How can obesity and cardiovascular risk be better identified in racially and ethnically diverse populations compared to standard BMI thresholds?
This AHA scientific statement highlights the limitations of standard BMI thresholds for identifying obesity in racial and ethnic minorities and recommends alternative, multifactorial approaches for better cardiovascular risk assessment.
The purpose of this scientific statement is to describe the limitations of current simple measures, such as the use of BMI with standard thresholds to identify overweight and obesity, as applied to racial and ethnic minorities. The statement also addresses potential alternatives, as well as the diagnosis of obesity based on multiple risk factors, including race and ethnicity. On the basis of our extensive, systematic review of current literature and in collaboration with the American Heart Association’s (AHA) Obesity Committee of the Council on Lifestyle and Cardiometabolic Health, we have also made some key recommendations for clinical practice, research, and public health for improved identification of obesity and cardiovascular risks in a racially and ethnically diverse population.
Rao et al. (Tue,) studied this question.