• Dtsch Arztebl Int · Apr 2024

    Observational Study

    Differences in Anthropometric Measures Based on Sex, Age, and Health Status: Findings From the German National Cohort (NAKO).

    • Michael J Stein, Beate Fischer, Patricia Bohmann, Wolfgang Ahrens, Klaus Berger, Hermann Brenner, Kathrin Günther, Volker Harth, Jana-Kristin Heise, André Karch, Carolina J Klett-Tammen, Lena Koch-Gallenkamp, Lilian Krist, Wolfgang Lieb, Claudia Meinke-Franze, Karin B Michels, Rafael Mikolajczyk, Katharina Nimptsch, Nadia Obi, Annette Peters, Tobias Pischon, Sabine Schipf, Börge Schmidt, Andreas Stang, Sigrid Thierry, Stefan N Willich, Kerstin Wirkner, Michael F Leitzmann, and Anja M Sedlmeier.
    • Dtsch Arztebl Int. 2024 Apr 5 (Forthcoming).

    BackgroundObesity is a worldwide health problem. We conducted detailed analyses of anthropometric measures in a comprehensive, population-based, current cohort in Germany.MethodsIn the German National Cohort (NAKO), we analyzed cross-sectional data on body-mass index (BMI), waist and hip circumference, subcutaneous (SAT) and visceral adipose tissue (VAT) as measured by ultrasound, and body fat percentage. The data were stratified by sex, age, and self-reported physicians' diagnoses of cardiovascular diseases (CVD), metabolic diseases (MetD), cardiometabolic diseases (CMD), and cancer.ResultsData were available from 204 751 participants (age, 49.9 ± 12.8 years; 50.5% women). Body size measures generally increased with age. Men had a higher BMI, larger waist circumference, and more VAT than women, while women had a larger hip circumference, more SAT, and a higher body fat percentage than men. For example, the mean BMI of participants over age 60 was 28.3 kg/m2 in men and 27.6 kg/m2 in women. CVD, MetD, and CMD were associated with higher anthropometric values, while cancer was not. For example, the mean BMI was 25.3 kg/m2 in healthy women, 29.4 kg/m2 in women with CMD, and 25.4 kg/m2 in women with cancer.ConclusionObesity is widespread in Germany, with notable differences between the sexes in anthropometric values. Obesity was more common in older participants and those with chronic diseases other than cancer. Elevated values were especially common in multimorbid individuals.

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