{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T04:02:06Z","timestamp":1780459326278,"version":"3.54.1"},"reference-count":31,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The revised Lancet Commission framework prioritizes excess adiposity over body mass index (BMI) alone for diagnosing obesity, emphasizing population\u2010specific body fat assessments. However, body fat percentage (BFP) thresholds reflecting adiposity\u2010defined obesity remain limited, particularly by sex and age in Asian populations. This study aims to compare BMI\u2010 and adiposity\u2010defined obesity classifications and derive sex\u2010 and age\u2010specific BFP thresholds in Korean adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Data from 18\u2009254 adults who underwent routine health examinations were analysed, with BFP assessed using multifrequency bioelectrical impedance analysis. Adiposity\u2010defined obesity was classified per Lancet Commission criteria using waist circumference, waist\u2010to\u2010height ratio and BMI. BFP thresholds were derived from logistic regression as the values at which the predicted probability of metabolic syndrome matched its observed prevalence among individuals with adiposity\u2010defined obesity. Confidence intervals (CIs) were estimated using bias\u2010corrected and accelerated bootstrap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Adiposity\u2010defined obesity was more prevalent than BMI\u2010defined obesity, with discordance increasing with age, particularly among women. Overall, 6.6% were classified as obese solely by adiposity\u2010based criteria, rising to 11.1% in men and 15.8% in women aged \u2265\u200965\u2009years. Overall BFP thresholds were 27.8% (95% CI, 27.4%\u201328.2%) for men and 39.5% (38.9%\u201340.2%) for women, with minimal age variation in men but reaching 41.0% (38.8%\u201343.9%) among women aged \u2265\u200965\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Adiposity\u2010defined obesity identifies phenotypes missed by BMI, particularly in older adults. BFP thresholds derived from adiposity\u2010defined obesity vary substantially by sex and age. These findings support adiposity\u2010centred diagnostic approaches and provide sex\u2010 and age\u2010specific BFP thresholds for Korean adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70739","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T09:57:59Z","timestamp":1775555879000},"page":"5309-5317","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Defining Obesity Under the Lancet Commission Criteria: Metabolic Syndrome\u2013Anchored Body Fat Percentage Thresholds in Korean Adults"],"prefix":"10.1111","volume":"28","author":[{"given":"Han Na","family":"Jung","sequence":"first","affiliation":[{"name":"Department of Internal Medicine Hallym University College of Medicine  Chuncheon\u2010si Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun Kyung","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of 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