Obesity classification in military personnel: a comparison of body fat, waist circumference, and body mass index measurements

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dc.contributor.author Heinrich, Katie M.
dc.contributor.author Jitnarin, Nattinee
dc.contributor.author Suminski, Richard R.
dc.contributor.author Berkel, LaVerne
dc.contributor.author Hunter, Christine M.
dc.contributor.author Alvarez, Lisa
dc.contributor.author Brundige, Antionette R.
dc.contributor.author Peterson, Alan L.
dc.contributor.author Foreyt, John P.
dc.contributor.author Haddock, C. Keith
dc.contributor.author Poston, Walker S. Carlos
dc.date.accessioned 2012-11-27T20:08:47Z
dc.date.available 2012-11-27T20:08:47Z
dc.date.issued 2012-11-27
dc.identifier.uri http://hdl.handle.net/2097/15069
dc.description.abstract Objective: To evaluate obesity classifications from body fat percentage (BF%), body mass index (BMI), and waist circumference (WC). Methods: 451 overweight/obese active duty military personnel completed all three assessments. Results: Most were obese (men=81%; women=98%) using National Institutes of Health (NIH) BF% standards (men>25%; women>30%). Using the higher World Health Organization (WHO) BF>35% standard, 86% of women were obese. BMI (55.5% and 51.4%) and WC (21.4% and 31.9%) obesity rates were substantially lower for men and women, respectively; p<0.05. BMI/WC were accurate discriminators for BF%-obesity (Θ for all comparisons>0.75, p<0.001). Optimal cut-points were lower than NIH/WHO standards; WC=100cm and BMI=29 maximized sensitivity and specificity for men, and WC=79cm and BMI=25.5 (NIH) or WC=83cm and BMI=26 (WHO) maximized sensitivity and specificity for women. Conclusion: Both WC and BMI measures had high rates of false negatives compared to BF%. However, at a population-level, WC/BMI are useful obesity measures, demonstrating fair-to-high discriminatory power. en_US
dc.language.iso en_US en_US
dc.relation.uri http://www.ingentaconnect.com/content/amsus en_US
dc.rights Permission to archive granted by AMSUS, November 19, 2012. en_US
dc.subject Military personnel en_US
dc.subject Obesity en_US
dc.subject Body composition en_US
dc.subject Body fat percentage en_US
dc.subject Body mass index en_US
dc.subject Waist circumference en_US
dc.subject ROC curves en_US
dc.title Obesity classification in military personnel: a comparison of body fat, waist circumference, and body mass index measurements en_US
dc.type Article (author version) en_US
dc.date.published 2008 en_US
dc.citation.epage 73 en_US
dc.citation.issue 1 en_US
dc.citation.jtitle Military Medicine: International Journal of AMSUS en_US
dc.citation.spage 67 en_US
dc.citation.volume 173 en_US
dc.contributor.authoreid kmhphd en_US


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