Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population

Kee Chee Cheong, Ahmad F. Yusoff, Sumarni M. Ghazali, Kuang H. Lim, Sharmini Selvarajah, Jamaiyah Haniff, Geok L. Khor, Suzana Shahar, Jamalludin Abd Rahman, Ahmad A. Zainuddin, Amal N. Mustafa

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objective To determine the optimal cut-offs of BMI for Malaysian adults. Design Population-based, cross-sectional study. Receiver operating characteristic curves were used to determine the cut-off values of BMI with optimum sensitivity and specificity for the detection of three cardiovascular risk factors: diabetes mellitus, hypertension and hypercholesterolaemia. Gender-specific logistic regression analyses were used to examine the association between BMI and these cardiovascular risk factors. Setting All fourteen states in Malaysia. Subjects Malaysian adults aged ≥18 years (n 32 703) who participated in the Third National Health and Morbidity Survey in 2006. Results The optimal BMI cut-off value for predicting the presence of diabetes mellitus, hypertension, hypercholesterolaemia or at least one of these cardiovascular risk factors varied from 23·3 to 24·1 kg/m 2 for men and from 24·0 to 25·4 kg/m2 for women. In men and women, the odds ratio for having diabetes mellitus, hypertension, hypercholesterolaemia or at least one cardiovascular risk factor increased significantly as BMI cut-off point increased. Conclusions Our findings indicate that BMI cut-offs of 23·0 kg/m2 in men and 24·0 kg/m2 in women are appropriate for classification of overweight. We suggest that these cut-offs can be used by health professionals to identify individuals for cardiovascular risk screening and weight management programmes.

Original languageEnglish
Pages (from-to)453-459
Number of pages7
JournalPublic Health Nutrition
Volume16
Issue number3
DOIs
Publication statusPublished - Mar 2013

Fingerprint

Hypercholesterolemia
Hypertension
Diabetes Mellitus
Population
Malaysia
Health Surveys
ROC Curve
Cross-Sectional Studies
Logistic Models
Odds Ratio
Regression Analysis
Morbidity
Weights and Measures
Sensitivity and Specificity
Health

Keywords

  • BMI
  • Diabetes
  • Hypercholesterolaemia
  • Hypertension
  • Optimal cut-off

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics
  • Public Health, Environmental and Occupational Health

Cite this

Cheong, K. C., Yusoff, A. F., Ghazali, S. M., Lim, K. H., Selvarajah, S., Haniff, J., ... Mustafa, A. N. (2013). Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population. Public Health Nutrition, 16(3), 453-459. https://doi.org/10.1017/S1368980012002911

Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population. / Cheong, Kee Chee; Yusoff, Ahmad F.; Ghazali, Sumarni M.; Lim, Kuang H.; Selvarajah, Sharmini; Haniff, Jamaiyah; Khor, Geok L.; Shahar, Suzana; Rahman, Jamalludin Abd; Zainuddin, Ahmad A.; Mustafa, Amal N.

In: Public Health Nutrition, Vol. 16, No. 3, 03.2013, p. 453-459.

Research output: Contribution to journalArticle

Cheong, KC, Yusoff, AF, Ghazali, SM, Lim, KH, Selvarajah, S, Haniff, J, Khor, GL, Shahar, S, Rahman, JA, Zainuddin, AA & Mustafa, AN 2013, 'Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population', Public Health Nutrition, vol. 16, no. 3, pp. 453-459. https://doi.org/10.1017/S1368980012002911
Cheong, Kee Chee ; Yusoff, Ahmad F. ; Ghazali, Sumarni M. ; Lim, Kuang H. ; Selvarajah, Sharmini ; Haniff, Jamaiyah ; Khor, Geok L. ; Shahar, Suzana ; Rahman, Jamalludin Abd ; Zainuddin, Ahmad A. ; Mustafa, Amal N. / Optimal BMI cut-off values for predicting diabetes, hypertension and hypercholesterolaemia in a multi-ethnic population. In: Public Health Nutrition. 2013 ; Vol. 16, No. 3. pp. 453-459.
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