSION: Controlling BF% below the thresholds indicating an increased health hazard may be instrumental in appreciably reducing overall exposure to developing cardio-metabolic risk.
Authors: Kathryn A Britton; Joseph M Massaro; Joanne M Murabito; Bernard E Kreger; Udo Hoffmann; Caroline S Fox Journal: J Am Coll Cardiol Date: 2013-07-10 Impact factor: 24.094
Authors: Katherine M Flegal; John A Shepherd; Anne C Looker; Barry I Graubard; Lori G Borrud; Cynthia L Ogden; Tamara B Harris; James E Everhart; Nathaniel Schenker Journal: Am J Clin Nutr Date: 2008-12-30 Impact factor: 7.045
Authors: Jennifer L Rodgers; Jarrod Jones; Samuel I Bolleddu; Sahit Vanthenapalli; Lydia E Rodgers; Kinjal Shah; Krishna Karia; Siva K Panguluri Journal: J Cardiovasc Dev Dis Date: 2019-04-27