Development of an Easy-to-Use Prediction Equation for Body Fat Percentage Based on BMI in Overweight and Obese Lebanese Adults

An accurate estimation of body fat percentage (BF%) in patients who are overweight or obese is of clinical importance. In this study, we aimed to develop an easy-to-use BF% predictive equation based on body mass index (BMI) suitable for individuals in this population. A simplified prediction equation was developed and evaluated for validity using anthropometric measurements from 375 adults of both genders who were overweight or obese. Measurements were taken in the outpatient clinic of the Department of Nutrition and Dietetics at Beirut Arab University (Lebanon). A total of 238 participants were used for model building (training sample) and another 137 participants were used for evaluating validity (validation sample). The final predicted model included BMI and sex, with non-significant prediction bias in BF% of -0.017 +/- 3.86% (p= 0.946, Cohen's d = 0.004). Moreover, a Pearson's correlation between measured and predicted BF% was strongly significant (r = 0.84,p< 0.05). We are presenting a model that accurately predicted BF% in 61% of the validation sample with an absolute percent error less than 10% and non-significant prediction bias (-0.028 +/- 4.67%). We suggest the following equations: BF%(females)= 0.624 x BMI + 21.835 and BF%(males)= 1.050 x BMI - 4.001 for accurate BF% estimation in patients who are overweight or obese in a clinical setting in Lebanon.