Korean J Fam Pract. 2017; 7(4): 596-599  https://doi.org/10.21215/kjfp.2017.7.4.596
Comparison of Body Mass Index, Waist Circumference, and Waist-to-Height Ratio as a Predictors of Abdominal Fat Distribution in Male Examinees from the Health Promotion Center
Do-Wi Kim, Joo-Yeon Kim*, Hyeyeong Jeong
Department of Family Medicine, Seoul Medical Center, Seoul, Korea
Joo-Yeon Kim
Tel: +82-2-2276-7941, Fax: +82-2-2276-8533
E-mail: willywalnut@naver.com
Received: August 19, 2016; Revised: October 20, 2016; Accepted: October 21, 2016; Published online: August 20, 2017.
© Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Abdominal obesity is correlated with cardiovascular risk factors. Various measurements have been proposed to predict abdominal obesity but are still controversial. Therefore, the purpose of this study was to compare body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in a healthy, adult male Korean population.
Methods: The included subjects were 117 men with a mean age of 47 years who attended the Health Promotion Center of Seoul Medical Center. This study determined which of the three indexes—BMI, WC, and WHtR—has the highest correlation with visceral fat area (VFA) and subcutaneous fat area (SFA) in a multiple regression analysis. Single computed tomography was used to quantify fat deposit in VFA and SFA at the level of the umbilicus.
Results: In the multiple regression analysis between each anthropometric variable and abdominal fat area, WC had the highest correlation with VFA (β=0.696) and SFA (β=0.828).
Conclusion: In this study, WC was comparable with WHtR and BMI for prediction of abdominal fat distribution in men. WC is a good anthropometric index that showed a stronger correlation with the distribution of VFA than BMI or WHtR. These results reinforce the importance of using WC in clinical practice.
Keywords: Abdominal Obesity; Waist Circumference; Waist-Height Ratio
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