The Weight Problem

Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice

Dados Bibliográficos

ID15468536
AutoresDorothea Kesztyüs (0000-0002-2166-846X, University of Göttingen, autor correspondente), Josefine Lampl (General Practitioner Centre Arnold & Liffers, Albstr. 6, 89081 Jungingen, Germany), Tibor Kesztyüs (0000-0003-0813-2393, University of Göttingen)
Ano2021
Volume18
Fascículo21
Páginas11070-11070
Data de publicação2021-10-21
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182111070
PMID34769593
OpenAlexW3206768840
IdiomaEN
Citações recebidas4
Referências citadas55

The prevalence of obesity already reached epidemic proportions many years ago and more people may die from this pandemic than from COVID-19. However, the figures depend on which measure of fat mass is used. The determination of the associated health risk also depends on the applied measure. Therefore, we will examine the most common measures for their significance, their contribution to risk assessment and their applicability. The following categories are reported: indices of increased accumulation of body fat; weight indices and mortality; weight indices and risk of disease; normal weight obesity and normal weight abdominal obesity; metabolically healthy obesity; the obesity paradox. It appears that BMI is still the most common measure for determining weight categories, followed by measures of abdominal fat distribution. Newer measures, unlike BMI, take fat distribution into account but often lack validated cut-off values or have limited applicability. Given the high prevalence of obesity and the associated risk of disease and mortality, it is important for a targeted approach to identify risk groups and determine individual risk. Therefore, in addition to BMI, a measure of fat distribution should always be used to ensure that less obvious but risky manifestations such as normal weight obesity are identified

Abdominal obesity · Body mass index · Body volume index · Classification of obesity · Disease · Environmental health · Fat mass · Metabolic syndrome · Obesity · Risk assessment · Body Composition Measurement Techniques · Computer Science · Demography · Medicine · Nutrition and Health in Aging · Obesity, Physical Activity, Diet · Internal Medicine