The Significance of Measuring Body Fat Percentage Determined by Bioelectrical Impedance Analysis for Detecting Subjects With Cardiovascular Disease Risk Factors

Kentaro Yamashita, Takahisa Kondo, Shigeki Osugi, Keiko Shimokata, Kengo Maeda, Naoki Okumura, Kyoko Matsudaira, Satoshi Shintani, Takashi Muramatsu, Kunihiro Matsushita, Toyoaki Murohara

Research output: Contribution to journalArticlepeer-review

41 Citations (Scopus)

Abstract

Background: Body fat percentage (BF%) determined by bioelectrical impedance analysis is widely used at home and in medical check-ups. However, the clinical significance of measuring BF% has not been studied in detail. Methods and Results: A cross-sectional study was carried out on a cohort of 10,774 middle-aged Japanese men who had undergone an annual check-up in 2008. Cut-off points were evaluated for body mass index (BMI), waist circumference (WC), and BF% for detecting participants with cardiovascular disease (CVD) risk factors (diabetes mellitus, hypertension, dyslipidemia), and effectiveness compared for each marker's cut-off point. Additionally, the effects of smoking on cut-off points were evaluated. The cut-off points of BMI, WC, and BF% for detecting participants with 1 or more CVD risk factors were 22.7 kg/m2, 81.4 cm, and 20.3%, respectively. The cut-off points of BF% for 1 or more CVD risk factors classified 3.43% more subjects into correct categories than those of BMI (P<0.001). The cut-off points of BMI, WC, and BF% for detecting individuals with 3 CVD risk factors in current smokers were 24.9 kg/m2, 87.8 cm, and 23.7%, while those in non-smokers were 23.3 kg/m2, 83.9 cm, and 22.3%, respectively. Conclusions: BF% could be more effective in detecting individuals with early stage CVD risk accumulation than BMI. The cut-off points for current smokers were lower than those for non-smokers in all markers.

Original languageEnglish
Pages (from-to)2435-2442
Number of pages8
JournalCirculation Journal
Volume76
Issue number10
DOIs
Publication statusPublished - 2012
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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