Relation between Body Mass Index and Body Fat in Black Population Samples from Nigeria, Jamaica, and the United States
Abstract
Body mass index (BMI) is the most commonly used measure of obesity. Recently, some investigators have advocated direct measurement of adiposity rather than use of the BMI. This study was undertaken to determine the ability of BMI to predict body fat levels in three populations of West African heritage living in different environments. A total of 1,054 black men and women were examined in Nigeria, Jamaica, and the United States during 1994 and 1995. A standardized protocol was used to measure height, weight, waist and hip circumferences, and blood pressure at all sites; percentage of body fat was estimated using bioelectrical impedance analysis. Percentage of body fat and BMI were highly correlated within site- and sex-specific groups, and the resulting r2 ranged from 0.61 to 0.85. The relation was quadratic in all groups except Nigerian men, in whom it was linear. The regression coefficients were similar across sites, yet the mean body fat levels differed significantly (p < 0.001) as estimated by the intercept, making intersite comparison difficult. Compared with BMI, percentage of body fat was not a better predictor of blood pressure or waist or hip circumference.
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The study tested its equations against earlier published BIA equations whose development samples Dioum et al. assumed included at least some black participants.
“Performance of developed equations for the prediction of FFM was also tested using all available data (n=362) against previously published equations derived using participant samples which were assumed by Dioum et al. to consist of at least some ethnically black participants (5, 24–32).”
From Prediction of fat-free mass using bioelectrical impedance analysis in young adults from five populations of African origin (2013) · cites this paper as [26]
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- Authors
- Luke, A., Durazo-Arvizu, R., Rotimi, C., Prewitt, T. E., Forrester, T., Wilks, R., Ogunbiyi, O. J., Schoeller, D. A., McGee, D., & Cooper, R. S.
- Affiliations
- Loyola University Chicago (US)
- University of the West Indies (JM)
- University of Ibadan (NG)
- University of Chicago (US)
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 1997-04-01
- Volume
- 145
- Issue
- 7
- Pages
- 620-628
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- OpenAlex
- W2049205904
- Cited by
- 186
- References
- 32
- Citations by year
- 2025: 2 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 5 · 2017: 15 · 2016: 9 · 2015: 8 · 2014: 6 · 2013: 9 · 2012: 5
- FWCI
- 4.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Epidemiology (publishedVersion)
- PubMed (publishedVersion)
- Civil War Book Review (submittedVersion)
- Funders
- University of Chicago
- National Institutes of Health (5r01hl051508-05, 5p30dk026678-20)
- National Heart, Lung, and Blood Institute (HL45508, HL 51508)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK-26678)
- Topics
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- 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
- Keywords
- body mass index, body fat percentage, adiposity measurement, obesity, bioelectrical impedance analysis, cross-cultural comparison, blood pressure, waist and hip circumference, Nigerian population, Jamaican population, United States population
- MeSH terms
- Adult, Black or African American, Body Composition, Female, Humans, Jamaica, Male, Middle Aged, Nigeria, Obesity, United States, Body Mass Index, Cluster Analysis, Linear Models, Electric Impedance, Age Distribution, Sex Distribution, Black People
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