Utility of silhouette showcards to assess adiposity in three countries across the epidemiological transition Tyler Reese (
[email protected] ) Loyola University Chicago Stritch School of Medicine https://orcid.org/0000-0001-6881-2521 Pascal Bovet Universite de Lausanne Candice Choo-Kang Loyola University Chicago Kweku Bedu-Addo Kwame Nkrumah University of Science and Technology Terrence Forrester University of the West Indies Jack Gilbert University of Chicago Julia Goedecke University of Cape Town Estelle Lambert University Cape Town Brian Layden University of Illinois at Chicago Lisa Mickleseld University of Cape Town Jacob Plange-Rhule Kwame Nkrumah University of Science and Technology Dale Rae University of Cape Town Bharathi Viswanathan Unit of Prevention and Control of Cardiovascular Disease Amy Luke Loyola University Chicago Lara Dugas Loyola University Chicago Research Keywords: silhouette showcards, adiposity measure, obesity, body size, BMI, waist circumference, waist-to-height ratio, multi-country, the epidemiologic transition, survey tool Posted Date: July 24th, 2020 DOI: https://doi.org/10.21203/rs.3.rs-46029/v1 License: This work is licensed under a Creative Commons Attribution 4.0 International License. Read Full License Page 1/11 Abstract Background: The Pulvers’ silhouette showcards provide a non-invasive, easy-to-use, and possibly cross-culturally acceptable way of assessing an individual’s perception of their body size. This study examined, in three different populations: 1) the relationship between silhouettes and body mass index (BMI), 2) the predictive performance of silhouettes to predict dichotomous adiposity categories, and 3) whether silhouette ranking performed similarly in predicting BMI, waist circumference (WC), and waist-to-height ratio (WHR).