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Body Fat & Metabolic Syndrome Risk

Fat & Metabolic Syndrome Study Background
Increasing attention has focused on the association between body fatness and related metabolic risk factors. The quantitative link between percentage body fat and the risk of metabolic syndrome is unknown.

Fat & Metabolic Syndrome Study Aim
Determine the risk [odds ratios (ORs)] of metabolic syndrome based on percentage body fat in black and white men and women in the United States and to provide corresponding ranges of percentage body fat associated with a risk equivalent to body mass index (BMI; in kg/m2).

Fat & Metabolic Syndrome Study Methods
Subjects were participants in the third National Health and Nutrition Examination Survey and were divided into those with and without the metabolic syndrome. OR equations were derived from logistic regression models for percentage body fat and BMI, with the 25th percentile in the study population as the reference. Ranges were developed by associating percentage body fat with the equivalent risk of metabolic syndrome based on established BMI cutoffs.

Fat & Metabolic Syndrome Study Results
Results: Four sets (men, women, black, and white) of OR curves were generated for percentage body fat and for BMI by using data from 8259 adults. The ORs for metabolic syndrome were lower in blacks than in whites at any given percentage body fat or BMI. The developed cutoffs for percentage body fat differed between men and women but showed only small race and age effects. A simplified set of sex-specific percentage body fat ranges for the risk of metabolic syndrome were developed.

Fat & Metabolic Syndrome Study Conclusion
The risk of metabolic syndrome can be established from measured percentage body fat by using either the developed OR curves or percentage body fat thresholds at traditional BMI cutoffs. This information should prove useful in both clinical and research settings.

Source: American Journal of Clinical Nutrition 2003

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