Estimation of body fat mass percentage as measure of obesity among undergraduate medical students and its correlation with clinical markers of obesity

  • Abhishek Ghose Department of Community Medicine, Pandit Raghunath Murmu Medical College & Hospital, Baripada, Odisha, India
  • Manoj Kumar Dash Department of Community Medicine, Government Medical College, Keonjhar, Odisha, India
Keywords: BMI, Body fat mass, Epidemiological investigations, Hip circumference, Obesity, Overweight, Waist circumference, Waist Hip ratio

Abstract

Introduction: This study was conducted to assess the burden of overweight and obesity among UG medical students by measurement of body fat mass percentage and to evaluate its validity as a clinical marker of obesity by its correlation with BMI.

Methodology: The research was conducted as a cross-sectional, observational study using the principle of Bioelectric Impedance Analysis for the measurement of body fat.

Results: A total of 420 students were enrolled out of which 233 were males (55.4%) and 187 females (44.5 %). The burden of overweight and obesity among the students was found to be 26% and 9.8 % respectively according to WHO global BMI criteria. This abnormality was pervasive across all four years of UG MBBS students. The startling finding is that students who were labeled as ‘Normal’ using the BMI criterion were found to be obese by BF% assessment (43%) and even ‘Underweight’ students were found to have more than normal levels of BF% (15.2%). Measurement of waist circumference (WC) showed that 146 (34.8%) of the students had WC higher than normal. Likewise, 145 (34.5%) of the students had Waist-Hip Ratio higher than normal. Abnormalities of all the above parameters put the students at risk of NCDs(Non-Communicable diseases).

Conclusion: The study shows a high burden of overweight and obesity in medical students. Using body fat percentage as a clinical marker of adiposity is more desirable than using BMI only to screen for clinical obesity

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Author Biographies

Abhishek Ghose, Department of Community Medicine, Pandit Raghunath Murmu Medical College & Hospital, Baripada, Odisha, India

Student

Manoj Kumar Dash, Department of Community Medicine, Government Medical College, Keonjhar, Odisha, India

Associate Professor

References

Haslam DW, James WP. Life expectancy. Lancet. 2005; 366:1197-209.

DOI: https://doi.org/10.1016/S0140-6736(05)67483-1

Bray GA. Medical consequences of obesity. J Clin Endocrinol Metab. 2004; 89(6):2583-9.

DOI: https://doi.org/10.1210/jc.2004-0535

Ramaiya KL, Kodali VR, Alberti KG. Epidemiology of diabetes in Asians of the Indian subcontinent. Diab Metab Rev. 1990; 6(3):125-46.

DOI: https://doi.org/10.1002/dmr.5610060302

Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001; 44:1094-101.

DOI: https://doi.org/10.1007/s001250100627

Norgan NG. Population differences in body composition about the body mass index. Eur J Clin Nutr. 1994; 48:S10-25.

Deurenberg P, Yap M, Van Staveren WA. Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes. 1998; 22(12):1164-71.

DOI: https://doi.org/10.1038/sj.ijo.0800741

Banerji MA, Faridi N, Atluri R, Chaiken RL, Lebovitz HE. Body composition, visceral fat, leptin, and insulin resistance in Asian Indian men. J Clin Endocrinol Metab. 1999; 84(1):137-44.

DOI: https://doi.org/10.1210/jcem.84.1.5371

Chandalia M, Abate N, Garg A, Stray-Gundersen J, Grundy SM. Relationship between generalized and upper body obesity to insulin resistance in Asian Indian men. J Clin Endocrinol Metab. 1999; 84(7):2329-35.

DOI: https://doi.org/10.1210/jcem.84.7.5817

Region WW, IASO I. The Asia-Pacific perspective: redefining obesity and its treatment. International Obesity Task Force. 2000; 2:15-21.

Tan KC. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004; 363(9403):157-63

DOI: https://doi.org/10.1016/S0140-6736(03)15268-3

American College of Sports Medicine, editor. ACSM's health-related physical fitness assessment manual. Lippincott Williams & Wilkins; 2013.

Consultation WE. Waist circumference and waist-hip ratio. Report of a WHO Expert Consultation. Geneva: World Health Organization. 2008; 8-11.

Tiwari R, Jain V, Rajput AS, Bhagwat AK, Goyal M, Tiwari S. A study to assess the prevalence of obesity among medical students of GR medical college, Gwalior, MP, India. Int J Res Med Sci. 2014; 2(4):1412-6.

DOI: https://doi.org/10.5455/2320-6012.ijrms20141132

Deotale MK, Ranganathan U, Akarte SV. Prevalence of overweight and obesity among medical students and their knowledge, attitude, and practices about obesity. Int J Sci Rep. 2015; 1(1):74-9.

DOI: https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150206

Fernandez K, Singru SA, Kshirsagar M, Pathan Y. Study regarding overweight/obesity among medical students of a teaching hospital in Pune, India. Med J DY Patil Uni. 2014; 7(3):279-83.

DOI: https://doi.org/10.4103/0975-2870.128950

Khan ZN, Assir MZ, Shafiq M, Jabeen A. High prevalence of obesity and obesity among medical students of Lahore and its relation with dietary habits and physical activity. Indian J Endocrinol Metab. 2016; 20(2):206-10.

DOI: https://doi.org/10.4103/2230-8210.176357

Manojan KK, Benny PV, Bindu A. Prevalence of obesity and overweight among medical students based on new Asia-Pacific BMI guideline. Kerala Med J. 2019; 12(1):13-5.

Meeuwsen S, Horgan GW, Elia M. The relationship between BMI and percent body fat, measured by bioelectrical impedance, in a large adult sample is curvilinear and influenced by age and sex. Clin Nutr. 2010; 29(5):560-6.

DOI: https://doi.org/10.1016/j.clnu.2009.12.011

Jackson AS, Stanforth PR, Gagnon J, Rankinen T, Leon AS, Rao DC, The effect of sex, age, and race on estimating percentage body fat from body mass index: The Heritage Family Study. Int J Obesit. 2002; 26(6):789-96.

DOI: https://doi.org/10.1038/sj.ijo.0802006

Gallagher D, Visser M, Sepulveda D, Pierson RN, Harris T, Heymsfield SB. How useful is body mass index for comparison of body fatness across age, sex, and ethnic groups? Am J Epidemiol. 1996; 143(3):228-39.

DOI: https://doi.org/10.1093/oxfordjournals.aje.a008733

Deurenberg P, Van Der Kooy K, Hulshof T, Evers P. Body mass index as a measure of body fatness in the elderly. Eur J Clin Nutr. 1989; 43(4):231-6.

DOI: https://doi.org/10.1038/oby.2001.3

Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, et al. Consensus statement for diagnosis of obesity, abdominal obesity, and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009; 57(2):163-70.

Wu CS, Chen YY, Chuang CL, Chiang LM, Dwyer GB, Hsu YL, et al. Predicting body composition using foot-to-foot bioelectrical impedance analysis in healthy Asian individuals. Nutr J. 2015; 14:1-9.

DOI: https://doi.org/10.1186/s12937-015-0041-0

Amin F, Fatima SS, Islam N, Gilani AH. Prevalence of obesity and overweight, its clinical markers and associated factors in a high-risk South-Asian population. BMC Obes. 2015; 2:1-1.

DOI: https://doi.org/10.1186/s40608-015-0044-6

Ranasinghe C, Gamage P, Katulanda P, Andraweera N, Thilakarathne S, Tharanga P. Relationship between body mass index (BMI) and body fat percentage, estimated by bioelectrical impedance, in a group of Sri Lankan adults: a cross-sectional study. BMC Public Health. 2013; 13:1-8.

DOI: https://doi.org/10.1186/1471-2458-13-797.

Published
2024-08-02
How to Cite
1.
Ghose A, Dash M. Estimation of body fat mass percentage as measure of obesity among undergraduate medical students and its correlation with clinical markers of obesity. JSTMU [Internet]. 2Aug.2024 [cited 21Nov.2024];7(1):33-0. Available from: https://j.stmu.edu.pk/ojs/index.php/jstmu/article/view/287