Difference between revisions of "User:Sbprm2023 olga"

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Society is facing an increasing issue with obesity, but determining an appropriate threshold for identifying obesity remains challenging. The Body Mass Index (BMI) is the current method used to measure obesity, calculated by dividing weight by height squared. However, this method has limitations, such as underestimating obesity for shorter individuals and overestimating it for taller individuals. Additionally, BMI fails to account for tissue type and distribution. To address these shortcomings, the waist-to-hip ratio (WHR) has emerged as another measurement, taking visceral fat into account, but these measures must be treated differently for men and women.  
 
Society is facing an increasing issue with obesity, but determining an appropriate threshold for identifying obesity remains challenging. The Body Mass Index (BMI) is the current method used to measure obesity, calculated by dividing weight by height squared. However, this method has limitations, such as underestimating obesity for shorter individuals and overestimating it for taller individuals. Additionally, BMI fails to account for tissue type and distribution. To address these shortcomings, the waist-to-hip ratio (WHR) has emerged as another measurement, taking visceral fat into account, but these measures must be treated differently for men and women.  
 
The objective of this project is to identify a new calculation method that can potentially replace BMI while still being feasible to calculate at home. Specifically, the focus is on people whose excess weight has caused health issues, as obesity's main concern is the comorbidities associated with it. It is not necessary to classify individuals as obese if their excess weight does not negatively impact their health.
 
The objective of this project is to identify a new calculation method that can potentially replace BMI while still being feasible to calculate at home. Specifically, the focus is on people whose excess weight has caused health issues, as obesity's main concern is the comorbidities associated with it. It is not necessary to classify individuals as obese if their excess weight does not negatively impact their health.
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=== Methods ===
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After reviewing various articlessup1,2,3,4sup, five calculations were chosen as potentially more accurate than the BMI, with two tailored for either men or women, and three being applicable to both genders ('''Table 1'''). Then, five comorbidities of obesity were chosen because their occurrence correlated with excessive weight gain '''diabetes, high blood pressure, high cholesterol, kneebackhip pain and cancer'''. These variables have been binarized. The analysis was done on ca. 40,000 individuals from the UK Biobank databasesup5sup.
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The initial step of the analysis was to carry out a Pearson correlation test to assess the relationship between the different indices. Subsequently, simple regressions were performed to investigate the correlation between the number of comorbidities and the different indices. Further, multiple regressions were conducted, with age and sex considered as variables. A significant interaction between sex and comorbidities determined that sex should be accounted for separately in the calculations.
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The best models were chosen for women and men based on the adjusted Rsup2sup, and analyses were carried out on the chosen comorbidities to ensure that they had all a significant contribution to the model. Then, after checking the validity of the model, the best of the formulas was compared with BMI.

Revision as of 14:02, 23 May 2023

A new measure of obesity

Introduction

Society is facing an increasing issue with obesity, but determining an appropriate threshold for identifying obesity remains challenging. The Body Mass Index (BMI) is the current method used to measure obesity, calculated by dividing weight by height squared. However, this method has limitations, such as underestimating obesity for shorter individuals and overestimating it for taller individuals. Additionally, BMI fails to account for tissue type and distribution. To address these shortcomings, the waist-to-hip ratio (WHR) has emerged as another measurement, taking visceral fat into account, but these measures must be treated differently for men and women. The objective of this project is to identify a new calculation method that can potentially replace BMI while still being feasible to calculate at home. Specifically, the focus is on people whose excess weight has caused health issues, as obesity's main concern is the comorbidities associated with it. It is not necessary to classify individuals as obese if their excess weight does not negatively impact their health.

Methods

After reviewing various articlessup1,2,3,4sup, five calculations were chosen as potentially more accurate than the BMI, with two tailored for either men or women, and three being applicable to both genders (Table 1). Then, five comorbidities of obesity were chosen because their occurrence correlated with excessive weight gain diabetes, high blood pressure, high cholesterol, kneebackhip pain and cancer. These variables have been binarized. The analysis was done on ca. 40,000 individuals from the UK Biobank databasesup5sup. The initial step of the analysis was to carry out a Pearson correlation test to assess the relationship between the different indices. Subsequently, simple regressions were performed to investigate the correlation between the number of comorbidities and the different indices. Further, multiple regressions were conducted, with age and sex considered as variables. A significant interaction between sex and comorbidities determined that sex should be accounted for separately in the calculations. The best models were chosen for women and men based on the adjusted Rsup2sup, and analyses were carried out on the chosen comorbidities to ensure that they had all a significant contribution to the model. Then, after checking the validity of the model, the best of the formulas was compared with BMI.