Utility of Broca’s Index in Assessing Body Mass: Analysis of Anthropometric Measures from a Cross Sectional Study
Keywords:
Anthropometric measure, Broca’s Index, Body Mass Index, utilityAbstract
Introduction: Broca’s index is the easiest method to calculate the ideal body weight for height. However, the absence of a defined range limits its utility. This study aims to identify ‘normal range’ for Broca’s index that corresponds to the normal range for BMI and to determine the predictive accuracy for cut-off points thus obtained.
Methods: Anthropometric measurements of adults were taken during a cross sectional survey. BMI and ideal weight as per Broca’s Index were calculated for each individual. Broca’s Index Ratio was calculated as the ratio of actual weight to the calculated Broca’s Index (ideal weight). ROC curves were plotted to identify the best cut off points for Overweight and obesity.
Results: The BMI of the participants ranged from 16.14 to 35.16, with a mean 25.53 kg/m2 (SD=2.86). Broca’s index ratio had strong correlation with the BMI value (r=0.969). From the ROC curves, Broca’s Index ratio against BMI values of 23 and 25 were identified as 0.95 and 1.03. Broca’s Index ratio of 1 corresponds to BMI Value 24.01.
Conclusions: Individuals can be advised on their ideal weight (as per Broca’s index), with the upper limit being around 5% less than the calculated value.
References
Beck CC, Lopes AS, Pitanga FJG. Anthropometric indexes of overweight and obesity as predictors of lipid changes in adolescents. Rev Paul Pediatr 2011;29(1):46-53.
Jarrett JR. Is there an ideal body weight ? Br Med J. 1986;293:493–5.
Han TS, Lean MEJ. Anthropometric Indices of Obesity and Regional Distribution of Fat Depots. In: Bjorntorp P, editor. International Textbook of Obesity. 2001. p. 51–65.
Hamwi GJ. Therapy: changing dietary concepts. New York: American Diabetes Association; 1964.
Devine BJ. Gentamicin therapy. Drug Intell Clin Pharm. 1974;8:650–5.
Robinson JD, Lupkiewicz SM, Palenik L, Lopez LM, Ariet M. Determination of ideal body weight for drug dosage calculations. Am J Hosp Pharm. United States; 1983 ;40(6):1016–9.
Miller DR, Carlson JD, Lloyd BJ, Day BJ. Determining ideal body weight (and mass). Vol. 40, American journal of hospital pharmacy. United States; 1983. p. 1622–5.
Muller MJ. Ideal body weight or BMI: so, what’s it to be? Am J Clin Nutr 2016;103:1193–4. doi: 10.3945/ ajcn. 116.134221.
Bray GA. What is the ideal body weight? J Nutr Biochem. 1998;9(9):489–92.
Duncan JS, Duncan EK, Schofield G. Accuracy of body mass index (BMI) thresholds for predicting excess body fat in girls from five ethnicities. Asia Pac J Clin Nutr. 2009;18(3):404–11.
Waaler HT. Height, weight and mortality. The Norwegian experience. Acta Med Scand Suppl. Sweden; 1984;679:1–56.
WHO. Physical Status: The use and interpretation of anthropometry. Geneva; 1995. Technical Report Series 854.
WHO Expert Group. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.
Snehalatha C, Viswanathan V, Ramachandran A. Cutoff Values for Normal Anthropometric Variables in Asian Indian Adults. Diabetes Care. 2003;26(5):1380-4.
Naghshizadian R, Rahnemai-azar AA, Kella K, Weber MM, Calin ML, Bibi S, et al. Patient Perception of Ideal Body Weight and the Effect of Body Mass Index. J Obes. Hindawi Publishing Corporation; 2014;2014:491280:5p. doi: 10.1155/ 2014/491280.
Nissen NK, Holm L, Baarts C. Monitoring the Normal Body : Ideals and Practices among Normal-Weight and Moderately Overweight People. Obes Facts. 2015;8:329–41. doi: 10.1159/000441461.
Karkkainen U, Mustelin L, Raevuori A, Kaprio J, Keski-Rahkonen A. Ideals Versus Reality: Are Weight Ideals Associated with Weight Change in the Population? Obesity. 2016; 24(4):947–53. doi:10.1002/oby.21417.
Jay V. Pierre Paul Broca. Arch Pathol Lab Med. 2002;126:250–1.
Peterson CM, Thomas DM, Blackburn GL, Heymsfield SB. Universal equation for estimating ideal body weight and body weight at. Am J Clin Nutr. 2016;103:1197–203. doi: 10.3945/ajcn.115.121178.
Shah B, Sucher K, Hollenbeck CB. Comparison of Ideal Body Weight Equations and Published Height‐Weight Tables With Body Mass Index Tables for Healthy Adults in the United States. Nutr Clin Pract. 2006;21(3):312–9.
Weber-sanchez A, Ortega SV, Weber-álvarez P. Validation of the Broca index as the most practical method to calculate the ideal body weight. J Clin Invest Stud. 2018;1(1):1–4.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.