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Overweight Japanese with body mass indexes of 23.0–24.9 have higher risks for obesity-associated disorders: a comparison of Japanese and Mongolians

Abstract

OBJECTIVE: The degree of obesity of Asians is less than that of Caucasians. It has been suggested that Japanese, categorized as having normal weight (BMI<25.0), as defined by WHO (2000), have a tendency toward increased incidences of dyslipidemia and diabetes. Our objective was to analyze parameters constituting obesity-associated disorders in overweight Japanese and Mongolians with a body mass index (BMI) of 23.0–24.9, and to assess the suitability for Asians of the Regional Office for Western Pacific Region of WHO criteria pertaining to obesity (WPRO criteria, 2000).

DESIGN: Cross-sectional study in a workplace setting.

SUBJECTS: A total of 386 Japanese men and 363 Japanese women, and 102 Mongolian men and 155 Mongolian women.

MEASUREMENTS: Anthropometric measurements (weight, height, waist circumference, hip circumference and blood pressure) and metabolic measurements (plasma levels of total cholesterol, HDL cholesterol, triglyceride, glucose and insulin).

RESULTS: Graded increases in BMI of Japanese and Mongolians were positively associated with body fat percent, waist circumference, hip circumference and waist/hip ratio. The Japanese were categorized as 22% overweight, 22% obese I, 3% obese II; the Mongolians rated as 18% overweight, 34% obese I, 19% obese II, based on the WPRO BMI criteria. The Mongolians had a higher prevalence of obesity and a higher body fat percent, but a lesser gradation of dyslipidemia, than did the BMI-matched Japanese groups. Overweight Japanese (BMI 23.0–24.9), in comparison to normal Japanese (BMI 18.5–22.9), had significant differences in systolic blood pressure, HDL-choresterol and triglyceride in men, and in systolic and diastolic blood pressure, HDL-choresterol, triglyceride, insulin and Homoeostasis model assessment-insulin resistance in women. In contrast, the Mongolians showed no significant differences in metabolic parameters between overweight and normal subjects, except for diastolic blood pressure.

CONCLUSION: Since the relationship between abdominal fat mass and BMI is ethnic-specific, a universal BMI cutoff point is inappropriate for Asian populations such as the Japanese and Mongolians. The present investigation suggests that, while the WPRO criteria are suitable for Japanese, the WHO criteria are more appropriate for Mongolians.

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References

  1. Willett WC, Dietz WH, Colditz GA . Guideline for healthy weight. N Engl J Med 1999; 341: 427–434.

    Article  CAS  PubMed  Google Scholar 

  2. World Health Organization. Obesity: preventing and managing the global endemic, WHO Technical Report Series No. 894 WHO: Geneva, 2000.

  3. The Obesity Task Force of the National Heart, Lung and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res 1998; 6: 51S–209S.

  4. WHO/IASO/IOTF. The Asia-Pacific Perspective: Redefining Obesity and its Treatment. Health Communications Australia Pty Ltd; 2000.

  5. The Examination Committee of Criteria for ‘Obesity Disease’ in Japan, Japan Society for the Study of Obesity. New criteria for ‘obesity disease’ in Japan. Circ J 2002; 66: 987–992.

    Article  Google Scholar 

  6. Ohmura T, Ueda K, Kiyohara Y, Kato I, Iwamoto H, Nakayama K, Nomiyama K, Ohmori S, Yoshitake T, Shinkawa A, Hasuo Y, Fujishima M . Prevalence of type 2 (non-insulin-dependent) diabetes mellitus and impaired glucose tolerance in the Japanese general population: the Hisayama study. Diabetologia 1993; 36: 1198–1203.

    Article  CAS  PubMed  Google Scholar 

  7. Tokunaga K, Matsuzawa Y, Kotani K, Keno Y, Kobatake T, Fujioka S, Tarui S . Ideal body weight estimated from the body mass index with the lowest morbidity. Int J Obes Relat Metab Disord 1991; 15: 1–5.

    CAS  Google Scholar 

  8. Nakamura K, Shimai S, Kikuchi S, Maeda A, Motohashi Y, Tanaka M, Nakano S . Associations between anthropometric indices of adiposity and atherogenic risk factors in Japanese working women aged 21–40 years. Eur J Epidemiol 1998; 14: 663–668.

    Article  CAS  PubMed  Google Scholar 

  9. Hsieh SD, Yoshinaga H, Muto T, Sakurai Y, Kosaka K . Health risks among Japanese men with moderate body mass index. Int J Obes Relat Metab Disord 2000; 24: 358–362.

    Article  CAS  PubMed  Google Scholar 

  10. Ito H, Nakasuga K, Ohshima A, Maruyama T, Kaji Y, Harada M, Fukunaga M, Jingu S, Sakamoto M . Detection of cardiovascular risk factors by indices of obesity obtained from anthropometry and dual-energy X-ray absorptiometry in Japanese individuals. Int J Obes Relat Metab Disord 2003; 27: 232–237.

    Article  CAS  PubMed  Google Scholar 

  11. Katoh T, Mano S, Ikuta T, Munkhbat B, Tounai K, Ando H, Munkhtuvshin N, Imanishi T, Inoko H, Tamiya G . Genetic isolates in East Asia: a study of linkage disequilibrium in the X chromosome. Am J Hum Genet 2002; 71: 395–400.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Suvd J, Gerel B, Otgooloi H, Purevsuren D, Zolzaya H, Roglic G, King H . Glucose intolerance and associated factors in Mongolia: results of a national survey. Diabet Med 2002; 19: 502–508.

    Article  CAS  PubMed  Google Scholar 

  13. Friedewald WT, Levy RI, Fredrickson D . Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 1972; 18: 499–502.

    CAS  PubMed  Google Scholar 

  14. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC . Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985; 28: 412–419.

    Article  CAS  PubMed  Google Scholar 

  15. Han TS, Williams K, Sattar N, Hunt KJ, Lean ME, Haffner SM . Analysis of obesity and hyperinsulinemia in the development of metabolic syndrome: San Antonio Heart Study. Obes Res 2002; 10: 923–931.

    Article  PubMed  Google Scholar 

  16. Wang J, Thornton JC, Russell M, Burastero S, Heymsfield S, Pierson Jr RN . Asians have lower body mass index (BMI) but higher percent body fat than do whites: comparisons of anthropometric measurements. Am J Clin Nutr 1994; 60: 23–28.

    Article  CAS  PubMed  Google Scholar 

  17. Deurenberg P, Deurenberg-Yap M, Guricci S . Asians are different from Caucasians and from each other in their body mass index/body fat per cent relationship. Obes Rev 2002; 3: 141–146.

    Article  CAS  PubMed  Google Scholar 

  18. Luke A, Durazo-Arvizu R, Rotimi C, Prewitt TE, Forrester T, Wilks R, Ogunbiyi OJ, Schoeller DA, McGee D, Cooper RS . Relation between body mass index and body fat in black population samples from Nigeria, Jamaica, and the United States. Am J Epidemiol 1997; 145: 620–628.

    Article  CAS  PubMed  Google Scholar 

  19. Norgan NG . Population differences in body composition in relation to the body mass index. Eur J Clin Nutr 1994; 48 (Suppl 3): S10–25.

    PubMed  Google Scholar 

  20. Manson JE, Willett WC, Stampfer MJ, Colditz GA, Hunter DJ, Hankinson SE, Hennekens CH, Garrison RJ, Kannel WB . A new approach for estimating healthy body weights. Int J Obes Relat Metab Disord 1993; 17: 417–423.

    Google Scholar 

  21. Tsugane S, Sasaki S, Tsubono Y . Under- and overweight impact on mortality among middle-aged Japanese men and women: a 10-y follow-up of JPHC study cohort I. Int J Obes Relat Metab Disord 2002; 26: 529–537.

    Article  CAS  PubMed  Google Scholar 

  22. Yoshiike N, Seino F, Tajima S, Arai Y, Kawano M, Furuhata T, Inoue S . Twenty-year changes in the prevalence of overweight in Japanese adults: The National Nutrition Survey 1976–95. Obes Rev 2002; 3: 183–190.

    Article  CAS  PubMed  Google Scholar 

  23. Adachi H, Goetz FC, Jacobs DR, Tsuruta M, Hirai Y, Fujiura Y, Imaizumi T . The role of obesity in the association of cardiovascular risk factors and glucose intolerance in small Japanese and North American communities. Diabetes Res Clin Pract 2000; 49: 41–51.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

This study was supported in part by Grants-in-Aid (12670355, 14570334 to K.S., 13680173 to AN) for Scientific Research from the Japanese Ministry of Education, Culture, Sports, Science and Technology, and Grants from the Japanese Ministry of Health, Labor and Welfare (to YY).

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Correspondence to K Shiwaku.

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Shiwaku, K., Anuurad, E., Enkhmaa, B. et al. Overweight Japanese with body mass indexes of 23.0–24.9 have higher risks for obesity-associated disorders: a comparison of Japanese and Mongolians. Int J Obes 28, 152–158 (2004). https://doi.org/10.1038/sj.ijo.0802486

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