BibTex RIS Cite

-

Year 2003, Volume: 4 Issue: 2, 15 - 18, 01.08.2003

Abstract

-

References

  • 1. Flier JS, Foster DW. Eating disorders: Obesity, anorexia nervosa, and bulimia nervosa. In: Wilson JD, Foster DW, Kronenberg HM, Larsen PR (eds). Williams Textbook of Endocrinology. 9 ed. WB Saunders Company, 1998: 1061-97.
  • 2. Molarius A, Seidell JC, Sans S, Tuomilehto J, Kuulasmaa K. Educational level and relative body weight and changes in their associations over ten yearsan international perspective from the WHO MONICA project.Am J Public Health 2000; 90: 1260-8.
  • 3. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960-1994. Int J Obes 1998; 22: 39-47.
  • 4. WHO Expert Committee. Physical status: the use and interpretation of anthropometry. WHO Technical Report Series no.854, 1995.
  • 5. Durnin JVGA, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72. Br J Nutr 1974; 32: 77-97.
  • 6. Lean MEJ, Han TS, Deurenberg P. Predicting body composition by body density from simple anthropometric measurements. Am J Clin Nutr 1996; 63: 4-14.
  • 7. Lean MEJ, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ 1995; 311: 158-61.
  • 8. Pouliot MC, Despres JP, Lemieux SL et al. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women.Am J Cardiol 1994; 73: 460-8.
  • 9. Han TS, van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ 1995; 311: 1401-5.
  • 10. Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Obesity, fat ditribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care 1994; 17: 961-9.
  • 11. Kabalak T. Obezite, metabolik sendrom. Kabalak T, Yýlmaz C, Tüzün M (ed.ler). Endokrinoloji El Kitabý, Birinci baský. Ýzmir: Güven ve Nobel Týp Kitabevleri, 2001: 691-700.
  • 12. Gray DS, Bray GA, Gemayel N, Kaplan K. Effect of obesity on bioelectrical impedance. Am J Clin Nutr 1989; 50: 255-60.
  • 13. Chumlea WC, Guo SS. Bioelectrical impedance and body composition: present status and future directions. Nutr Rev 1994; 52: 123-31.
  • 14. Hortobagyi T, Israel RG, O'Brien KF. Sensitivity and specificity of the Quetelet index to assess obesity in men and women. Eur J Clin Nutr 1994; 48: 369-75.
  • 15. Fuller N, Jebb SA, Laskey M, Coward W, Elia M. Four component model for the assessment of body composition in humans: comparison with alternative methods and evaluation of the density and hydration of fat free mass. Clinical Science 1992; 82: 687-93.
  • 16. Kissebah AH, Vydelingum N, Murray R. Relation of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 1982; 54: 254-60.
  • 17. Donahue RP, Abbot RD, Bloom E, Reed DM, Yano K. Central obesity and coronary heart disease in men. Lancet 1987; 1: 821-4.
  • 18. Ducimetiere P, Richard J, Cambien F. The pattern of subcutaneous fat distribution in middle-aged men and the risk of coronary heart disease: the Paris prospective study. Int J Obes 1986; 10: 229-40.
  • 19. Seidell J, Oosterlee A, Deurenberg P. Abdominal fat depots measured with computed tomography: effects of degree of obesity, sex and age. Eur J Clin Nutr 1988; 42: 802-15.
  • 20. Sung RYT, Lau P, Yu CW, Lam PKW, Nelson EAS. Measurement of body fat using leg to leg bioimpedance.Archives of Disease in Childhood 2001; 85: 263-7.
  • 21. De Lorenzo A, Sorge RP, Candeloro N, Di Campli C, Sesti G, Lauro R. New insights into body composition assessment in obese women. Can J Physiol Pharmacol 1999; 77: 17-21.
  • 22. Roubenoff R, Dallal GE, Wilson PW. Predicting body fatness: the body mass index vs. estimation by bioelectrical impedance. Am J Public Health 1995; 85: 726-8.
  • 23. Uccioli L, Fleury M, De Gregorio M, Spilabotte S, Pennica M, Maiello MR, Gatta R, Felici MG, Menzinger G. Can the Body Mass Index and the waist:hips ratio (WHR) affect the correlation between impedance measurement and anthropometry in the evaluation of body composition? Minerva Endocrinol 1990; 15: 251-5.
  • 24. Kyle UG, Genton L, Pichard C. Body composition: what's new? Curr Opin Clin Nutr Metab Care 2002; 5: 427-33.
  • 25. Frankenfield DC, Rowe WA, Cooney RN, Smith JS, Becker D. Limits of body mass index to detect obesity and predict body composition. Nutrition 2001; 17: 26- 30.

Comparison Of Bioelectrical Impedance And The Other Methods Used For Diagnosis Of Obesity

Year 2003, Volume: 4 Issue: 2, 15 - 18, 01.08.2003

Abstract

Objective: Several methods are being used for the diagnostic evaluation of obesity. Body mass index (BMI) is the most commonly used method. Various other methods such as waist circumference, waist/hip ratio and skinfold thickness measurements are also of use. Bioelectrical impedance is an easy and non-invasive method that provides a reliable estimate of total body fat and fat free mass. The purpose of this study was to make a comparative evaluation of these various methods. Materials and methods: 140 patients (age: 41.8±11.8 yr) admitted to the hospital for obesity were included in the study. Body mass index, waist circumference, waist/hip ratio and skinfold thickness measurements at biceps, triceps and subscapular regions were evaluated. Body fat ratio and fat mass were measured with bioelectrical impedance. Results: Mean body mass index was 35.5±5.4kg/m2. Sum of skinfold thickness of triceps and subscapular region was found to be increased in 116 patients (82.8%) and normal in 24 patients (17.1%). While the waist/hip ratio was found to be increased in 71 patients (50.7%); in 8 patients (5.7%) were within normal range, 22 patients (15.7%) showed increased risk and 107 patients (76.4%) had high risk according to weist circumference. Body fat ratio with bioelectric impedance was evaluated as normal in 8 patients (5.7%), borderline in 9 patients (6.4%) and high in 123 patients (87.9%). Body fat ratio with bioelectric impedance correlated with body mass index, waist circumference and skinfold thickness (p<0.001),but didnot correlatewithwaist/hip ratio (p>0.05). Conclusion: We conclude that body mass index and bioelectric impedance are important methods in the diagnosis of obesity, and the use of waist circumference in addition to these methods to evaluate the abdominal obesity may also be useful.

References

  • 1. Flier JS, Foster DW. Eating disorders: Obesity, anorexia nervosa, and bulimia nervosa. In: Wilson JD, Foster DW, Kronenberg HM, Larsen PR (eds). Williams Textbook of Endocrinology. 9 ed. WB Saunders Company, 1998: 1061-97.
  • 2. Molarius A, Seidell JC, Sans S, Tuomilehto J, Kuulasmaa K. Educational level and relative body weight and changes in their associations over ten yearsan international perspective from the WHO MONICA project.Am J Public Health 2000; 90: 1260-8.
  • 3. Flegal KM, Carroll MD, Kuczmarski RJ, Johnson CL. Overweight and obesity in the United States: prevalence and trends, 1960-1994. Int J Obes 1998; 22: 39-47.
  • 4. WHO Expert Committee. Physical status: the use and interpretation of anthropometry. WHO Technical Report Series no.854, 1995.
  • 5. Durnin JVGA, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72. Br J Nutr 1974; 32: 77-97.
  • 6. Lean MEJ, Han TS, Deurenberg P. Predicting body composition by body density from simple anthropometric measurements. Am J Clin Nutr 1996; 63: 4-14.
  • 7. Lean MEJ, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ 1995; 311: 158-61.
  • 8. Pouliot MC, Despres JP, Lemieux SL et al. Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women.Am J Cardiol 1994; 73: 460-8.
  • 9. Han TS, van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ 1995; 311: 1401-5.
  • 10. Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Obesity, fat ditribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care 1994; 17: 961-9.
  • 11. Kabalak T. Obezite, metabolik sendrom. Kabalak T, Yýlmaz C, Tüzün M (ed.ler). Endokrinoloji El Kitabý, Birinci baský. Ýzmir: Güven ve Nobel Týp Kitabevleri, 2001: 691-700.
  • 12. Gray DS, Bray GA, Gemayel N, Kaplan K. Effect of obesity on bioelectrical impedance. Am J Clin Nutr 1989; 50: 255-60.
  • 13. Chumlea WC, Guo SS. Bioelectrical impedance and body composition: present status and future directions. Nutr Rev 1994; 52: 123-31.
  • 14. Hortobagyi T, Israel RG, O'Brien KF. Sensitivity and specificity of the Quetelet index to assess obesity in men and women. Eur J Clin Nutr 1994; 48: 369-75.
  • 15. Fuller N, Jebb SA, Laskey M, Coward W, Elia M. Four component model for the assessment of body composition in humans: comparison with alternative methods and evaluation of the density and hydration of fat free mass. Clinical Science 1992; 82: 687-93.
  • 16. Kissebah AH, Vydelingum N, Murray R. Relation of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 1982; 54: 254-60.
  • 17. Donahue RP, Abbot RD, Bloom E, Reed DM, Yano K. Central obesity and coronary heart disease in men. Lancet 1987; 1: 821-4.
  • 18. Ducimetiere P, Richard J, Cambien F. The pattern of subcutaneous fat distribution in middle-aged men and the risk of coronary heart disease: the Paris prospective study. Int J Obes 1986; 10: 229-40.
  • 19. Seidell J, Oosterlee A, Deurenberg P. Abdominal fat depots measured with computed tomography: effects of degree of obesity, sex and age. Eur J Clin Nutr 1988; 42: 802-15.
  • 20. Sung RYT, Lau P, Yu CW, Lam PKW, Nelson EAS. Measurement of body fat using leg to leg bioimpedance.Archives of Disease in Childhood 2001; 85: 263-7.
  • 21. De Lorenzo A, Sorge RP, Candeloro N, Di Campli C, Sesti G, Lauro R. New insights into body composition assessment in obese women. Can J Physiol Pharmacol 1999; 77: 17-21.
  • 22. Roubenoff R, Dallal GE, Wilson PW. Predicting body fatness: the body mass index vs. estimation by bioelectrical impedance. Am J Public Health 1995; 85: 726-8.
  • 23. Uccioli L, Fleury M, De Gregorio M, Spilabotte S, Pennica M, Maiello MR, Gatta R, Felici MG, Menzinger G. Can the Body Mass Index and the waist:hips ratio (WHR) affect the correlation between impedance measurement and anthropometry in the evaluation of body composition? Minerva Endocrinol 1990; 15: 251-5.
  • 24. Kyle UG, Genton L, Pichard C. Body composition: what's new? Curr Opin Clin Nutr Metab Care 2002; 5: 427-33.
  • 25. Frankenfield DC, Rowe WA, Cooney RN, Smith JS, Becker D. Limits of body mass index to detect obesity and predict body composition. Nutrition 2001; 17: 26- 30.
There are 25 citations in total.

Details

Other ID JA86CB33MF
Journal Section Research Article
Authors

Engin Güney This is me

A. Gökhan Özgen This is me

Fulden Saraç This is me

Candeğer Yılmaz This is me

Taylan Kabalak This is me

Publication Date August 1, 2003
Published in Issue Year 2003 Volume: 4 Issue: 2

Cite

EndNote Güney E, Özgen AG, Saraç F, Yılmaz C, Kabalak T (August 1, 2003) Comparison Of Bioelectrical Impedance And The Other Methods Used For Diagnosis Of Obesity. Meandros Medical And Dental Journal 4 2 15–18.