Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies

Barba, Corazon, Cavalli-Sforza, Tommaso, Cutter, Jeffery, Darnton-Hill, Ian, Deurenberg, Paul, Deurenberg-Yap, Mabel, Gill, Tim, James, Philip, Ko, Garry, Kosulwat, Vongsvat, Kumanyika, Shiriki, Kurpad, Anura, Mascie-Taylor, Nick, Moon, Hyun Kyung, Nakadomo, Fumio, Nishida, Chizuru, Noor, Mohamed Ismail, Reddy, K Srinath, Rush, Elaine, Schultz, Jimaima Tunidau, Seidell, Jaap, Stevens, June, Swinburn, Boyd, Tan, Kathryn, Weisell, Robert, Zhao-su, Wu, Yajnik, C.S., Yoshiike, Nobuo and Zimmet, Paul 2004, Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies, Lancet, vol. 363, no. 9403, pp. 157-163, doi: 10.1016/S0140-6736(03)15268-3.

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Title Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies
Author(s) Barba, Corazon
Cavalli-Sforza, Tommaso
Cutter, Jeffery
Darnton-Hill, Ian
Deurenberg, Paul
Deurenberg-Yap, Mabel
Gill, Tim
James, Philip
Ko, Garry
Kosulwat, Vongsvat
Kumanyika, Shiriki
Kurpad, Anura
Mascie-Taylor, Nick
Moon, Hyun Kyung
Nakadomo, Fumio
Nishida, Chizuru
Noor, Mohamed Ismail
Reddy, K Srinath
Rush, Elaine
Schultz, Jimaima Tunidau
Seidell, Jaap
Stevens, June
Swinburn, Boyd
Tan, Kathryn
Weisell, Robert
Zhao-su, Wu
Yajnik, C.S.
Yoshiike, Nobuo
Zimmet, Paul
Journal name Lancet
Volume number 363
Issue number 9403
Start page 157
End page 163
Publisher Elsevier Science B.V.
Place of publication Amsterdam, The Netherlands
Publication date 2004-01-10
ISSN 0140-6736
Summary A WHO expert consultation addressed the debate about interpretation of recommended body-mass index (BMI) cut-off points for determining overweight and obesity in Asian populations, and considered whether population-specific cut-off points for BMI are necessary. They reviewed scientific evidence that suggests that Asian populations have different associations between BMI, percentage of body fat, and health risks than do European populations. The consultation concluded that the proportion of Asian people with a high risk of type 2 diabetes and cardiovascular disease is substantial at BMIs lower than the existing WHO cut-off point for overweight (25 kg/m2). However, available data do not necessarily indicate a clear BMI cut-off point for all Asians for overweight or obesity. The cut-off point for observed risk varies from 22kg/m2 to 25kg/m2 in different Asian populations; for high risk it varies from 26kg/m2 to 31kg/m2. No attempt was made, therefore, to redefine cut-off points for each population separately. The consultation also agreed that the WHO BMI cut-off points should be retained as international classifications. The consultation identified further potential public health action points (23·0, 27·5, 32·5, and 37·5 kg/m2) along the continuum of BMI, and proposed methods by which countries could make decisions about the definitions of increased risk for their population.
Language eng
DOI 10.1016/S0140-6736(03)15268-3
Field of Research 111706 Epidemiology
Socio Economic Objective 0 Not Applicable
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2004, Elsevier
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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