Which Obesity Indicators Are Better Predictors of Metabolic Risk?: Healthy Twin Study

  title={Which Obesity Indicators Are Better Predictors of Metabolic Risk?: Healthy Twin Study},
  author={Kayoung Lee and Yun-Mi Song and Joohon Sung},
No consensus exists as to the most sensitive and specific obesity indicator associated with metabolic risk factors. We aimed to validate anthropometry as the predictor for obesity‐related metabolic risk factors through comparison with direct body composition measures in Korean adults. A total of 995 Korean women and 577 Korean men who participated in the Healthy Twin study were the subjects. Anthropometric measurements included BMI, waist circumference (WC), waist‐to‐hip ratio (WHR), and waist… 

Comparison of Various Anthropometric and Body Fat Indices in Identifying Cardiometabolic Disturbances in Chinese Men and Women

BMI may be used as an alternative measure of obesity for identifying hypertension in both sexes and WHtR was the best predictor of various metabolic abnormalities.

The Validity of Body Adiposity Indices in Predicting Metabolic Syndrome and Its Components among Egyptian Women

BAI is a practical predictor for MS and has satisfactory diagnostic accuracy for diagnosing MS among Egyptian women and can be used in addition to WHR, WHtR and BMI for identifying MS in the field studies.

Body Composition Assessment by Bioelectrical Impedance Analysis in Prediction of Cardio-Metabolic Risk Factors: Tehran Lipid and Glucose Study (TLGS)

Comparing PBF with BMI showed that the use of PBF is not significantly better than BMI in predicting cardio-metabolic risks in the general population, except for abdominal obesity.


Among anthropometric indices, both WHtR and WC had the strongest predictive power for identifying subjects with MetS in men and women and appears to be the best indicator of central obesity in women and individuals of short stature.

Can body mass index, waist circumference, waist-hip ratio and waist-height ratio predict the presence of multiple metabolic risk factors in Chinese subjects?

The BMI, waist circumference and WHtR values can similarly predict the presence of multiple metabolic risk factors in Chinese subjects.

Waist‐to‐height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta‐analysis

  • M. AshwellP. GunnS. Gibson
  • Medicine, Biology
    Obesity reviews : an official journal of the International Association for the Study of Obesity
  • 2012
Our aim was to differentiate the screening potential of waist‐to‐height ratio (WHtR) and waist circumference (WC) for adult cardiometabolic risk in people of different nationalities and to compare

Association of Simple Anthropometric Indices and Body Fat with Early Atherosclerosis and Lipid Profiles in Chinese Adults

The findings suggest that abdominal anthropometric measures including WC, WHR and WHtR are sensitive for discriminating carotid atherosclerosis and lipids abnormalities.

Association of Waist-Height Ratio with Diabetes Risk: A 4-Year Longitudinal Retrospective Study

Increased baseline WHtR and WC correlated with the development of diabetes after 4 years might be a useful screening measurement to identify individuals at high risk for diabetes.

Comparison of waist to height ratio and body indices for prediction of metabolic disturbances in the Korean population: the Korean National Health and Nutrition Examination Survey 2008–2011

Among the BM, FM, LM, SM, TFM, andWHtR indices, WHtR is most useful to predict the presence of metabolic syndrome and insulin resistance in the Korean population.



Value of body fat mass vs anthropometric obesity indices in the assessment of metabolic risk factors

At the population level, measurement of body FM has no advantage over BMI and WC in the prediction of obesity-related metabolic risk, and measures of central adiposity (WC, WC/ht) tended to show closer associations with risk factors than measures of general adiposity, suggesting an equivalent value of methods.

Accuracy of anthropometric indicators of obesity to predict cardiovascular risk.

There are some indications that WHtR or WC may predict prevalent cardiovascular risk better than BMI or WHR, even though the differences are small.

Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men.

Both overall and abdominal adiposity strongly and independently predict risk of type 2 diabetes.

Association between simple anthropometric indices and cardiovascular risk factors

The association of central or general obesity and metabolic syndrome varied with gender, and the useful anthropometric predictors for cardiovascular risk factors were BMI and WC for men, and WC and WHR for women.

Relationship of metabolic variables to abdominal adiposity measured by different anthropometric measurements and dual-energy X-ray absorptiometry in obese middle-aged women

Upper lumbal fat measured by dual-energy X-ray absorptiometry discerned obese women with elevated fasting insulin and fasting glucose and none of the anthropometric measurements was significantly superior to others to assess the metabolic risk profile.

The association of cardiovascular disease risk factors with abdominal obesity in Canada. Canadian Heart Health Surveys Research Group.

WC is the measure of abdominal obesity most highly correlated with these cardiovascular disease risk factors, and the strength of these associations generally decreased with age, whereas in women they peaked in the 35-54 year age group.

Differences in the relationship between lipid CHD risk factors and body composition in Caucasians and Japanese

The Japanese subjects have smaller BMI and WC, worse total and LDL-cholesterol levels and better HDL-ch cholesterol levels compared to Caucasians, and the cut-points proposed by WHO and NHLBI may be too high for predicting an abnormality in triglycerides, total and cholesterol in Japanese.