PMID- 36626522
OWN - NLM
STAT- MEDLINE
DCOM- 20230112
LR  - 20230115
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Print)
IS  - 0025-7974 (Linking)
VI  - 101
IP  - 49
DP  - 2022 Dec 9
TI  - The urgency in proposing the optimal obesity cutoff value in Indonesian 
      population: A narrative review.
PG  - e32256
LID - 10.1097/MD.0000000000032256 [doi]
LID - e32256
AB  - In developing nations such as Indonesia, obesity and central obesity have emerged 
      as major public health issues. Many studies have revealed that morbidity and 
      death from obesity-related diseases are already significant in some "Asian" 
      communities at low body mass index (BMI) levels. A recent study showed that the 
      obesity prevalence in Indonesia is underestimated when using the current BMI 
      cutoff (obese >/= 27.0). Indonesia faced an increase in obesity-related chronic 
      diseases despite having a lower obesity prevalence than developed countries, 
      which may be explained by the underestimation of obesity levels in Indonesia. 
      This creates a huge global health problem, as well as an economic burden. Another 
      recent study on the Indonesian population depicted the new proposed cutoff of 
      waist circumference (WC), which is lower than the World Health Organization (WHO) 
      standard for detecting the early detection of type 2 diabetes mellitus (T2DM), 
      one of the comorbidities and a strong correlation with obesity. An analysis of 58 
      studies in 2021 that included Indonesian adult subjects revealed enormous 
      differences and ambiguities in defining obesity cutoffs values among Indonesian 
      researchers. Additionally, we advocate adding the Edmonton Obesity Staging System 
      (EOSS) staging to the anthropometric classification for a better clinical 
      evaluation of obesity. Considering the urgency of obesity determination in 
      Indonesia for clinical application and study purposes, this review highlights the 
      need to revise the optimal cutoff value for obesity to warrant early prevention 
      and control of diabetes complications.
CI  - Copyright (c) 2022 the Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Nugraha, Gaga Irawan
AU  - Nugraha GI
AUID- ORCID: 0000-0003-3248-5957
AD  - Indonesian Society for the Study of Obesity.
AD  - Department of Biomedical Science, Faculty of Medicine, Universitas Padjadjaran, 
      West Java, Indonesia.
FAU - Tahapary, Dicky L
AU  - Tahapary DL
AD  - Indonesian Society for the Study of Obesity.
AD  - Division of Endocrinology, Metabolism, and Diabetes, Department of Internal 
      Medicine, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine 
      Universitas Indonesia, Jakarta, Indonesia.
FAU - Hidayat, Rachmad Wishnu
AU  - Hidayat RW
AD  - Indonesian Society for the Study of Obesity.
AD  - Division Sports Medicine Department Community Medicine, Faculty of Medicine 
      Universitas Indonesia, Jakarta, Indonesia.
FAU - Manikam, Nurul Ratna M
AU  - Manikam NRM
AD  - Indonesian Society for the Study of Obesity.
AD  - Department of Nutrition, Faculty of Medicine, University of Indonesia, Dr Cipto 
      Mangunkusumo Hospital, Jakarta, Indonesia.
FAU - Syamsunarno, Mas Rizky A A
AU  - Syamsunarno MRAA
AD  - Indonesian Society for the Study of Obesity.
AD  - Department of Biomedical Science, Faculty of Medicine, Universitas Padjadjaran, 
      West Java, Indonesia.
FAU - Kurniawan, Farid
AU  - Kurniawan F
AD  - Indonesian Society for the Study of Obesity.
AD  - Division of Endocrinology, Metabolism, and Diabetes, Department of Internal 
      Medicine, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine 
      Universitas Indonesia, Jakarta, Indonesia.
FAU - Wiradisuria, Errawan R
AU  - Wiradisuria ER
AD  - Indonesian Society for the Study of Obesity.
AD  - Division of Digestive Surgery, Mayapada Hospital, South Jakarta, Indonesia.
AD  - Indonesian Metabolic Bariatric Society.
FAU - Daulay, Dwi Yuniati
AU  - Daulay DY
AD  - Indonesian Society for the Study of Obesity.
FAU - Harbuwono, Dante Saksono
AU  - Harbuwono DS
AD  - Indonesian Society for the Study of Obesity.
AD  - Division of Endocrinology, Metabolism, and Diabetes, Department of Internal 
      Medicine, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine 
      Universitas Indonesia, Jakarta, Indonesia.
FAU - Soegondo, Sidartawan
AU  - Soegondo S
AD  - Indonesian Society for the Study of Obesity.
AD  - Division of Endocrinology, Metabolism, and Diabetes, Department of Internal 
      Medicine, Dr. Cipto Mangunkusumo National General Hospital, Faculty of Medicine 
      Universitas Indonesia, Jakarta, Indonesia.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Adult
MH  - Humans
MH  - Indonesia/epidemiology
MH  - *Diabetes Mellitus, Type 2/epidemiology/complications
MH  - Obesity/complications
MH  - Body Mass Index
MH  - Obesity, Abdominal/epidemiology
MH  - Waist Circumference
MH  - Risk Factors
PMC - PMC9750693
COIS- The authors have declared that no conflict of interest exists.
EDAT- 2023/01/11 06:00
MHDA- 2023/01/13 06:00
PMCR- 2022/12/09
CRDT- 2023/01/10 13:35
PHST- 2023/01/10 13:35 [entrez]
PHST- 2023/01/11 06:00 [pubmed]
PHST- 2023/01/13 06:00 [medline]
PHST- 2022/12/09 00:00 [pmc-release]
AID - 00005792-202212090-00036 [pii]
AID - 10.1097/MD.0000000000032256 [doi]
PST - ppublish
SO  - Medicine (Baltimore). 2022 Dec 9;101(49):e32256. doi: 
      10.1097/MD.0000000000032256.