{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T12:17:03Z","timestamp":1789042623619,"version":"build-2803163510"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T00:00:00Z","timestamp":1788739200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Biological Research For Nursing"],"abstract":"<jats:p>\n                    Obesity is a major risk factor for cardiometabolic disease, but which indicator best identifies elevated risk remains uncertain. This cross-sectional study compared the associations and discriminatory ability of body mass index (BMI), percent body fat (PBF), waist circumference (WC), and waist-to-height ratio (WHtR) for cardiometabolic risk among 2412 Korean adults aged 40\u201364 years, using data from the Korea National Health and Nutrition Examination Survey (KNHANES) 2024. Cardiometabolic risk (CMR) was defined as \u2265 2 of four factors: elevated blood pressure, hyperglycemia, hypertriglyceridemia, and low high-density lipoprotein cholesterol. Survey-weighted logistic regression and receiver operating characteristic analyses were adjusted for age and sex. All adiposity indicators were significantly associated with elevated CMR. Adjusted odds ratios per 1-SD increase were 2.40 (95% CI, 2.12\u20132.72) for BMI, 2.51 (2.19\u20132.87) for PBF, 2.84 (2.46\u20133.28) for WC, and 2.64 (2.32\u20133.00) for WHtR. WHtR had the highest AUC (0.780), statistically comparable to WC (0.776; Holm-adjusted\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .194) but significantly higher than BMI (0.766;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .003) and PBF (0.752;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &lt; .001). WC also had a higher AUC than PBF (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .001), but not BMI (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = .098). Although differences in discriminatory ability were modest, WHtR may provide a practical, low-cost complementary measure for cardiometabolic risk assessment among Korean adults.\n                  <\/jats:p>","DOI":"10.1177\/10998004261484154","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:09:02Z","timestamp":1788844142000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Discriminatory Ability of Body Mass Index, Percent Body Fat, Waist Circumference, and Waist-to-Height Ratio for Cardiometabolic Risk Among Korean Adults: A Cross-Sectional Study Using the Korea National Health and Nutrition Examination Survey (KNHANES) 2024"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4885-8028","authenticated-orcid":false,"given":"Eunok","family":"Park","sequence":"first","affiliation":[{"name":"Jeju National University"},{"name":"Jeju National University"},{"name":"Seogwipo Hypertension Diabetes Education Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,7]]},"reference":[{"key":"e_1_3_9_2_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes25042"},{"key":"e_1_3_9_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-023-01339-9"},{"key":"e_1_3_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdnut.2023.102061"},{"key":"e_1_3_9_5_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes25039"},{"key":"e_1_3_9_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000912"},{"key":"e_1_3_9_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-025-03197-z"},{"key":"e_1_3_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2024.03.018"},{"key":"e_1_3_9_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114519003301"},{"key":"e_1_3_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2024.02.027"},{"key":"e_1_3_9_11_1","doi-asserted-by":"publisher","DOI":"10.7570\/jomes23031"},{"key":"e_1_3_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/sta4.635"},{"key":"e_1_3_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2022.102418"},{"key":"e_1_3_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2021.109151"},{"key":"e_1_3_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.orcp.2026.06.001"},{"key":"e_1_3_9_16_1","volume-title":"Korean national health and nutrition examination survey osong: Korea disease control and prevention agency","author":"Korea Disease Control and Prevention Agency","year":"2025","unstructured":"Korea Disease Control and Prevention Agency. (2025a). Guidelines for the use of raw data for the nineth 2022-2024. Korean national health and nutrition examination survey osong: Korea disease control and prevention agency."},{"key":"e_1_3_9_17_1","volume-title":"Korea National Health and Nutrition Examination Survey, 9th cycle, 3rd year (2024): Examination survey and common operations manual [in Korean]: Korea Disease Control and Prevention Agency","author":"Korea Disease Control and Prevention Agency","year":"2025","unstructured":"Korea Disease Control and Prevention Agency. (2025b). 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(2026). Overweight and obesity management: NICE clinical guidelines, No. 246: National Institute for Health and Care Excellence (NICE)."},{"key":"e_1_3_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2022.04.003"},{"key":"e_1_3_9_30_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14020448"},{"key":"e_1_3_9_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41574-019-0310-7"},{"key":"e_1_3_9_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2022.11.013"},{"key":"e_1_3_9_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwae025"},{"key":"e_1_3_9_34_1","unstructured":"World Health Organization. (2025). Obesity and overweight. 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