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Obesity

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...

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Updated: May 21, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study

Assessment of Child Anthropometry in a Large Epidemiologic Study

Published on: February 2, 2017

Anthropometric Data by Using Bioelectrical Analysis as a Parameters for New Classification and Definition of Obesity.

Nizama Salihefendic^1,2, Muharem Zildzic^1,3, Izet Masic^2,3,4

¹Polyclinic "MedicusA", Gracanica, Gracanica, Bosnia and Herzegovina.

Materia Socio-Medica

|March 18, 2025

Summary

Obesity is rising globally, with over a quarter of adults in Bosnia and Herzegovina found to be obese, predominantly with abdominal obesity. Bioelectrical impedance analysis (BIA) offers a better way to assess body composition for improved health strategies.

Keywords:

Adipose Tissue Bioelectrical Bosnia Clinical Obesity Herzegovina Impedance Analysis Obesity

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Area of Science:

Public Health
Anthropometry
Metabolic Health

Background:

Global rise in obesity and related conditions like metabolic-associated steatotic liver disease (MASLD) and sarcopenia.
Limitations of Body Mass Index (BMI) in assessing complex obesity.
Need for advanced body composition analysis, such as Bioelectrical Impedance Analysis (BIA), for better obesity phenotyping.

Purpose of the Study:

Analyze body composition using BIA in adults in Bosnia and Herzegovina.
Assess prevalence of total body weight, fat mass, fat distribution, and obesity types.
Establish reference values for improved public health strategies.

Main Methods:

Cross-sectional study of 4,628 adults (≥18 years) in Bosnia & Herzegovina (2021-2025).
Measured anthropometric parameters including BMI, body fat mass (BFM), fat-free mass (FFM), percent body fat (PBF), waist-hip ratio (WHR), and bone mineral content (BMC).
Data analyzed using SPSS, presented as medians and percentiles.

Main Results:

Over 25% of the study population is obese.
Abdominal obesity identified as the predominant obesity type.
Abdominal obesity phenotype linked to increased risk of metabolic syndrome and MASLD.

Conclusions:

High prevalence of obesity, particularly abdominal obesity, in Bosnian and Herzegovinian primary care settings.
Abdominal obesity strongly associated with metabolic complications.
BIA parameters are valuable for refining obesity classification and developing interventions.