High body fat percentage among adult women in Malaysia: the role of lifestyle

Johari, Sa’ida Munira; Nordin, Norsham Juliana; Sahar, Mohd Azmani; Sulaiman, Ainul Huda; Shahar, Suzana; Teng, Nur Islami Mohd Fahmi; Amin, Nur Azma; Saudi, Ahmad Shakir Mohd

doi:10.4314/jfas.v9i4s.52

Cited by 2 publications

(4 citation statements)

References 32 publications

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“…Comparing among ethnicities, Singapore Chinese were found to have higher BF% compared to Caucasian. This supports the findings from the Singapore study in 2000 [ 24 ] and other reports that some Asians population have greater fat mass than Caucasians [ 14 , 32 – 34 ]. However, there are other contrasting findings from other Asian populations, such as Vietnamese [ 31 ] and Polynesian [ 35 ] population that for similar sex, age, and BMI, the BF% was lower compared to Caucasians – showing the ethnic diversity in percentage body fat in Asia.…”

Section: Discussionsupporting

confidence: 91%

“…Asians are found to have a higher body fat percentage for the same age, gender, and BMI, when compared to European white population, and have higher prevalence of type 2 diabetes (T2DM) and increased cardiovascular risk at lower BMI values compared to European white population [ 13 ]. In a cross-sectional study of Malaysian women aged 40–59, prevalence of obesity was 72.8% based on BF% (BF% > 33) but only 20.6% when classified using BMI ≥ 30 kg/m 2 [ 14 ]. Therefore, having a common BMI cut-off for obesity is not appropriate, as these cut-off points were derived from studies of the relationship between BMI, morbidity and mortality in the Western populations [ 4 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study

et al. 2021

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Background The main aim of this study was to the determine relationship between Body Mass Index (BMI) and percentage body fat (BF%) in Singaporean adults, derive a prediction model to estimate BF%, and to report population BF%. The secondary aim was to determine the prevalence of overweight and obesity based on BF% threshold and the new risk categories for obesity in Singaporean population. Methods This was a population-based study of 542 community-dwelling Singaporeans (21–90 years old, 43.1% men). Anthropometry and body composition were assessed. Relationship between BMI and BF% were analysed using multiple regression models. Prevalence of overweight and obesity were estimated using WHO and Singapore Ministry of Health (MOH) Clinical Practice Guidelines for BMI classification, and BF% cut-off points of 25 and 35% for men and women respectively. Results We derived a prediction model to estimate BF% based on BMI, age and sex. The current cohort of Singaporeans when compared to Caucasians in the US and Europe as well as a Singapore cohort from 20 years age have higher BF% when matched for BMI, age, and sex. The overall population-adjusted prevalence of obesity according to WHO International classification (BMI ≥30 kg/m2) was 12.9% (14.9% men; 11.0% women); and 26.6% (30.7% men; 22.8% women) according to the MOH classification (BMI ≥27.5 kg/m2). However, using the BF% cut-off (> 25% for men and > 35% for women) resulted in very high prevalence of obesity of 82.0% (80.2% men; 83.8% women). Conclusion There is a large discrepancy between BF% and BMI measured obesity in Singaporean adults. The results confirmed that Singaporean adults have higher BF% at lower BMI compared to US and Europe white counterparts; and that BF% in our population has increased over two decades.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study

et al. 2021

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“…Caucasian. This supports the ndings from the Singapore study in 2000 (24) and other reports that some Asians population have greater fat mass than Caucasians (14,(32)(33)(34). However, there are other contrasting ndings from other…”

Section: Discussion 4•1 Percentage Body Fatsupporting

confidence: 88%

“…Asians are found to have a higher body fat percentage for the same age, gender, and BMI, when compared to European white population, and have higher prevalence of type 2 diabetes (T2DM) and increased cardiovascular risk at lower BMI values compared to European white population (13). In a cross-sectional study of Malaysian women aged 40-59, prevalence of obesity was 72.8 % based on BF% (BF% >33%) but only 20.6% when classi ed using BMI≥30kg/m 2 (14). Therefore, having a common BMI cut-off for obesity is not appropriate, as these cutoff points were derived from studies of the relationship between BMI, morbidity and mortality in the Western populations (4,15).…”

Section: Introductionmentioning

confidence: 99%

Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study.

Chen

Wee

Pang

et al. 2020

Preprint

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Background: The main aim of this study was to the determine relationship between BMI and BF% in Singaporean adults, derive a prediction model to estimate BF%, and to report population BF%. The secondary aim was to determine the prevalence of overweight and obesity based on BF% threshold and the new risk categories for obesity in Singaporean population.Methods: This was a population-based study of 542 community-dwelling Singaporeans (21-90 years old, 43.1% men). Anthropometry and body composition were assessed. Relationship between BMI and BF% were analysed using multiple regression model. Prevalence of overweight and obesity were estimated using WHO and Singapore Ministry of Health (MOH) Clinical Practice Guidelines BMI classification, and BF% cut-off points of 25% and 35% for men and women respectively. Results: We derived a prediction model to estimate BF% based on BMI, age, sex and ethnicity. The current cohort of Singaporeans have higher BF% at matching BMI, age and sex than Caucasians in the US and Europe, and a Singaporean cohort from 20 years ago. The overall population-adjusted prevalence of obesity according to WHO International classification (BMI ³30kg/m2) was 12.9% (14.9% men; 11.0% women); and 26.6% (30.7% men; 22.8% women) according to MOH classification (BMI ³27.5kg/m2). However, using BF% cut-off (>25% for men and >35% for women) resulted in very high prevalence of obesity of 82.0% (80.2% men; 83.8% women).Conclusion: There is a large discrepancy between BF% and BMI measured obesity in Singaporean adults. The results confirmed that Singaporean adults have higher BF% at lower BMI compared to US and UK white counterparts; and that BF% in our population have increased over two decades.

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High body fat percentage among adult women in Malaysia: the role of lifestyle

Cited by 2 publications

References 32 publications

Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study

Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study

Relationship between BMI with percentage body fat and obesity in Singaporean adults – The Yishun Study.

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