ISSN: 1301-2193 E-ISSN: 1308-9846
  • Turkish Journal of
    Endocrinology and Metabolism

Comparison of New and Old Body Shape Indices to Estimate Body Fat in Obese and Morbid Obese Turkish Females
Obez ve Morbid Obez Türk Kadınlarında Vücut Yağ Oranı Tahmininde Yeni ve Eski Vücut Şekil İndekslerinin Karşılaştırılması
Received Date : 14 Jan 2019
Accepted Date : 02 Jan 2020
Available Online : 20 Jan 2020
Kartal Dr. Lütfi Kırdar Education and Training Hospital, Department of Family Medicine, İstanbul, Turkey *Kartal Dr. Lütfi Kırdar Education and Training Hospital, Department of Endocrinology and Metabolism, İstanbul, Turkey
Doi: 10.25179/tjem.2019-66730 - Makale Dili: EN
Turk J Endocrinol Metab 2020;24:1-8
ABSTRACT
Objective: The estimation of fat mass with indirect techniques is beneficial in daily clinical practice. This study aimed to compare new and old body shape indices using bioimpedance analysis for the assessment of body fat mass in obese and morbid obese Turkish females. Material and Methods: Four hundred thirty-eight obese and morbid obese females were enrolled in the study. Anthropometric measurements of the study participants were completed using standard techniques. Body mass index (BMI), body adiposity index (BAI), a body shape index, waist to hip ratio and body roundness index (BRI) were calculated. The body fat ratio was evaluated using TANITA-48M. Results: All the anthropometric indices except waist circumference, waist-to-hip ratio, and ABSI correlated with body fat (%). BMI and BAI were the best predictors of body fat ratio derived from bioimpedance analysis for all participants. Only for obese females, BAI alone as well as BAI and BMI together were the best predictive methods of body fat (%). In the morbid obese group, BAI alone proved to be the best predictive method for body fat (%) estimation. Conclusion: In clinical practice, the determination of body fat ratio with indirect techniques may help physicians estimate the risk of diseases in obese and morbid obese patients. BAI can help estimate body fat ratio easily.
ÖZET
Amaç: Günlük klinik uygulamada vücut yağ oranının direkt ölçümü maliyetli ve zor olduğundan, vücut kompozisyon indeksleri gibi pratik yöntemler kullanılmaktadır. Bu çalışmanın amacı, obez ve morbid obez Türk kadınlarında vücut yağ oranının değerlendirilmesinde yeni ve eski vücut kompozisyon indekslerinin biyolojik empedans analizi ölçümüyle saptanan vücut yağ oranı ile karşılaştırılmasıdır. Gereç ve Yöntemler: Çalışmaya 438 obez ve morbid obez kadın alındı. Kadınların antropometrik ölçümleri uygun yöntemlerle yapıldı. Beden kitle indeksi (BKİ), beden adiposite indeksi (BAI), beden şekil indeksi, bel-kalça oranı ve beden yuvarlaklık indeksi hesaplandı. Vücut yağ oranı TANITA-48M ile değerlendirildi. Bulgular: Bel çevresi, bel-kalça oranı ve beden şekil indeksi hariç tüm antropometrik ölçümler vücut yağ oranı ile koreledir. Tüm katılımcılar için BKİ ve BAİ biyoelektrik empedans analizinden elde edilen vücut yağ oranını en iyi öngören yöntemlerdi. Obez kadınlar için tek başına BAİ ve BAİ-BKİ vücut yağ oranını en iyi tahmin eden yöntemlerdi. Morbid obez grupta tek başına BAİ, vücut yağ oranı tayini için en iyi öngörücü yöntemdi. Sonuç: Klinik pratikte, vücut yağ oranının antropometrik ölçümlerle tahmin edilebilmesi; hekimlerin obezite tanısı koyabilmesi, morbidite riskini değerlendirmesi ve tedavi planlaması için önemlidir. BAİ, obez kadınlarda vücut yağ oranının öngörülmesinde kolay ve etkili bir yöntemdir.
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