Agreement between specific measures of adiposity and associations with high blood pressure in black South African women
Objectives To derive percentage body fat (%BF) cut‐points according to body mass index (BMI) categories for adult black South African women and to investigate the agreement between adiposity classifications according to WHO BMI and %BF cut‐points. The secondary aim was to determine the association b...
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Published in | American journal of human biology Vol. 29; no. 6 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Wiley Subscription Services, Inc
01.11.2017
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Subjects | |
Online Access | Get full text |
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Summary: | Objectives
To derive percentage body fat (%BF) cut‐points according to body mass index (BMI) categories for adult black South African women and to investigate the agreement between adiposity classifications according to WHO BMI and %BF cut‐points. The secondary aim was to determine the association between these different adiposity measures and high blood pressure.
Methods
Black women aged 29–65 years (n = 435) from Ikageng, South Africa, were included in this cross‐sectional study. Socio‐demographic and anthropometric data were collected (weight, height and BMI). %BF using dual‐energy X‐ray absorptiometry and blood pressure were measured.
Results
There was significant agreement between three %BF categories: low/normal (<35.8% age 29–49 years; or <38% age 50–65 years), overweight range (35.8–40.7% age 29–49 years; or 38–42.1% age 50–65 years) and obese (≥40.7% age 29–49 years; or ≥42.1% age 50–65 years) and three BMI categories: low/normal (<25 kg/m2), overweight range (25–29.9 kg/m2) and obese (≥30kg/m2); (κ = 0.62, P < .0001). Despite statistically significant agreement between groups, more than half of overweight individuals were misclassified as having either a normal (30.2%) or obese %BF (25.5%). %BF misclassification was low in the low/normal and obese BMI ranges. After adjustment for confounders, obesity (BMI ≥ 30kg/m2), as well as high %BF were significantly associated with high blood pressure (OR = 1.75, 95% CI 1.09–2.81 versus OR = 1.92, 95% CI 1.15–3.23, respectively).
Conclusion
Despite significant agreement between BMI and %BF categories, considerable misclassification occurred in the overweight range. Participants with excessive %BF had a greater odds of high blood pressure than those in the highest BMI category. |
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Bibliography: | Funding information South African Medical Research Council (SAMRC); Grant/Award Number: RM77005 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 1042-0533 1520-6300 |
DOI: | 10.1002/ajhb.23042 |