Journal of Endocrinology and Metabolism, ISSN 1923-2861 print, 1923-287X online, Open Access
Article copyright, the authors; Journal compilation copyright, J Endocrinol Metab and Elmer Press Inc
Journal website https://www.jofem.org

Original Article

Volume 14, Number 1, February 2024, pages 13-20


Waist Body Mass Index Outperforms Other Anthropometric Indicators in Identifying Obesity Using Bioimpedance

Figures

Figure 1.
Figure 1. Scatter plot between the percentage of fat and each anthropometric marker evaluated.
Figure 2.
Figure 2. Graph of ROC curves between the percentage of fat and each anthropometric marker evaluated stratified by sex. ROC: receiver operating characteristic.

Tables

Table 1. Characteristics of the Study Sample Distributed According to Obesity and Sex
 
CharacteristicsObesity by fat percentage
MaleFemale
No, n = 300Yes, n = 66No, n = 326Yes, n = 88
Data are expressed as n (%), mean (SD), or median (IQR). BMI: body mass index; CUN-BAE: Clinica Universidad de Navarra-Body Adiposity Estimator; IQR: interquartile range; SD: standard deviation.
Age group
  18 to 29 years old19 (63.33%)11 (36.67%)31 (70.45%)13 (29.55%)
  30 to 39 years old57 (89.06%)7 (10.94%)50 (73.53%)18 (26.47%)
  40 to 49 years old66 (84.62%)12 (15.38%)62 (77.50%)18 (22.50%)
  50 to 59 years old112 (82.35%)24 (17.65%)117 (81.25%)27 (18.75%)
  60 years to more46 (79.31%)12 (20.69%)66 (84.62%)12 (15.38%)
Type of job
  Administrative170 (81.73%)38 (18.27%)156 (75.00%)52 (25.00%)
  Operator130 (82.28%)28 (17.72%)170 (82.52%)36 (17.48%)
Alcohol consumption
  No244 (79.74%)62 (20.26%)270 (78.03%)76 (21.97%)
  Yes56 (93.33%)4 (6.67%)56 (82.35%)12 (17.65%)
Daily smoking
  No251 (80.45%)61 (19.55%)298 (80.11%)74 (19.89%)
  Yes49 (90.74%)5 (9.26%)28 (66.67%)14 (33.33%)
BMI24.4 (4.3)30.1 (6.1)27.1 (4.5)30.9 (4.9)
Waist circumference92 (12)104 (9)93 (12)105 (9)
Waist-to-height ratio0.55 (0.08)0.64 (0.07)0.59 (0.08)0.67 (0.06)
New BMI24.6 (4.6)30.7 (6.5)28.1 (5.0)32.2 (5.3)
Tri-ponderal mass index14.7 (2.9)18.6 (4.2)17.3 (3.3)19.8 (3.5)
CUN-BAE17.4 (4.0)22.0 (4.8)31.5 (3.0)33.8 (2.7)

 

Table 2. Diagnostic Values of Antropometric Measures for Obesity
 
CutoffsAUC (95% CI)Se (%) (95% CI)Sp (%) (95% CI)PPV (%) (95% CI)NPV (%) (95% CI)LR+ (%) (95% CI)LR- (%) (95% CI)
AUC: area under the curve; BMI: body mass index; 95% CI: 95% confidence interval; CUN-BAE: Clinica Universidad de Navarra-Body Adiposity Estimator; LR-: negative likelihood ratio; LR+: positive likelihood ratio; NPV: negative predictive value; PPV: positive predictive value; Se: sensitivity; Sp: specificity.
Female
  BMI28.770.736 (0.68 - 0.79)70.45 (59.78 - 79.71)71.76 (66.56 - 76.60)40.26 (34.53 - 52.61)90 (84.87 - 92.05)2.50 (2.01 - 3.11)0.41 (0.29 - 0.57)
  Waist circumference960.752 (0.703 - 0.801)93.18 (85.75 - 97.46)53.37 (47.80 - 58.89)35.04 (30.14 - 60.20)96.67 (92.74 - 97.32)1.99 (1.76 - 2.27)0.13 (0.05 - 0.28)
  Waist-to-height ratio0.590.753 (0.703 - 0.802)98.86 (93.83 - 99.97)47.55 (42.02 - 53.12)33.72 (28.91 - 95.31)99.36 (96.44 - 99.49)1.88 (1.70 - 2.10)0.02 (0.003 - 0.17)
  New BMI29.920.728 (0.672 - 0.784)67.05 (56.21 - 76.70)73.92 (68.80 - 78.60)40.97 (35.06 - 52.90)89.25 (83.98 - 91.50)2.57 (2.03 - 3.25)0.46 (0.33 - 0.60)
  Tri-ponderal mass index17.920.715 (0.658 - 0.773)71.60 (60.97 - 80.69)66.56 (61.15 - 71.67)36.63 (31.37 - 48.95)89.67 (84.33 - 91.69)2.14 (0.75 - 2.62)0.43 (0.30 - 0.60)
  CUN-BAE32.970.728 (0.672 - 0.784)63.64 (52.69 - 73.63)74.23 (69.12 - 78.89)40 (34.12 - 51.55)88.32 (82.80 - 90.75)2.47 (1.94 - 3.15)0.49 (0.37 - 0.65)
  Waist BMI28.590.783 (0.735 - 0.830)71.59 (60.98 - 80.69)74.54 (69.45 - 79.18)43.15 (37.08 - 55.74)90.67 (85.77 - 92.66)2.81 (2.23 - 3.53)0.38 (0.27 - 0.53)
Male
  BMI25.820.778 (0.715 - 0.841)78.79 (66.97 - 87.89)69.33 (63.78 -74.50)36.11 (30.56 - 52.48)93.69 (89.02 - 95.05)2.56 (2.08 - 3.17)0.31 (0.19 - 0.49)
  Waist circumference101.0071.21 (58.74 - 81.69)36.71 (30.92 - 51.14)73 (67.59 - 77.94)36.71 (30.92 - 51.14)92.01(86.90 - 93.77)2.63 (2.07 - 3.36)0.39 (0.27 - 0.58)
  Waist-to-height ratio0.590.807 (0.750 - 0864)78.78 (66.98 - 87.89)73.67 (68.30 - 78.56)39.69 (33.64 - 56.25)94.84 (89.60 - 95.39)2.99 (2.38 - 3.75)0.29 (0.18 - 1.46)
  New body mass index26.830.785 (0.724 - 0.847)74.24 (61.99 - 84.22)73 (67.59 - 77.94)37.69 (31.82 - 52.84)92.79 (87.93 - 94.39)2.74 (2.18 - 3.47)0.35 (0.23 - 0.53)
  Tri-ponderal mass index16.160.788 (0.727 - 0.849)74.24 (61.99 - (84.22)72.33 (66.90 - 77.31)37.12 (31.33 - 52.23)92.73 (87.4 - 94.33)2.68 (2.13 - 3.83)0.36 (0.24 - 0.54)
  CUN-BAE19.140.779 (0.716 - 0841)78.79 (66.98 - 87.89)68.67 (63.08 - 73.87)35.62 (30.14 - 51.94)93.63 (88.93 - 94.99)2.51 (2.04 - 3.09)0.31 (0.19 - 0.49)
  Waist BMI22.840..828 (0.779 - 0.878)89.39 (79.36 - 95.62)58 (52.19 - 63.65)31.89 (27.02 - 54.86)96.13 (91.89 - 96.92)2.13 (1.82 -2.49)0.18 (0.09 - 0.37)