{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T04:45:37Z","timestamp":1771389937225,"version":"3.50.1"},"reference-count":46,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T00:00:00Z","timestamp":1578268800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Br J Nutr"],"published-print":{"date-parts":[[2020,9,14]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>It is increasingly recognised that the use of BMI cut-off points for diagnosing obesity (OB) and proxy measures for body fatness in a given population needs to take into account the potential impact of ethnicity on the BMI\u2013fat % relationship in order to avoid adiposity status misclassification. This relationship was studied here in 377 Mauritian schoolchildren (200 boys and 177 girls, aged 7\u201313 years) belonging to the two main ethnic groups: Indian (South Asian descent) and Creole (African\/Malagasy descent), with body composition assessed using an isotopic <jats:sup>2<\/jats:sup>H dilution technique as reference. The results indicate that for the same BMI, Indians have more body fat (and less lean mass) than Creoles among both boys and girls: linear regression analysis revealed significantly higher body fat % by 4\u20135 units (<jats:italic>P<\/jats:italic> &lt; 0\u00b7001) in Indians than in Creoles across a wide range of BMI (11\u00b76\u201334\u00b72 kg\/m<jats:sup>2<\/jats:sup>) and body fat % (5\u201352 %). By applying Deurenberg\u2019s Caucasian-based equation to predict body fat % from WHO-defined BMI thresholds for overweight (OW) and OB, and by recalculating the equivalent BMI values using a Mauritian-specific equation, it is shown that the WHO BMI cut-offs for OB and OW would need to be lowered by 4\u00b76\u20135\u00b79 units in Indian and 2\u00b70\u20133\u00b77 units in Creole children in the 7\u201313-year-old age group. These results have major implications for ethnic-based population research towards improving the early diagnosis of excess adiposity in this multi-ethnic population known to be at high risk for later development of type 2 diabetes and CVD.<\/jats:p>","DOI":"10.1017\/s0007114519003404","type":"journal-article","created":{"date-parts":[[2020,1,6]],"date-time":"2020-01-06T09:12:24Z","timestamp":1578301944000},"page":"481-492","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Body composition-derived BMI cut-offs for overweight and obesity in ethnic Indian and Creole urban children of Mauritius"],"prefix":"10.1017","volume":"124","author":[{"given":"Harris","family":"Ramuth","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadhna","family":"Hunma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0607-2190","authenticated-orcid":false,"given":"Vinaysing","family":"Ramessur","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magalutcheemee","family":"Ramuth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cathriona","family":"Monnard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pierre","family":"Montani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Schutz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noorjehan","family":"Joonas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul G.","family":"Dulloo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2020,1,6]]},"reference":[{"key":"S0007114519003404_ref45","doi-asserted-by":"publisher","DOI":"10.1079\/BJN2000276"},{"key":"S0007114519003404_ref44","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ejcn.1600448"},{"key":"S0007114519003404_ref42","first-page":"13","article-title":"Body mass index variations: centiles from birth to 87 years","volume":"45","author":"Rolland-Cachera","year":"1991","journal-title":"Eur J Clin Nutr"},{"key":"S0007114519003404_ref40","first-page":"1","article-title":"2000 CDC growth charts for the United States: methods and development","volume":"11","author":"Kuczmarski","year":"2002","journal-title":"Vital Health Stat"},{"key":"S0007114519003404_ref37","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.82.3.358"},{"key":"S0007114519003404_ref36","doi-asserted-by":"publisher","DOI":"10.1249\/00003677-198600140-00014"},{"key":"S0007114519003404_ref33","unstructured":"33. 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Mauritius Ministry of Health & Quality of Life (2004) Report of the Mauritius Nutrition Survey. Port-Louis: Ministry of Health & Quality of Life."},{"key":"S0007114519003404_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/j.1550-8528.1995.tb00450.x"},{"key":"S0007114519003404_ref9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2005.01366.x"},{"key":"S0007114519003404_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2796.1993.tb00672.x"},{"key":"S0007114519003404_ref5","unstructured":"5. Mauritius Non-Communicable Disease Survey (2009) The trends in diabetes and cardiovascular disease risk in Mauritius. The Mauritius Non Communicable Diseases Survey 2009. http:\/\/health.govmu.org\/English\/Documents\/ncd-2009.pdf (accessed January 2020)."},{"key":"S0007114519003404_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60674-1"},{"key":"S0007114519003404_ref30","doi-asserted-by":"publisher","DOI":"10.1079\/BJN19910073"},{"key":"S0007114519003404_ref12","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2008.503"},{"key":"S0007114519003404_ref39","unstructured":"39. The World Bank (2019) Food and Agriculture Organization and World Bank population estimates. https:\/\/data.worldbank.org\/indicator\/EN.POP.DNST (accessed January 2020)."},{"key":"S0007114519003404_ref46","first-page":"299","article-title":"Validity of body composition methods across ethnic population groups","volume":"56","author":"Deurenberg","year":"2003","journal-title":"Forum Nutr"},{"key":"S0007114519003404_ref15","unstructured":"15. Mauritius Ministry of Health & Quality of Life (2012) Report of the Mauritius Nutrition Survey. Port-Louis: Ministry of Health & Quality of Life."},{"key":"S0007114519003404_ref34","volume-title":"Anthropometric Standardization Reference Manual","author":"Lohmann","year":"1988"},{"key":"S0007114519003404_ref41","doi-asserted-by":"publisher","DOI":"10.1136\/adc.73.1.25"},{"key":"S0007114519003404_ref7","doi-asserted-by":"publisher","DOI":"10.2337\/diab.39.3.390"},{"key":"S0007114519003404_ref25","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyq180"},{"key":"S0007114519003404_ref35","volume-title":"Introduction to Body Composition Assessment Using the Deuterium Dilution Technique with Analysis of Saliva Samples by Fourier Transform Infrared Spectroscopy, Human Health Series No. 12","year":"2009"},{"key":"S0007114519003404_ref4","unstructured":"4. The World Bank (2019) Life expectancy at birth: all countries and economies. https:\/\/data.worldbank.org\/indicator\/sp.dyn.le00.in (accessed January 2020)."},{"key":"S0007114519003404_ref6","unstructured":"6. Mauritius Non-Communicable Disease Survey (2015) The trends in diabetes and cardiovascular disease risk in Mauritius. The Mauritius Non Communicable Diseases Survey. http:\/\/health.govmu.org\/English\/Statistics\/Documents\/Mauritius%20NCD%20Survey%202015%20Report.pdf (accessed January 2020)."},{"key":"S0007114519003404_ref22","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114508207233"},{"key":"S0007114519003404_ref3","unstructured":"3. 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