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Cited by 265Obesity, Physical Activity, DietDiabetes, Cardiovascular Risks, and LipoproteinsBody Composition Measurement Techniques

Using appropriate body mass index cut points for overweight and obesity among Asian Americans

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Jih, Jane, Mukherjea, Arnab, Vittinghoff, Eric, Nguyen, Tung T., Tsoh, Janice Y., Fukuoka, Yoshimi, Bender, Melinda S., Tseng, Winston +1 more·2014·Preventive Medicine
DOI 10.1016/j.ypmed.2014.04.010PMC PMC4217157
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Abstract

Objective Asian Americans have low prevalence of overweight/obesity based on standard BMI cut points yet have higher rates of diabetes. We examined the prevalence of overweight/obesity, using lower BMI cut points recommended by the World Health Organization (WHO) for Asians, and diabetes in Asian American subgroups in California. Method Secondary analysis of the 2009 adult California Health Interview Survey (n=45,946) of non-Hispanic Whites (NHW), African Americans, Hispanics and Asians (Vietnamese, Chinese, Korean, Filipino, South Asian and Japanese). WHO Asian BMI cut points (overweight=23-27.5kg/m(2); obese≥27.5kg/m(2)) were used for Asian subgroups. Standard BMI cut points (overweight=25-29.9kg/m(2); obese≥30kg/m(2)) were applied for other groups. Results Among Asian subgroups, overweight/obesity was highest among Filipinos (78.6%), which was higher than NHWs (p<0.001) but similar to African Americans and Hispanics. Compared to NHW, diabetes prevalence was higher for Vietnamese, Koreans, Filipinos and South Asians with BMI=23-24.9kg/m(2) and Koreans, Filipinos and Japanese with BMI=27.5-29.9kg/m(2), the ranges WHO recommends as overweight or obese for Asians but not for other groups. Conclusions Filipinos should be a priority population for overweight/obesity screening. Filipinos, Vietnamese, Korean, South Asians and Japanese have higher diabetes prevalence at lower BMI cut points. WHO Asian BMI cut points may have clinical utility to identify at-risk Asian Americans.

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  • A study of 5344 participants aged >55 years old suggested that the benefits of physical activity may compensate to some extent for the adverse predictions of a higher BMI.

    “A study of 5344 participants aged >55 years old suggested that the benefits of physical activity may compensate to some extent for the adverse predictions of a higher BMI [44].”

    From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [44]

    The Methods (Study design and sample; page unavailable) describe adults aged 18 and older, while the Discussion addresses BMI cut points and metabolic risk. Searches for “5344,” “physical activity,” and activity offsetting the effects of higher BMI found no passage reporting the claimed study or finding. (LLM, conf=0.76)

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  1. American Medical Association 2013 AMA Adopts New Policies on Second Day of Voting at Annual Meeting American Medical Association Available from: < http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-18-new-ama-policies-annual-meeting.page> Accessed October 2, 2013

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Authors
Jih, J., Mukherjea, A., Vittinghoff, E., Nguyen, T. T., Tsoh, J. Y., Fukuoka, Y., Bender, M. S., Tseng, W., & Kanaya, A. M.
Affiliations
  • University of California, San Francisco (US)
  • University of California, Berkeley (US)
Corresponding author
Jih, Jane
ORCID
Venue
Preventive Medicine
Publisher
Elsevier BV
Published
2014-08
Volume
65
Pages
1-6
ISSN
0091-7435 (ISSN-L)
DOI
10.1016/j.ypmed.2014.04.010
PMC
PMC4217157
OpenAlex
W2053405913
Cited by
264
References
55
Citations by year
2026: 22 · 2025: 30 · 2024: 33 · 2023: 23 · 2022: 29 · 2021: 22 · 2020: 23 · 2019: 18 · 2018: 18 · 2017: 9 · 2016: 24 · 2015: 10 · 2014: 2 · 2013: 1
FWCI
14.93
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Preventive Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
Ruth L. Kirschstein National Research Service Award (T32HP19025)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
Keywords
Asian Americans, body mass index, overweight, obesity, diabetes prevalence, ethnic subgroups, Filipino Americans, obesity screening, California Health Interview Survey
MeSH terms
Adult, Asian, Black or African American, California, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Humans, Male, Middle Aged, Obesity, Reference Values, Time Factors, World Health Organization, Body Mass Index, Prevalence, White People, Asian People, Overweight

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