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What is Obesity? Definitions Matter

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Handbook of Obesity Prevention

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References

  • Albu, J. B., Kovera, A. J., & Johnson, J. A. (2000). Fat distribution and health in obesity. Annals of the New York Academy of Sciences, 904, 491–501.

    Article  PubMed  CAS  Google Scholar 

  • Albu, J. B., Murphy, L., Frager, D. H., Johnson, J. A., & Pi-Sunyer, F. X. (1997). Visceral fat and race-dependent health risks in obese non-diabetic pre-menopausal women. Diabetes, 46, 456–462.

    Article  PubMed  CAS  Google Scholar 

  • Allison, D. B., Fontaine, K. R., Manson, J. E. Stevens, J., & Van Itallie, T. B. (1999). Annual deaths attributable to obesity in the United States. Journal of the American Medical Association, 282, 1530–1538.

    Article  PubMed  CAS  Google Scholar 

  • Barker, D. J. P., Osmond, C., Forsen, T. J., Kajantie, E., & Eriksson, J. G. (2005). Trajectories of growth among children who have coronary events as adults. New England Journal of Medicine, 353, 1802–1809.

    Article  PubMed  CAS  Google Scholar 

  • Bei-Fan, Z. And the Cooperative Meta-analysis Group of Working Group on Obesity in China (2002). Predictive values of body mass index and waist circumference for risk factors of certain related diseases in Chinese adults: Study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Asia Pacific Journal of Clinical Nutrition, 11(Suppl. 8), S685–S693.

    Article  PubMed  Google Scholar 

  • Benn, R. J. (1971). Some mathematical properties of weight for height indices used as measures of adiposity. British Journal of Preventive and Social Medicine, 25, 42–50.

    PubMed  CAS  Google Scholar 

  • Bray, G. A. (1998a). In defense of a body mass index of 25 as the cut-off point for defining overweight. Obesity Research, 6, 461–462.

    CAS  Google Scholar 

  • Bray, G. A. (1998b). Contemporary diagnosis and management of obesity. Newtown, PA: Handbooks in Health Care Co.

    Google Scholar 

  • Cole, T. J., Bellizzi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: International survey. British Medical Journal, 320, 1240–1243.

    Article  PubMed  CAS  Google Scholar 

  • Cole, T. J., Faith, M. S., Pietrobelli, A., & Heo, M. (2005). What is thebest measure of adiposity change in growing children: BMI, BMI%, BMI z-score or BMI centile? European Journal of Clinical Nutrition, 59, 419–425.

    Article  PubMed  CAS  Google Scholar 

  • Committee on Prevention of Obesity in Childhood and Youth (2005). Preventing childhood obesity: Health in the balance. Washington, DC: National Academies Press.

    Google Scholar 

  • Crawford, D., & Campbell, K. (1999). Lay definitions of ideal weight and overweight. International Journal of Obesity and Related Metabolic Disorders, 23, 738–745.

    Article  PubMed  CAS  Google Scholar 

  • Despres, J. P., Nadeau, A., Tremblay, A., Ferland, M., Moorjani, S., & Lupien, P. J. et al. (1989). Role of deep abdominal fat in the association between regional adipose tissue distribution and glucose tolerance in obese women. Diabetes, 38, 304–309.

    Article  PubMed  CAS  Google Scholar 

  • Emery, E. M., Schmid, T. L., Kahn, H. S., & Filozof, P. P. (1993). A review of the association between abdominal fat distribution, health outcome measures, and modifiable risk factors. American Journal of Health Promotion, 7, 342–353.

    PubMed  CAS  Google Scholar 

  • Examination Committee of Criteria for Obesity Disease in Japan, Japan Society for the Study of Obesity (2002). New criteria for obesity disease in Japan. Circulation Journal, 66, 987–992.

    Article  Google Scholar 

  • Fernandez, J. R., Heo, M., Heymsfield, S. B., Pierson, R. N., Pi-Sunyer, F. X., & Wang, Z. M. et al. (2003). Is percentage body fat differentially related to body mass indexin Hispanic Americans, African Americans, and European Americans? AmericanJournal of Clinical Nutrition, 77, 71–75.

    CAS  Google Scholar 

  • Field, A. E., Laird, N., Steinberg, E., Fallon, E., Semega-Janneh, M., & Yanovski, J. A. (2003). Which metric of relative weight best captures body fatness in children? Obesity Research, 11, 1345–1352.

    PubMed  Google Scholar 

  • Flegal, K. M., Graubard, B. I., Williamson, D. F., & Gail, M. H. (2005). Excess deaths associated with underweight, overweight, and obesity. Journal of the American Medical Association, 293, 1861–1867.

    Article  PubMed  CAS  Google Scholar 

  • Flegal, K. M., & Troiano, R. P. (2000). Changes in the distribution of body mass index of adults and children in the U.S. population. International Journal of Obesity, 24, 807–818.

    Article  PubMed  CAS  Google Scholar 

  • Florey, C. V. (1970). The use and interpretation of ponderal index and other weight-height ratios in epidemiological studies. Journal of Chronic Disease, 23, 93–103.

    Article  Google Scholar 

  • Fujimoto, W. Y., Newell-Morris, L. L., Grote, M., Bergstrom, R. W., & Shuman, W. P. (1991). Visceral fat obesity and morbidity: NIDDM and atherogenic risk in Japanese-American men and women. International Journal of Obesity, 15(Suppl. 2), 41–44.

    PubMed  Google Scholar 

  • Gallagher, D., Heymsfield, S. B., Heo, M., Jebb, S. A., Murgatroyd, P. R., & Sakamoto, Y. (2000). Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. American Journal of Clinical Nutrition, 72, 694–701.

    PubMed  CAS  Google Scholar 

  • Gallagher, D., Visser, M., Sepulveda, D., Pierson, R. N., Harris, T., & Heymsfield, S. B. (1996). How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? American Journal of Epidemiology, 3, 228–239.

    Google Scholar 

  • Garrow, J. S. (1983). Indices of adiposity. Nutrition Abstracts and Reviews, 53, 697–708.

    Google Scholar 

  • Garrow, J. S., & Webster, J. (1985). Quetelet’s index (W/H2) as a measure of fatness. International Journal of Obesity, 9, 147–153.

    PubMed  CAS  Google Scholar 

  • Gibbs, W. W. (2005). Obesity: An overblown epidemic? Scientific American, 292, 70–77.

    Article  PubMed  Google Scholar 

  • Gortmaker, S. L., Dietz, W. H., Sobol, A. M., & Wehler, C. A. (1987). Increasing pediatric obesity in the United States. American Journal of Diseases in Children, 141, 535–540.

    CAS  Google Scholar 

  • Hamill, P., Drizd, T., Johnson, C., Reed, R., & Roche, A. (1977). NCHS growth curves for children, birth-18 years, United States. Vital and Health Statistics, Series 11, no. 165. Washington, DC: U. S. Department of Health, Education, and Welfare.

    Google Scholar 

  • Harris, T. B., Visser, M., Everhart, J., Cauley, J., Tylavsky, F., & Fuerst, T. (2000). Waist circumference and sagittal diameter reflect total body fat better than visceral fat in older men and women: The health, aging, and body composition study. Annals of the New York Academy of Sciences, 904, 462–473.

    Article  PubMed  CAS  Google Scholar 

  • Haslam, D. W., & James, W. P. T. (2005). Obesity. Lancet, 366, 1197–1209.

    Article  PubMed  Google Scholar 

  • Himes, J. H., & Dietz, W. H. (1994). Guidelines for overweight in adolescent preven-tive services: Recommendations from an expert committee. American Journal of Clinical Nutrition, 59, 307–316.

    PubMed  CAS  Google Scholar 

  • Hope, A. A., Kumanyika, S. K., Whitt, M. C., & Shults, J. (2005). Obesity-related comorbidities in obese African Americans in an outpatient weight loss program. Obesity Research, 13, 772–779.

    PubMed  Google Scholar 

  • International Diabetes Federation. (2005). Worldwide definition of the metabolic syndrome. http://www.idf.org (Last accessed April 11, 2006).

    Google Scholar 

  • Keys, A., Fidanza, F., Karvonen, M. J., Kimura, N., & Taylor, H. L. (1972). Indices of relative weight and obesity. Journal of Chronic Diseases, 25, 329–343.

    Article  PubMed  CAS  Google Scholar 

  • Kiernan, M., & Winkleby, M. A. (2000). Identifying patients for weight-loss treatment: An empirical evaluation of the NHLBI obesity evaluation initiative expert panel treatment recommendations. Archives of Internal Medicine, 160, 2169–2176.

    Article  PubMed  CAS  Google Scholar 

  • Klatsky, A. L., & Armstrong, M. A. (1991). Cardiovascular risk factors among Asian Americans living in northern California. American Journal of Public Health, 81, 1423–1428.

    Article  PubMed  CAS  Google Scholar 

  • Klein, S., Burke, L. E., Bray, G. A., Blair, S., Allison, D. B., & Pi-Sunyer, X. et al. (2004). Clinical implications of obesity with specific focus on cardiovascular disease. Circulation, 110, 2952–2967.

    Article  PubMed  Google Scholar 

  • Kragelund, C., & Omland, T. (2005). A farewell to body mass index? Lancet, 366, 1589–1591.

    Article  PubMed  Google Scholar 

  • Kuczmarski, M. F., Kuczmarski, R. J., & Najjar, M. F. (2001). Effects of age on validity of self-reported height, weight, and body mass index: Findings from the third National Health and Nutrition Examination Survey, 1988–1994. Journal of the American Dietetic Association, 101, 28–34.

    Article  PubMed  CAS  Google Scholar 

  • Kuczmarski, R. J. (2005). NHANES III anthropometric procedures video. http://www.cdc.gov/nchs/about/major/nhanes/avideo.htm (Last accessed April 11, 2006).

    Google Scholar 

  • Kuczmarski, R. J., Carroll, M. D., Flegal, K. M., & Troiano, R. P. (1997). Varying body mass index cutoff points to describe overweight prevalence among U.S. adults: NHANES III (1998 to 1994). Obesity Research, 5, 542–548.

    PubMed  CAS  Google Scholar 

  • Kuczmarski, R. J., & Flegal, K. M. (2000). Criteria for definition of overweight in transition: Background and recommendations for the United States. American Journal of Clinical Nutrition, 72, 1074–1081.

    PubMed  CAS  Google Scholar 

  • Kuczmarski, R. J., Kuczmarski, M. F., & Roche, A. F. (2002). CDC growth charts: Background for clinical application. Topics in Clinical Nutrition, 17, 15–26.

    Google Scholar 

  • Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., & Mei, Z. et al. (2000). CDC growth charts for the United States: methods and develop-ment. Vital and Health Statistics, Series 11, No. 246.http://www.cdc.gov/growthcharts/(Last accessed April 11, 2006).

    Google Scholar 

  • Lean, M. E., Han, T. S., & Morrison, C. E. (1995). Waist circumference as a measure for indicating need for weight management. British Medical Journal, 311, 158–161.

    PubMed  CAS  Google Scholar 

  • Lee, J., Kolonel, L. N., & Hinds, M. W. (1981). Relative merits of the weight-corrected-for height indices. American Journal of Clinical Nutrition, 34, 2521–2529.

    PubMed  CAS  Google Scholar 

  • Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual. Champaign, IL: Human Kinetics.

    Google Scholar 

  • Mamtani, M. R., & Kulkarni, H. R. (2005). Predictive performance of anthropometric indices of central obesity for the risk of type 2 diabetes. Archives of Medical Research, 36, 581–589.

    Article  PubMed  Google Scholar 

  • Misra, A., Vikram, N. K., Gupta, R., Pandey, R. M., Wasir, J. S., & Gupta, V. P. (2006). Waist dircumference cutoff points and action levels for Asian Indians for identifica-tion of abdominal obesity. International Journal of Obesity, 30, 106–111.

    Article  PubMed  CAS  Google Scholar 

  • Must, A., Dallal, G. E., & Dietz, W. H. (1991). Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. American Journal of Clinical Nutrition 53, 839–846. Erratum in: American Journal of Clinical Nutrition 54, 773.

    Google Scholar 

  • National Center for Health Statistics (2005). Health United States, 2005 with chartbook on trends in the health of Americans. Hyattsville, MD.

    Google Scholar 

  • NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults— the evidence report. Obesity Research, 6, 51S–209S.

    Google Scholar 

  • NHLBI Obesity Education Initiative Expert Panel on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults (2000). The practical guide: Identification, evaluation, and treatment of overweight and obesity in adults. NIH publication No. 00-4084. http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm (Last accessed April 11, 2006).

    Google Scholar 

  • Norgan, N. G., & Ferro-Luzzi, A. (1982). Weight-height indices as estimators of fatness in men. Human Nutrition: Clinical Nutrition, 36C, 363–372.

    Google Scholar 

  • Ogden, C. L., Carroll, M. D., Curtin, L. R., McDowell, M. A., Tabak, C. J., & Flegal, K. M. (2006). Prevalence of overweight and obesity in the United States, 1999–2004. Journal of the American Medical Association, 295, 1549–1555.

    Article  PubMed  CAS  Google Scholar 

  • Ogden, C. L., Kuczmarski, R. J., Flegal, K. M., Mei, Z., Guo, S., & Wei, R., et al. (2002). Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the National Center for Health Statistics version. Pediatrics, 109, 45–60.

    Article  PubMed  Google Scholar 

  • Perrin, E. M., Flower, K. B., & Ammerman, A. S., (2004). Body mass index charts: useful yet underused. Journal of Pediatrics, 144, 455–460.

    Article  PubMed  Google Scholar 

  • Roche, A. F. (1996). Anthropometry and ultrasound. In A. F. Roche, S. B. Heymsfield, & T. G. Lohman (Eds.), Human body composition(pp. 167–189). Champaign, IL: Human Kinetics.

    Google Scholar 

  • Roche, A. F., Heymsfield, S. B., & Lohman, T. G. (Eds.). (1996). Human body composition. Champaign, IL: Human Kinetics.

    Google Scholar 

  • Rolland-Cachera, M. F. (1993). Onset of obesity assessed from the weight/height2curve in children: The need for a clear definition. International Journal of Obesity and Related Metabolic Disorders, 17, 245–246.

    PubMed  CAS  Google Scholar 

  • Rolland-Cachera, M. F., Deheeger, M., Belllisle, F., Sempe, M., Guilloud-Bataille, M., & Patios, E. (1984). Adiposity rebound in children: A simple indicator for predicting obesity. American Journal of Clinical Nutrition, 39, 129–135.

    PubMed  CAS  Google Scholar 

  • Rush, E., Plank, L., Chandu, V., Laulu, M., Simmons, D., Swinburn, B., & Yajnik, C. (2004). Body size, body composition, and fat distribution: A comparison of young New Zealand men of European, Pacific Island, and Asian Indian ethnicities. The New Zealand Medical Journal, 117, 1–9.

    Google Scholar 

  • Seidell, J. C., (1992). Regional obesity and health. International Journal of Obesity, 16(Suppl. 2), S31–S34.

    PubMed  Google Scholar 

  • Seidell, J. C., Deurenberg, P., & Hautvast, J. G. (1987). Obesity and fat distribution in relation to health: Current insights and recommendations. World Review of Nutrition and Dietetics, 50, 57–91.

    PubMed  CAS  Google Scholar 

  • Shen, W., Wang, Z., Punyanita, M., Lei, J., Sinav, A., & Kral, J. G. et al. (2003). Adipose tissue quantification by imaging methods: A proposed classification. Obesity Research, 11, 5–16.

    PubMed  Google Scholar 

  • Siervogel, R. M., Roche, A. F., Guo, S. S., Mukherjee, D., & Chumlea, W. C. (1991). Patterns of change in weight/height2from 2 to 18 years: Findings from long-term serial data for children in the Fels Longitudinal Study. International Journal of Obesity, 15, 479–485.

    PubMed  CAS  Google Scholar 

  • Steering Committee of the Western Pacific Region of the World Health Organization, International Association for the Study of Obesity, & International Obesity Task Force (2000). The Asia-Pacific perspective: Redefining obesity and its treatment. Sydney, Australia: Health Communications Australia Pty Limited. http://www.vepachedu.org/TSJ/BMI-Guidelines.pdf (Last accessed April 11, 2006).

    Google Scholar 

  • Steinberger, J., Jacobs, D. R., Moran, A., Hong, C.-P., & Sinaiko, A. R. (2005). Comparison of body fatness measurements by BMI and skinfold measurements vs dual energy X-ray absorptiometry and their relation to cardiovascular risk factors in adolescents. International Journal of Obesity, 29, 1346–1352.

    Article  PubMed  CAS  Google Scholar 

  • Tanaka, S., Horimai, C., & Katsukawa, F. (2003). Ethnic differences in abdominal visceral fat accumulation between Japanese, African-Americans, and Caucasians: A meta-analysis. Acta Diabetol, 40, S302–S304.

    Article  PubMed  Google Scholar 

  • Vague, J. (1956). The degree of masculine differentiation of obesities: A fact for deter-mining predisposition to diabetes, atherosclerosis, gout and uric calculus disease. American Journal of Clinical Nutrition, 4, 20–34.

    PubMed  CAS  Google Scholar 

  • Van Itallie, T. B. (1985). Health implications of overweight and obesity in the United States. Annals of Internal Medicine, 103, 983–988.

    PubMed  Google Scholar 

  • Villareal, D. T., Apovian, C. M., Kushner, R. F., & Klein, S. (2005). Obesity in older adults: Technical review and position statement of the American Society for Nutrition and NAASO, the Obesity Society. American Journal of Clinical Nutrition, 82, 923–934.

    PubMed  CAS  Google Scholar 

  • Weigley, E. S. (1989). Adolphe Quetelet (1796–1874): Pioneer anthropometrist. Nutrition Today, 24, 12–16.

    Article  Google Scholar 

  • Whitaker, R. C., Pepe, M. S., Wright, J. A. Seidel, K. D., & Dietz, W. H. (1998). Early adiposity rebound and the risk of adult obesity. Pediatrics, 101(3):e5. URL: http://www.pediatrics.org/cgi/content/full/101/3/e5 (Last accessed April 11, 2006).

    Article  PubMed  CAS  Google Scholar 

  • Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D., & Dietz, W. H. (1997). Predicting obesity in young adulthood from childhood and parental obesity. New England Journal of Medicine, 337, 869–873.

    Article  PubMed  CAS  Google Scholar 

  • Willett, W. C., Dietz, W. H., & Colditz, G. A. (1999). Guidelines for healthy weight. New England Journal of Medicine, 341, 427–434.

    Article  PubMed  CAS  Google Scholar 

  • World Health Organization (1998). Report of a WHO consultation on obesity. Obesity: preventing and managing the global epidemic. Geneva: World Health Organization.

    Google Scholar 

  • WHO Expert Consultation (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363, 157–163.

    Article  Google Scholar 

  • WHO Working Group on Infant Growth (1995). An evaluation of infant growth: The use and interpretation of anthropometry in infants. Bulletin of the World Health Organization, 73, 165–174.

    Google Scholar 

  • Yun, S., Zhu, B.-P., Black, W., & Brownson, R. C. (2006). A comparison of national estimates of obesity prevalence from the behavioral risk factor surveillance system and the national health and nutrition examination survey. International Journal of Obesity, 30, 164–170.

    Article  PubMed  CAS  Google Scholar 

  • Yusuf, S., Hawken, S., Ounpuu, S., Bautista, L., Franzosi, M. G., & Commerford, P., et al. (2005). Obesity and the risk of myocardial infarction in 27000 participants from 52 countries: A case-control study. Lancet, 366, 1640–1649.

    Article  PubMed  Google Scholar 

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  1. Robert J. Kuczmarski
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Editors and Affiliations

  1. Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, 423 Guardian Drive, Philadelphia 19104-6021

    Shiriki Kumanyika PhD, RD, MPH

  2. St. Louis University School of Public Health, 3545 Lafayette Ave, St.Louis MO 63104, USA

    Ross C. Brownson PhD

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Kuczmarski, R.J. (2007). What is Obesity? Definitions Matter. In: Kumanyika, S., Brownson, R.C. (eds) Handbook of Obesity Prevention. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-47860-9_2

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