Misclassification of cardiometabolic health when using body mass index categories in NHANES 2005–2012
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In a study of 40,420 US persons aged >18 years, modeled results suggested that >70 million US adults would be misclassified as cardiometabolically healthy or unhealthy by BMI.
“In a study of 40,420 persons aged >18 years in the US, researchers used nutritional status measures, including cholesterol and glucose, to determine whether subjects were at risk of cardiometabolic health disease by comparing their predictive values with BMI; modeled results suggested that >70 million US adults would be misclassified as cardiometabolically healthy or unhealthy by BMI [52].”
From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [52]
Basing an obesity diagnosis solely on BMI can be inaccurate and may incur discriminatory and costly patient consequences.
“Basing an obesity diagnosis solely on BMI can be inaccurate and may incur discriminatory and costly patient consequences, as when employers increase employees’ health insurance costs if the BMI is above a given threshold [52].”
From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [52]
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References 20 · Cited by 349
Research works printed but not linked: 12
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- Authors
- Tomiyama, A. J., Hunger, J. M., Nguyen-Cuu, J., & Wells, C.
- Affiliations
- University of California, Los Angeles (US)
- University of California, Santa Barbara (US)
- Corresponding author
- Tomiyama, A J
- Venue
- International Journal of Obesity
- Published
- 2016-02-04
- Volume
- 40
- Issue
- 5
- Pages
- 883-886
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2302257680
- Cited by
- 349
- References
- 20
- Citations by year
- 2026: 24 · 2025: 31 · 2024: 36 · 2023: 51 · 2022: 39 · 2021: 26 · 2020: 31 · 2019: 28 · 2018: 41 · 2017: 27 · 2016: 14
- FWCI
- 36.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- cardiometabolic health, body mass index, metabolically healthy obesity, overweight, obesity, Equal Employment Opportunity Commission, sex differences, racial differences, NHANES, C-reactive protein, insulin resistance, serum lipids, blood glucose
- MeSH terms
- Adult, Cardiovascular Diseases, Female, Humans, Insurance, Health, Male, Nutrition Surveys, Obesity, United States, Bias, Body Mass Index, Insurance Coverage, Metabolic Syndrome, Electronic Health Records
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