CORRELATION BETWEEN ANTHROPOMETRIC INDICATORS OF OBESITY: BODY MASS INDEX (BMI) AND WAIST CIRCUMFERENCE (WC) IN STUDENT POPULATION FROM NORTH MACEDONIA

  • Biljana Zafirova Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia http://orcid.org/0000-0002-9776-6664
  • Julija Zivdainovikj Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Niki Matveeva Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Elizabeta Chadikovska Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Biljana Trpkovska Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia http://orcid.org/0000-0003-3509-0264
  • Biljana Bojadgieva Stojanoska Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Ace Dodevski Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia
  • Anamarija Paunkoska Institute of Anatomy, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, Republic of North Macedonia

Abstract

The body mass index (BMI) allows for assessing the prevalence of overweight/obesity within a population and determining general obesity. Waist circumference (WC) is a simple and practical anthropometric measure for assessing central adiposity. This study aims to describe the correlation between BMI and WC and examined their significance as indicators of obesity in students. In total, 839 university students aged 18-20 (411 male and 428 female) from Skopje, R. North Macedonia were analyzed. The following anthropometric parameters and indices were considered: weight, height, waist circumference and BMI using a standard protocol. A male had a mean BMI of 24.28 kg/ m2 and a mean WC of 88.01 cm. Females had a mean BMI of 21.56 kg/m2 and a mean WC of 74.17 cm. There was a strong positive significant correlation between the BMI and the WC in males (r = 0.81), and a positive correlation in females ( r =0.72). In the identification of overweight/obesity, WC identified significantly more participants than the BMI (255 vs 186). Both the BMI as well as the WC detect people at risk for weight-related diseases, but these results suggest that WC is a better predictor to detect subjects at high risk for abdominal obesity. The determination of obesity based on anthropometric indicators is still an important method for early prevention of serious consequences of obesity among the student population


Keywords: Body mass index, waist circumference, student population.

References

1. Tutunchi H, Ebrahimi-Mameghani M, Ostadrahimi A, Asghari-Jafarabadi M. What are the optimal cut-off points
of anthropometric indices for prediction of overweight and obesity? Predictive validity of waist circumference, waist-to-hip and waist-to-height ratios. Health Promot Perspect. 2020 Mar 30;10(2):142-147.
2. Wilmet G, Verlinde R, Vandevoorde J, Carol L, Devroey D. Correlation between Body Mass Index and abdominal circumference in Belgian adults: a cross-sectional study. Rom J Intern Med. 2017 Mar 1;55(1):28-35.
3. Xiao-Cong Liu, Yu Huang et al. Quotient of Waist Circumference and Body Mass Index: A valuable indicator for the high-risk phenotype of obesity. Front. Endocrinol., 31 May 2021.Sec Obesity.
4. Suliga E, Ciesla E, Głuszek-Osuch M, Rogula T, Głuszek S, Kozieł D. The Usefulness of Anthropometric Indices to Identify the Risk of Metabolic Syndrome. Nutrients. 2019; 11(11):2598.
5. Lihoug Wu Wenhua Zhu et al. Novel and traditional anthropometric indices for identifying metabolic syndrome in non-overweight/obese adults. Nutrition&metabolism 2021;18(1).
6. Ross R, Neeland IJ, Yamashita S, Shai I, Seidell J, Magni P, Santos RD, Arsenault B, Cuevas A, Hu FB, Griffin BA, Zambon A, Barter P, Fruchart JC, Eckel RH, Matsuzawa Y, Després JP. Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity. Nat Rev Endocrinol. 2020 Mar;16(3):177-189.
7. Zafirova B et al. Waist circumference, waist-to -this ratio cut-off to predict obesity and Metabolic Syndrome among the student population in Skopje, North Macedonia.Acad Med J. 2021;1(1):63-71.
8. Shen W, Punyanitya M, Chen J, Gallagher D, Albu J, Pi-Sunyer X, Lewis CE, Grunfeld C, Heshka S, Heymsfield SB. Waist circumference correlates with metabolic syndrome indicators better than percentage fat. Obesity (Silver Spring). 2006 Apr;14(4):727-36.
9. Gierach M, Gierach J, Ewertowska M, Arndt A, Junik R. Correlation between Body Mass Index and Waist Circumference in Patients with Metabolic Syndrome. ISRN Endocrinol. 2014 Mar 4;2014:514589.
10. Shalom Nwodo Chinedu et al.Correlation Between Body Mass Index and Waist Circumference in Nigerian Adults: Implication as Indicators of Health Status. Public Health Res. 2013;2(2):e16
11. V.R. Preedy (ed.), Handbook of Anthropometry: Physical Measures of Human Form in Health and Disease, Springer Science+Business Media, LLC 2012.
12. Geneva: World Health Organization; 2008. Waist Circumference and Waist-Hip Ratio. Report of WHO Expert Consultation December 2008. Available from: http://apps.who.int/iris/bitstream/handle/10665/44583/9789241501491_eng.pdf;
jsessionid=E5215F3CA2E3F7D645ED72D928A108AB?sequence=1 [Accesed May 2021].
13. CDC. NHANES anthropometry and physical activity monitor procedures manual. 2005. Available from: http://www.cdc. gov/nchs/data/nhanes/ nhanes_05_06/ BM.pdf [Accessed 2022].
14. Flegal KM, Shepherd JA, Looker AC, et al.: Comparisons of percentage body fat, body mass index, waist circumference, and waist-stature ratio in adults. Am J Clin Nutr. 2009; 89:500-8. 10.3945/ajcn.2008.26847.
15. Vazquez G, Duval S, Jacobs DR Jr, Silventoinen K. Comparison of body mass index, waist circumference, and waist/hip ratio in predicting incident diabetes: a meta-analysis. Epidemiol Rev. 2007;29:115-28.
16. Zhang M, Zhao Y, Wang G, Zhang H, Ren Y, Wang B, Zhang L, Yang X, Han C, Pang C, Yin L, Zhao J, Hu D. Body mass index and waist circumference combined predict obesity-related hypertension better than either alone in a rural Chinese population. Sci Rep. 2016 Aug 22;6:31935.
17. Ahmad N, Adam SI, Nawi AM, Hassan MR, Ghazi HF. Abdominal obesity indicators: Waist circumference or waist-to-hip ratio in Malaysian adults population. Int J Prev Med 2016;7:82.
18. Du T. T., Sun X. X., Yin P., Huo R., Ni C. C. & Yu X. F. Increasing trends in central obesity among Chinese adults with normal body mass index, 1993-2009. Bmc Publ.Health. 2013;327.
19. Oellingrath, I.M., Svendsen, M.V. & Fell, A.K.M. Combined body mass index and abdominal obesity, lifestyle and health in a Norwegian adult population: a cross-sectional study. J Public Health (Berl.) 2022. (30) 293–300.
20. Cong, X., Liu, S., Wang, W. et al. Combined consideration of body mass index and waist circumference identifies obesity patterns associated with risk of stroke in a Chinese prospective cohort study. BMC Public Health 2022;347-9.
21. da Silva AR, de Sousa LS, Rocha Tde S, Cortez RM, Macêdo LG, de Almeida PC. Prevalence of metabolic components in university students. Rev Lat Am Enfermagem. 2014;22(6):1041-1047.
22. Guiliche Castañeda RB, Turpo-Chaparro J, Torres JH, Saintila J, Ruiz Mamani PG. Overweight and Obesity, Body Fat, Waist Circumference, and Anemia in Peruvian University Students: A Cross-Sectional Study. J Nutr Metab. 2021 Dec 8;2021:5049037.
23. Z. Wang, J. Ma, and D. Si, “Optimal cut-off values and population means of waist circumference in different populations. Nutrition Research Reviews 2010; vol. 23(2): 191–199.
Published
2022-08-31
How to Cite
ZAFIROVA, Biljana et al. CORRELATION BETWEEN ANTHROPOMETRIC INDICATORS OF OBESITY: BODY MASS INDEX (BMI) AND WAIST CIRCUMFERENCE (WC) IN STUDENT POPULATION FROM NORTH MACEDONIA. Journal of Morphological Sciences, [S.l.], v. 5, n. 2, p. 91-103, aug. 2022. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol5no2-14>. Date accessed: 18 apr. 2024.
Section
Articles