Obesity Assessment in Uzbekistan: Comparing Dual Energy X-Ray Absorptiometry and Anthropometric Methods

DOI

10.2991/978-94-6463-984-1_5How to use a DOI?

Keywords

obesity; DEXA; anthropometry; visceral fat; metabolic syndrome

Abstract

Obesity is a significant public health issue in Uzbekistan, increasing the risk of non-communicable diseases. Accurate assessment of body fat and metabolic risks is crucial for early intervention. A cross-sectional study was conducted in 2024 at the Republican Specialized Scientific-Practical Medical Center of Endocrinology in Tashkent, involving 80 adults (43 women, 37 men) aged 18–55 years with overweight or obesity. Participants underwent anthropometric measurements (BMI, waist circumference), DEXA scanning for body fat distribution, and laboratory tests (HOMA-IR, triglycerides, blood pressure). DEXA-measured visceral fat strongly correlated with HOMA-IR (r = 0.72, p < 0.001) and systolic blood pressure (r = 0.65, p < 0.00001). Gynoid fat inversely correlated with triglycerides (r = –0.41, p < 0.05). Waist circumference (≥94 cm men, ≥80 cm women) predicted visceral obesity with 89% sensitivity. Notably, 23.5% of normal-BMI participants had metabolic abnormalities, while 31.7% of obese participants were metabolically healthy. DEXA provides superior accuracy in assessing visceral obesity and metabolic risks compared to anthropometry. Combining both methods enhances diagnostic precision, particularly for identifying hidden obesity phenotypes.

Copyright

© 2025 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Gulchehra D. Narimova
AU  - Sevara Sh. Anvarova
PY  - 2025
DA  - 2025/12/26
TI  - Obesity Assessment in Uzbekistan: Comparing Dual Energy X-Ray Absorptiometry and Anthropometric Methods
BT  - Proceedings of the Turakulov Readings 2025 Conference (TR 2025)
PB  - Atlantis Press
SP  - 41
EP  - 51
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-984-1_5
DO  - 10.2991/978-94-6463-984-1_5
ID  - Narimova2025
ER  -