Classification and Evaluation of the Obesities

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      The nutritional status of adults was determined according to their body mass index (BMI) using the World Health Organization classification [16] (underweight defined as BMI <18.5 kg/m2, normal weight as BMI 18.5–24.9kg/m2, overweight as BMI 25–29.9 kg/m2, obesity as BMI ≥30 kg/m2). To assess central fat deposition, we also considered the cutoff points for men and women of waist circumference and waist-to-hip ratio, as described previously [17,18]. Hypertension was identified when the diastolic/systolic blood pressure was above 90/14 mmHg [19].

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