Biochemistry · Nutrition and Energy Metabolism (BMR, Starvation, Obesity, Metabolic Integration)

According to the consensus guidelines followed in Indian clinical practice, an adult Asian Indian is classified as obese at which body mass index cut-off?

  • A 25 kg/m2
  • B 27.5 kg/m2
  • C 30 kg/m2
  • D 23 kg/m2
Correct answer: A. 25 kg/m2

Explanation

For Asian Indians, the consensus classification sets overweight at BMI 23 to 24.9 kg/m2 and obesity at 25 kg/m2 and above, lower than the WHO international cut-offs of 25 and 30 respectively, because cardiometabolic risk begins at lower BMI in this population. Option D (23) marks overweight, not obesity, and option C is the WHO global cut-off for obesity that overestimates healthy weight in Indians. Waist cut-offs used are 90 cm in men and 80 cm in women.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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