Background: Primary aim of this study is to the determine relationship between BMI and BF% in Singaporean adults, derive a prediction model to estimate BF%, and to report population BF%. Secondary aim is to determine the prevalence of overweight and obesity based on BF% threshold and the new risk categories for obesity in Singaporean population.
Methods: This is a population-based study of 542 community-dwelling Singaporeans (21-90 years old, 43.1% men). Anthropometry, body composition, and questionnaire-based lifestyle factors were assessed. Relationship between BMI and BF% were analysed using multiple regression model. Prevalence of overweight and obesity were estimated using WHO and Singapore Ministry of Health (MOH) Clinical Practice Guidelines BMI classification, BF% of 25% and 35% for men and women .
Results: We derived a prediction model to estimate BF% based on BMI, age, sex and ethnicity. The current cohort of Singaporeans have higher BF% at matching BMI, age and sex than Caucasians, and a Singaporean cohort from 20 years ago. The overall population-adjusted prevalence of obesity according to WHO International classification (BMI ³30kg/m2) was 12.9% (14.9% men; 11.0% women); and 26.6% (30.7% men; 22.8% women) according to MOH classification (BMI ³27.5kg/m2). However, using BF% cut-off (>25% for men and >35% for women), prevalence of obesity increased to 82.0% (80.2% men; 83.8% women).
Conclusion: There appears to be a large discrepancy between BF% and BMI measured obesity in Singaporean adults. The results confirmed that Singaporean adults have higher BF% at lower BMI compared to Caucasians; and that BF% in our population have increased over two decades.

Figure 1
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On 01 Mar, 2021
Received 21 Jan, 2021
Received 21 Jan, 2021
On 09 Jan, 2021
On 06 Jan, 2021
Invitations sent on 06 Jan, 2021
On 01 Dec, 2020
On 01 Dec, 2020
On 01 Dec, 2020
Posted 24 Aug, 2020
On 23 Oct, 2020
Received 21 Oct, 2020
Received 02 Oct, 2020
On 29 Sep, 2020
On 25 Sep, 2020
Invitations sent on 05 Sep, 2020
On 06 Aug, 2020
On 05 Aug, 2020
On 05 Aug, 2020
On 03 Aug, 2020
On 01 Mar, 2021
Received 21 Jan, 2021
Received 21 Jan, 2021
On 09 Jan, 2021
On 06 Jan, 2021
Invitations sent on 06 Jan, 2021
On 01 Dec, 2020
On 01 Dec, 2020
On 01 Dec, 2020
Posted 24 Aug, 2020
On 23 Oct, 2020
Received 21 Oct, 2020
Received 02 Oct, 2020
On 29 Sep, 2020
On 25 Sep, 2020
Invitations sent on 05 Sep, 2020
On 06 Aug, 2020
On 05 Aug, 2020
On 05 Aug, 2020
On 03 Aug, 2020
Background: Primary aim of this study is to the determine relationship between BMI and BF% in Singaporean adults, derive a prediction model to estimate BF%, and to report population BF%. Secondary aim is to determine the prevalence of overweight and obesity based on BF% threshold and the new risk categories for obesity in Singaporean population.
Methods: This is a population-based study of 542 community-dwelling Singaporeans (21-90 years old, 43.1% men). Anthropometry, body composition, and questionnaire-based lifestyle factors were assessed. Relationship between BMI and BF% were analysed using multiple regression model. Prevalence of overweight and obesity were estimated using WHO and Singapore Ministry of Health (MOH) Clinical Practice Guidelines BMI classification, BF% of 25% and 35% for men and women .
Results: We derived a prediction model to estimate BF% based on BMI, age, sex and ethnicity. The current cohort of Singaporeans have higher BF% at matching BMI, age and sex than Caucasians, and a Singaporean cohort from 20 years ago. The overall population-adjusted prevalence of obesity according to WHO International classification (BMI ³30kg/m2) was 12.9% (14.9% men; 11.0% women); and 26.6% (30.7% men; 22.8% women) according to MOH classification (BMI ³27.5kg/m2). However, using BF% cut-off (>25% for men and >35% for women), prevalence of obesity increased to 82.0% (80.2% men; 83.8% women).
Conclusion: There appears to be a large discrepancy between BF% and BMI measured obesity in Singaporean adults. The results confirmed that Singaporean adults have higher BF% at lower BMI compared to Caucasians; and that BF% in our population have increased over two decades.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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