Department of Family and Community Medicine, University of Texas Medical School at Houston, University of Texas Physicians, 6700 W. Loop South #520, Bellaire, TX 77401, USA.
Public Health Nutr. 2011 May;14(5):809-16. doi: 10.1017/S1368980010003307. Epub 2011 Jan 20.
To compare the prevalence rates of obesity based on BMI/anthropometric measures, using WHO standard and ethnicity-specific criteria, the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATPIII) and the International Diabetes Federation (IDF) definitions, among a migrant South Asian Indian population.
Cross-sectional study conducted in October 2007.
A total of 213 participants of South Asian descent over the age of 18 years. Measures included a questionnaire with basic demographic information and self-reported histories of diabetes, coronary artery disease and/or hypercholesterolaemia. Height, weight, waist and hip circumference and blood pressure measurements were obtained.
Houston and surrounding suburbs.
WHO-modified (WHO-mod) BMI and IDF waist circumference (WC) criteria independently identified higher numbers of overweight/obese participants; however, when the WHO-mod BMI or IDF WC criteria were applied, nearly 75% of participants were categorized as overweight/obese--a proven risk factor for the future development of metabolic syndrome.
Obesity is likely under-diagnosed using the standard WHO and NCEP-ATPIII guidelines. Stressing the use of modified criteria more universally to classify obesity among South Asian Indians may be optimal to identify obesity and help appropriately risk stratify for intervention to prevent chronic diseases.
比较基于 BMI/人体测量指标的肥胖患病率，使用世界卫生组织（WHO）标准和特定种族标准、国家胆固醇教育计划-成人治疗专家组第三版（NCEP-ATPIII）和国际糖尿病联合会（IDF）的定义，在南亚裔印度移民人群中进行比较。
2007 年 10 月进行的横断面研究。
共有 213 名年龄在 18 岁以上的南亚裔参与者。测量包括一份问卷，其中包含基本人口统计学信息和自我报告的糖尿病、冠心病和/或高胆固醇血症病史。测量了身高、体重、腰围和臀围以及血压。
休斯顿及其周边郊区。
WHO 修正（WHO-mod）BMI 和 IDF 腰围（WC）标准独立识别出更多超重/肥胖的参与者；然而，当应用 WHO-mod BMI 或 IDF WC 标准时，近 75%的参与者被归类为超重/肥胖——这是未来代谢综合征发展的一个已知风险因素。
使用标准的 WHO 和 NCEP-ATPIII 指南，肥胖可能被低估了。强调更普遍地使用修正标准来对南亚裔印度人进行肥胖分类可能是最佳选择，可以识别肥胖并帮助适当地对干预措施进行风险分层，以预防慢性疾病。
