ArticleBMC medicine2025
Normal-weight central obesity and cardiometabolic disorders among Aboriginal and Torres Strait Islander Australians.
Article in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Abdominal Obesity and Kidney Function Among Middle-Aged and Older Adults With Normal Body Mass Index.Kidney medicine · 2026Article
- Obesity, diabetes, and other metabolic disorders among the Bororo Indigenous population.Archives of endocrinology and metabolism · 2026Article
- Ten-year cardiometabolic progression and health-related quality of life in individuals with isolated abdominal obesity.BMC public health · 2026Article
- Independent and joint associations of out-of-school time moderate-to-vigorous physical activity and sedentary behavior with the risk of central obesity in children and adolescents.Archives of public health = Archives belges de sante publique · 2026Article
- Association between waist-to-height ratio and cognitive impairment among community-dwelling elderly adults in Laoshan, Qingdao: a cross-sectional study.Frontiers in nutrition · 2026Article
- Central obesity and its association with youth physical and mental health: evidence from the Australian National Health Survey.BMC medicine · 2025Article
- Central Adiposity Assessed with Body Roundness Index and Mortality: The Seguimiento Universidad de Navarra Prospective Cohort.Geriatrics (Basel, Switzerland) · 2025Article
- Cardiometabolic Outcomes Among Adults With Abdominal Obesity and Normal Body Mass Index.JAMA network open · 2025Article
- Associations between eight anthropometric indices and Parkinson's disease: a nationwide population-based study.Frontiers in nutrition · 2025Article
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11 authors.
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Abstract
backgroundCardiometabolic disorders are the leading cause of mortality and contribute substantially to the First Nations Health Gap in Australia. Central obesity is the major contributor to metabolic syndrome. We investigated factors associated with central obesity and how normal-weight central obesity is associated with cardiometabolic disorders among Aboriginal and Torres Strait Islander Australians (hereafter respectfully referred to as 'Indigenous Australians').
methodsThis study used the 2018-2019 Australian Bureau of Statistics (ABS) National Aboriginal and Torres Strait Islander Health Survey dataset. A total of weighted 4864 Indigenous adults (18 + years) were included. Normal-weight central obesity refers to individuals with a normal body mass index (BMI) but with an elevated waist circumference (WC ≥ 102 cm for males and ≥ 88 cm for females). Main outcomes included self-reported type 2 diabetes, hypertension, high cholesterol and heart disease. Multi-level logistic regression models were used to examine the relationship between explanatory variables and outcomes.
resultsThe overall prevalence of central obesity was 46.2% (95% confidence interval [CI]: 42.8, 49.72) in males and 67.7% (95% CI: 64.90, 70.4) in females. Physical inactivity increased the risk of central obesity in males (odds ratio [OR] = 1.34; 95% CI: 1.09, 1.65), while daily consumption of soft drinks was associated with central obesity in females (OR = 1.35; 95% CI: 1.12, 1.62). Males living in very remote areas had a lower risk of central obesity, while females in very remote areas had a higher risk. Our findings also showed that females with normal-weight central obesity had a higher risk of hypertension (OR = 3.29; 95% CI: 1.95, 9.62) and higher total cholesterol (OR = 4.62; 95% CI: 2.22, 9.62). Similarly, males with normal-weight central obesity were associated with a higher risk of type 2 diabetes (OR = 4.13; 95% CI: 1.23, 13.94).
conclusionsThis was the first study to report that approximately 12% of Indigenous Australians with normal BMI have central obesity. Relying solely on BMI to identify such high-risk individuals may be inadequate for early intervention. Public health initiatives targeting obesity should include individuals with a normal BMI and central obesity.
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