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Previous studies suggest that body mass index (BMI)- and waist-to-hip ratio (WHR)-based obesity classifications in US military personnel and firefighters have high false negative and subsequently cause obesity misclassification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine whether BMI and WHR could reflect the fat mass of Chinese military personnel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Three hundred fifty-three male Chinese military personnel and 380 age-matched male adults were recruited. Obesity classification was defined by BMI, WHR, and body fat percentage (BFP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Chinese military personnel had extremely low obesity rate determined by either BFP (0.3%) or BMI (0.6%). By combining overweight and obese individuals, BMI- and WHR-determined prevalence of overweight\/obesity was 22.4% and 17.0% compared to BFP-based standard (4.0%) (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.05). In reference to BFP, BMI and WHR have high false-positive rate compared to the control group. Further analysis showed that Chinese military personnel consisted of high percentage of BFP\n                      <jats:sup>low<\/jats:sup>\n                      BMI\n                      <jats:sup>high<\/jats:sup>\n                      and\/or BFP\n                      <jats:sup>low<\/jats:sup>\n                      WHR\n                      <jats:sup>high<\/jats:sup>\n                      subpopulations. Eighty-one percent of BMI\n                      <jats:sup>high<\/jats:sup>\n                      and 78.3% of WHR\n                      <jats:sup>high<\/jats:sup>\n                      of them were BFP low.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chinese military personnel has extremely low obesity rate. BMI and WHR have high false-positive rates in reference to BFP, which cannot accurately reflect the mass of adipose tissue and leads to obesity misclassification.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40101-020-00236-8","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T07:03:02Z","timestamp":1598252582000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Body mass index and waist-to-hip ratio misclassification of overweight and obesity in Chinese military personnel"],"prefix":"10.1186","volume":"39","author":[{"given":"Qingqing","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Binbin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaoli","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqian","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenbo","family":"Shu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiongying","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziliang","family":"Ye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunyan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"236_CR1","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.orcp.2016.02.005","volume":"11","author":"SP Hung","year":"2017","unstructured":"Hung SP, Chen CY, Guo FR, Chang CI, Jan CF. 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