Use of sex-specific body mass index to optimize low correlation with height and high correlation with fatness: a UK Biobank study
Author(s)
Type
Journal Article
Abstract
Body mass index (BMI; weight (kg)/height (m)2) is commonly used to measure general adiposity. However, evidence of its appropriateness for males and females remains inconsistent. We aimed to identify the most appropriate sex-specific power value that height should be raised to in the formula and the value that would make it achieve height independency and body fatness dependency. We randomly assigned UK Biobank participants recruited in the United Kingdom between 2006 and 2010 (n = 489,873; mean age = 56.5 years; 94.2% White) to training and testing sets (80%:20%). Using height raised to the power of −50.00 to 50.00, we identified the optimal power value that either minimized correlation with height or maximized correlation with body fat percentage, using age-adjusted correlations. The optimal power values for height were 1.77 for males and 1.39 for females. The new formulas resulted in 4.5% of females and 2.4% of males being reclassified into a different BMI category. The formulas did not show significant improvement (in terms of area under the receiver operating characteristic curve, sensitivity, and specificity) in identifying individuals with excessive body fat percentage or in predicting risk of all-cause mortality. Therefore, the conventional BMI formula is still valuable in research and disease screening for both sexes.
Date Issued
2024-02
Date Acceptance
2023-10-05
Citation
American Journal of Epidemiology, 2024, 193 (2), pp.296-307
ISSN
0002-9262
Publisher
Oxford University Press
Start Page
296
End Page
307
Journal / Book Title
American Journal of Epidemiology
Volume
193
Issue
2
Copyright Statement
© The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Identifier
https://academic.oup.com/aje/article/193/2/296/7301475
Subjects
ADIPOSE-TISSUE
adiposity
body composition
body mass index
correlation
fatness
height
Life Sciences & Biomedicine
METAANALYSIS
Public, Environmental & Occupational Health
Science & Technology
UK Biobank
weight
WEIGHT
Publication Status
Published
Date Publish Online
2023-10-09