Gu-Beom Jeong; Jin-Yong Park; Se-Young Kwon; Kyung-Ok Park; Pil-Sook Park; Mi-Yeon Park

doi: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: 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

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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Abstract
Acknowledgments
Acknowledgments
REFERENCES

Abstract

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

Acknowledgments

This work was supported by the KNU research grant 2012.

REFERENCES

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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

Figure & Data

REFERENCES

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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

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 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