Q:

Which of the following measures of obesity correlates best with mortality?

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Which of the following measures of obesity correlates best with mortality?


  1. The 1983 Metropolitan Life Insurance Company tables for ideal body weight.
  2. Hydroimmersion measurements of body fat composition.
  3. Body mass index (BMI).
  4. Skinfold thickness.
  5. Waist to hip ratios (WHR).

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C. Body mass index (BMI).

DISCUSSION: The measurement of obesity is still an inexact science. The Metropolitan Life Insurance tables, although widely used, do not distinguish between lean muscle mass and fat. Accordingly, the BMI (weight in kg./height in meters) 2, was developed to place greater emphasis on “fatness.” The measure correlates linearly with mortality tables. Hydroimmersion data are still too sparse to relate to outcome tables. Skinfold thickness and waist-hip ratios have not been shown to have the accuracy or relevance of the BMI. 

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