Obesity

Optimal Body Mass Index (BMI) cut-offs associated with cardiometabolic risks in Arab and Middle Eastern populations: a systematic review and meta-analysis

Int J Obes (Lond)Published Systematic review and meta-analysis

Authors' conclusion

This study demonstrates that lower BMI thresholds are associated with cardiometabolic risks in Arab and Middle Eastern populations compared to global reports. Findings support the need for region-specific BMI cut-off guidelines and public health interventions targeting early diagnosis and management.

Study context

Population
Arab and Middle Eastern populations; observational and experimental studies of BMI thresholds linked to cardiometabolic outcomes (Diabetes Mellitus (DM), hypertension, dyslipidemia, cardiovascular diseases (CVD), metabolic syndrome); Medline and Embase
Participants
677,587 participants55 studies
Outcome
Optimal BMI cut-offs associated with cardiometabolic morbidity and mortality
Methodological detailsrandom-effects models, subgroup and sensitivity analyses, PRISMA
  • Random-effects models
  • Subgroup and sensitivity analyses
  • PRISMA

Pooled result

As reported in the abstract

Optimal BMI cut-offs

Range of optimal BMI cut-offs

26.22 to 27.45 kg/m²

BMI threshold for DM

27.39 kg/m²

95% CI 26.70–28.09

BMI threshold for hypertension

27.00 kg/m²

BMI threshold for metabolic syndrome

27.45 kg/m²

Further pooled results

Gender differences in BMI cut-offs

Females showed higher BMI cut-offs than males

Diagnostic performance of cut-offs

Sensitivity and specificity of cut-offs were moderate

Publication bias

Publication bias minimal for most outcomes, except dyslipidemia

Original publication

Optimal BMI cut-offs associated with cardiometabolic risks in Arab and Middle Eastern populations: a systematic review and meta-analysis. Int J Obes (Lond). Published 25 November 2025. doi:10.1038/s41366-025-01922-2

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