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Research Article
A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease
Gu-Beom Jeong, Jin-Yong Park, Se-Young Kwon, Kyung-Ok Park, Pil-Sook Park, Mi-Yeon Park
Korean Journal of Community Nutrition 2014;19(5):490-498.
DOI: https://doi.org/10.5720/kjcn.2014.19.5.490
Published online: October 31, 2014

1School of Computer Information, Kyungpook National University, Sangju, Korea.

2Department of Microbiology, Gyeongsang National University Medical School, Jinju, Korea.

3Department of Biomedical Laboratory Science, Daegu Health College, Daegu, Korea.

4Department of Statistics and Actuarial Science, Soongsil University, Seoul, Korea.

5Department of Food Science & Nutrition, Kyungpook National University, Daegu, Korea.

6Department of Food & Nutrition, Gyeongsang National University, Jinju, Korea.

Corresponding author: Mi-Yeon Park. Department of Food & Nutrition, Gyeongsang National University, 501, Jinju-daero, Jinju, Gyeongnam 660-701, Korea. Tel: (055) 772-1438, Fax: (055) 772-1439, mypark@gnu.ac.kr
• Received: August 5, 2014   • Revised: September 29, 2014   • Accepted: October 5, 2014

Copyright © 2014 The Korean Society of Community Nutrition

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    This study was conducted to propose the need of re-establishing the criteria of the body weight classification in the elderly. We compared the Asia-Pacific Region Criteria (APR-C) with Entropy Model Criteria (ENT-C) using Morbidity rate of chronic diseases which correlates significantly with Body Mass Index (BMI).
  • Methods
    Subjects were 886 elderly female participating in the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). We compared APR-C with those of ENT-C using Receiver Operating Characteristics (ROC) curve and logistic regression analysis.
  • Results
    In the case of the morbidity of hypertension, the results were as follows: Where it was in the T-off point of APR-C, sensitivity was 67.5%, specificity was 43.1%, and Youden's index was 10.6. While in the cut-off point of ENT-C, it was 56.7%, 56.6%, and 13.3 respectively. In the case of the morbidity of diabetes, the results were as follows: In the cut-off point of APR-C, Youden's index was 14.2. While in the cut-off point of ENT-C, it was 17.2 respectively. The Area Under the ROC Curve (AUC) of the subjects who had more than 2 diseases among hypertension, diabetes, and dyslipidemia was 0.615 (95% CI: 0.578-0.652). Compared to the normal group, the odds ratio of the hypertension group which will belong to the overweight or obesity was 1.79 (95% CI: 1.30-2.47) in the APR-C, and 2.04 (95% CI: 1.49-2.80) in the ENT-C (p > 0.001).
  • Conclusions
    We conclude that the optimal cut-off point of BMI to distinguish between normal weight and overweight was 24 kg/m2 (ENT-C) rather than 23 kg/m2 (APR-C).
  • Keywords: body mass index; ROC curve; Youden's index; chronic disease
This work was supported by the KNU research grant 2012.
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Table 1
The distribution of general characteristics of subjects
kjcn-19-490-i001.jpg

1) Mean ± SD

Table 2
Partial correlation coefficient between body mass index and biochemical results and blood pressure in subjects1)
kjcn-19-490-i002.jpg

1) Results after controlling for ages of the subjects

2) BMI: Body mass index

3) correlation coefficient (p value)

Table 3
The sensitivity, specificities and Youden's index for the morbidity of hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI
kjcn-19-490-i003.jpg

1) AUC: Area under the ROC curve

2) SS: Sensitivity

3) SP: Specificity

4) YI: Youden's index

5) Asia-Pacific Region Criteria

6) Entropy Model Criteria

Table 4
The sensitivity, specificities and Youden's index by the number of diseases among hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI
kjcn-19-490-i004.jpg

1) AUC: Area under the ROC curve

2) SS: Sensitivity

3) SP: Specificity

4) YI: Youden's index

5) Asia-Pacific Region Criteria

6) Entropy Model Criteria

Table 5
The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific region criteria and entropy model criteria by the stage of hypertension
kjcn-19-490-i005.jpg

1) Asia-Pacific Region Criteria

2) Entropy Model Criteria

Table 6
The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of diabetes mellitus
kjcn-19-490-i006.jpg

1) Asia-Pacific Region Criteria

2) Entropy Model Criteria

Table 7
The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of dyslipidemia
kjcn-19-490-i007.jpg

1) Asia-Pacific Region Criteria

2) Entropy Model Criteria

Table 8
The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the number of chronic diseases
kjcn-19-490-i008.jpg

1) Asia-Pacific Region Criteria

2) Entropy Model Criteria

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Factors related to cancer screening behaviors
      Boyoung Choi, Tae Rim Um, Kwang-Soo Lee
      Epidemiology and Health.2018; 40: e2018011.     CrossRef
    • Nutrition States and Related Factors of Female Elderly according to Residence
      Mi-Yeon Park
      Journal of the East Asian Society of Dietary Life.2015; 25(1): 39.     CrossRef

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      A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease
      Korean J Community Nutr. 2014;19(5):490-498.   Published online October 31, 2014
      DOI: https://doi.org/10.5720/kjcn.2014.19.5.490
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    A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease
    A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease

    The distribution of general characteristics of subjects

    1) Mean ± SD

    Partial correlation coefficient between body mass index and biochemical results and blood pressure in subjects1)

    1) Results after controlling for ages of the subjects

    2) BMI: Body mass index

    3) correlation coefficient (p value)

    The sensitivity, specificities and Youden's index for the morbidity of hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI

    1) AUC: Area under the ROC curve

    2) SS: Sensitivity

    3) SP: Specificity

    4) YI: Youden's index

    5) Asia-Pacific Region Criteria

    6) Entropy Model Criteria

    The sensitivity, specificities and Youden's index by the number of diseases among hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI

    1) AUC: Area under the ROC curve

    2) SS: Sensitivity

    3) SP: Specificity

    4) YI: Youden's index

    5) Asia-Pacific Region Criteria

    6) Entropy Model Criteria

    The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific region criteria and entropy model criteria by the stage of hypertension

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of diabetes mellitus

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of dyslipidemia

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the number of chronic diseases

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria
    Table 1 The distribution of general characteristics of subjects

    1) Mean ± SD

    Table 2 Partial correlation coefficient between body mass index and biochemical results and blood pressure in subjects1)

    1) Results after controlling for ages of the subjects

    2) BMI: Body mass index

    3) correlation coefficient (p value)

    Table 3 The sensitivity, specificities and Youden's index for the morbidity of hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI

    1) AUC: Area under the ROC curve

    2) SS: Sensitivity

    3) SP: Specificity

    4) YI: Youden's index

    5) Asia-Pacific Region Criteria

    6) Entropy Model Criteria

    Table 4 The sensitivity, specificities and Youden's index by the number of diseases among hypertension, diabetes mellitus and dyslipidemia according to cut-off points of BMI

    1) AUC: Area under the ROC curve

    2) SS: Sensitivity

    3) SP: Specificity

    4) YI: Youden's index

    5) Asia-Pacific Region Criteria

    6) Entropy Model Criteria

    Table 5 The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific region criteria and entropy model criteria by the stage of hypertension

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    Table 6 The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of diabetes mellitus

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    Table 7 The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the stage of dyslipidemia

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    Table 8 The adjusted odds ratio and 95% confidence interval for overweight or obesity of Asia-Pacific Region Criteria and Entropy Model Criteria by the number of chronic diseases

    1) Asia-Pacific Region Criteria

    2) Entropy Model Criteria

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    Table 6

    Table 7

    Table 8

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