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Cutoff points of BMI for classification of nutritional status using bioelectrical impedance analysis Cover

Cutoff points of BMI for classification of nutritional status using bioelectrical impedance analysis

Open Access
|Aug 2018

Figures & Tables

Figure 1

Subject distribution (%) according to the ranges of classification of nutritional status proposed by the body mass index (kg/m2) and divided by gender.
Subject distribution (%) according to the ranges of classification of nutritional status proposed by the body mass index (kg/m2) and divided by gender.

Figure 2

Cut-off point of the traditional BMI for the detection of obesity in men and women of the sample studied, considering percentages of body fat for the classification of overweight and obesity of 20% and 25% and 30% and 35% for men and women, respectively.
Cut-off point of the traditional BMI for the detection of obesity in men and women of the sample studied, considering percentages of body fat for the classification of overweight and obesity of 20% and 25% and 30% and 35% for men and women, respectively.

Figure 3

Number of individuals (%) classified as obese accordig to 3 different criteria: BMI higher than 30 kg/m2 for men and women, fat mass (%) higher than 25% for men and 35% for women, and new cutoff points for the BMI of 27.15 kg/m2 for men and 27.02 kg/m2 for women.
Number of individuals (%) classified as obese accordig to 3 different criteria: BMI higher than 30 kg/m2 for men and women, fat mass (%) higher than 25% for men and 35% for women, and new cutoff points for the BMI of 27.15 kg/m2 for men and 27.02 kg/m2 for women.

Comparative summary of studies proposing new cutoff points for the BMI for the classification of overweight/obesity in men and women_

ReferenceCountrynBMI cutoff points Men (kg/m2)BMI cutoff points Women (kg/m2)
Deurenberg-Yap et al. (2000)Singapore29126.0 to 27.026.0 to 27.0
Frankenfield et al. (2001)US14122.620.1
Ko et al. (2001)China515323.0 – 26.023.0 – 26.0
Dudeja et al. (2001)India12321.519.0
Oh et al. (2004)Korea77391525.025.0
Kagawa et al. (2006)Japan139-23.0
Bozkirli et al. (2007)Turkey90928.2428.02
Romero-Corral et al. (2008)US1360125.825.5
Laughton et al. (2009)Canada7722.122.1
Mialich et al. (2011)Brazil20021.84 – 26.1122.0 – 25.3
Gupta and Kapoor (2012)India57822.9 – 28.822.9 – 28.8
Gómez-Ambrozi et al. (2012)Spain612329.027.0
Laurson et al. (2011)US826883rd percentile80th percentile
Mialich et al. (2014)Brazil50128.3825.24
PRESENT STUDYBrazil130127.1527.03

Correspondence between the cutoff points of the BMI (kg/m2) and body fat ranges (%) according to Gallagher et al (2000)_

Fat mass (%)BMI (kg/2)Total
< 18.518.5 – 24.925 – 29.9≥ 30.0
Men (%)
< 83.1 (12)4.6 (18)0.5 (2)0 (0)8.3 (32)
8–203.9 (15)29.3 (113)11.6 (45)1.8 (7)46.6 (180)
20 – 250.5 (2)6.7 (26)10.1 (39)2.8 (11)20.2 (78)
> 250.3 (1)4.4 (17)10.4 (40)9.8 (38)24.8 (96)
Total7.8 (30)45.0 (174)32.6 (126)14.5 (56)100 (386)
Women (%)
< 214.9 (45)7.3 (67)0.1 (1)0 (0)12.3 (113)
21 – 332.5 (23)39.9 (365)5.2 (48)0.7 (7)48.4 (443)
33– 390 (0)5.3 (49)10.5 (96)2.8 (26)18.7 (171)
≥ 390 (0)1.0 (9)6.4 (59)13.1 (120)20.5 (188)
Total7.4 (68)53.5 (490)22.3 (204)16.7 (153)100 (915)

Anthropometric and body composition characterization of the study sample_

VariableTotalMalesFemalesP value
N13013869150.3033
Age (years)35.7±17.636.5±17.635.4±17.6<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Weight (kg)67.6±16.075.8±15.964.2±14.8<0.0001*
Height (cm)164.9±9.5173.9±8.2161.1±7.10.5471
BMI (kg/m2)24.9±5.525.0±4.624.8±5.8<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Total FM (%)27.6±10.019.4±7.631.0±8.8<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Left arm FM (kg)28.6±11.920.0±11.632.3±10.0<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Right armFM (kg)27.4±10.818.5±6.431.2±10.1<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Right leg FM (kg)30.8±11.517.7±7.636.3±7.9<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Left leg FM (kg)30.6±10.918.5±7.635.7±7.6<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Trunk FM25.2±10.120.5±8.727.3±9.9<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Total FFM (kg)45.8±10.257.3±9.841.0±5.3<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Left arm FFM (%)2.4±0.83.2±0.72.0±0.4<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Right arm FFM (%)2.4±0.73.2±0.72.0±0.4<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Right leg FFM (%)7.8±1.99.9±1.96.9±1.0<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Left leg FFM (%)7.6±1.89.7±1.86.8±0.9<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Trunk FFM25.6±5.431.1±5.623.2±3.1<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

TBW (%)52.8±7.557.7±7.250.7±6.6<0.0001

Data are expressed as mean ± standard deviation and the p value was calculated by the Student t-test, with p< 0.05 indicating a statistically significant difference between males and females

Language: English
Page range: 24 - 30
Submitted on: Jul 11, 2017
Published on: Aug 16, 2018
Published by: University of Oslo
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2018 Mirele S. Mialich, Bruna R. Silva, Alceu A. Jordao, published by University of Oslo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.