The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice

The prevalence of obesity already reached epidemic proportions many years ago and more people may die from this pandemic than from COVID-19. However, the figures depend on which measure of fat mass is used. The determination of the associated health risk also depends on the applied measure. Therefor...

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Autores principales:	Dorothea Kesztyüs, Josefine Lampl, Tibor Kesztyüs
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	anthropometry weight indices applicability overweight and obesity pandemic health risk Medicine R
Acceso en línea:	https://doaj.org/article/0ca9c979f95f4e5b9d83fdeded12d755
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spelling	oai:doaj.org-article:0ca9c979f95f4e5b9d83fdeded12d7552021-11-11T16:13:17ZThe Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice10.3390/ijerph1821110701660-46011661-7827https://doaj.org/article/0ca9c979f95f4e5b9d83fdeded12d7552021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11070https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The prevalence of obesity already reached epidemic proportions many years ago and more people may die from this pandemic than from COVID-19. However, the figures depend on which measure of fat mass is used. The determination of the associated health risk also depends on the applied measure. Therefore, we will examine the most common measures for their significance, their contribution to risk assessment and their applicability. The following categories are reported: indices of increased accumulation of body fat; weight indices and mortality; weight indices and risk of disease; normal weight obesity and normal weight abdominal obesity; metabolically healthy obesity; the obesity paradox. It appears that BMI is still the most common measure for determining weight categories, followed by measures of abdominal fat distribution. Newer measures, unlike BMI, take fat distribution into account but often lack validated cut-off values or have limited applicability. Given the high prevalence of obesity and the associated risk of disease and mortality, it is important for a targeted approach to identify risk groups and determine individual risk. Therefore, in addition to BMI, a measure of fat distribution should always be used to ensure that less obvious but risky manifestations such as normal weight obesity are identified.Dorothea KesztyüsJosefine LamplTibor KesztyüsMDPI AGarticleanthropometryweight indicesapplicabilityoverweight and obesitypandemichealth riskMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11070, p 11070 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	anthropometry weight indices applicability overweight and obesity pandemic health risk Medicine R
spellingShingle	anthropometry weight indices applicability overweight and obesity pandemic health risk Medicine R Dorothea Kesztyüs Josefine Lampl Tibor Kesztyüs The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
description	The prevalence of obesity already reached epidemic proportions many years ago and more people may die from this pandemic than from COVID-19. However, the figures depend on which measure of fat mass is used. The determination of the associated health risk also depends on the applied measure. Therefore, we will examine the most common measures for their significance, their contribution to risk assessment and their applicability. The following categories are reported: indices of increased accumulation of body fat; weight indices and mortality; weight indices and risk of disease; normal weight obesity and normal weight abdominal obesity; metabolically healthy obesity; the obesity paradox. It appears that BMI is still the most common measure for determining weight categories, followed by measures of abdominal fat distribution. Newer measures, unlike BMI, take fat distribution into account but often lack validated cut-off values or have limited applicability. Given the high prevalence of obesity and the associated risk of disease and mortality, it is important for a targeted approach to identify risk groups and determine individual risk. Therefore, in addition to BMI, a measure of fat distribution should always be used to ensure that less obvious but risky manifestations such as normal weight obesity are identified.
format	article
author	Dorothea Kesztyüs Josefine Lampl Tibor Kesztyüs
author_facet	Dorothea Kesztyüs Josefine Lampl Tibor Kesztyüs
author_sort	Dorothea Kesztyüs
title	The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
title_short	The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
title_full	The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
title_fullStr	The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
title_full_unstemmed	The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice
title_sort	weight problem: overview of the most common concepts for body mass and fat distribution and critical consideration of their usefulness for risk assessment and practice
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0ca9c979f95f4e5b9d83fdeded12d755
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The Weight Problem: Overview of the Most Common Concepts for Body Mass and Fat Distribution and Critical Consideration of Their Usefulness for Risk Assessment and Practice

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