https://m2.mtmt.hu/ hun 2026-10-25 12:43 JournalArticle 37102317 APPROVED true Department of Neurology and Stroke, Saint John’s Central Hospital of North Buda, Budapest, 1125, Hungary Doctoral School, Semmelweis University, Budapest, 1085, Hungary National Public Health and Pharmaceutical Center, Budapest, 1097, Hungary MiND Brain-Gut Center, Budapest, 1125, Hungary Faculty of Economics and Business, University of Debrecen, Debrecen, 4032, Hungary Department of Internal Medicine-Diabetology, Saint John’s Central Hospital of North Buda, Budapest, 1125, Hungary András Pető Faculty, Semmelweis University, Budapest, 1125, Hungary Kútvölgyi Outpatient Clinic, Saint John’s Central Hospital of North Buda, Budapest, 1125, Hungary Cardiovascular Medicine Research Division, Doctoral College, Semmelweis University, Budapest, 1085, Hungary Health Services Management Training Centre, Semmelweis University, Budapest, 1125, Hungary Institute of Preventive Medicine and Public Health Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary Fodor Center for Prevention and Healthy Aging, Semmelweis University, Budapest, 1085, Hungary Health Sciences Division, Doctoral College, Semmelweis University, Budapest, 1085, Hungary Export Date: 25 June 2026; Cited By: 0; Correspondence Address: M. Fekete; Institute of Preventive Medicine and Public Health Faculty of Medicine, Semmelweis University, Budapest, 1085, Hungary; email: fekete.monika@semmelweis.hu 0 false 2026-10-12T13:43:52.318+0000 2026-06-25T06:35:34.661+0000 2026-04-30T07:27:06.711+0000 true 10045364 Fi Tamás /api/admin/10045364 Admin true 10045364 2026-09-11T10:41:33.614+0000 true false true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle true 10000059 Article true 24 24 /api/publicationtype/24 PublicationType 1 true 24 JournalArticle /api/subtype/10000059 Szakcikk SubType 101 true 10000059 true 1 /api/category/1 Category true 1 Jarecsny, Tamás Optimizing Public Health Screening: Population-Specific BMI Thresholds for Targeted Body Composition Assessment in Hungary true true /api/journal/10016563 REVIEWED true false 10016563 false 10016563 true 2072-6643 Journal FOREIGN 18 9 1410 1410 15 2026 Background: Body mass index (BMI) is widely used as a proxy of nutritional status and related lifestyle risk patterns in public health, yet it does not capture body composition–related heterogeneity in cardiometabolic risk. Evidence on whether a more detailed body composition assessment improves population-level screening efficiency remains inconsistent, particularly in Central European populations. Methods: We conducted a cross-sectional analysis of 868 Hungarian adults participating in a nationwide mobile screening program. Locally weighted regression identified sex-specific BMI inflection points for cardiometabolic risk. Stratified receiver operating characteristic (ROC) analyses compared BMI with bioelectrical impedance-derived parameters across five outcomes. Cost- and time-effectiveness of scalable screening strategies were modeled at the population level. Results: Cardiometabolic risk increased at BMI levels below current WHO thresholds (females: 21.8–22.3 kg/m2; males: 23.8–24.3 kg/m2). Overall, body composition parameters did not outperform BMI in the full population. Subgroup-specific differences were observed, particularly among men with BMI 24–36 kg/m2 for atherosclerosis risk, suggesting limited and outcome-specific added value rather than broad superiority over BMI. Together, non-linear risk patterns, stratified performance, and population-level modeling converged on mid-range BMI intervals (females: 22–30 kg/m2; males: 24–30 kg/m2) as likely screening windows of phenotypic heterogeneity. Within these ranges, targeted InBody assessment may help refine risk assessment for selected individuals. A mixed screening strategy covering 52% of the population would cost 178.4% of BMI-only screening, while reducing throughput by 24.3%. Conclusions: Population-specific BMI thresholds may more accurately reflect early deviations in nutritional and cardiometabolic risk than current universal cutoffs. BMI remains a useful first-line marker, and body composition assessment may add complementary information in selected BMI ranges. Overall, these findings support a potentially useful, subgroup-specific screening approach, but the modeled cost and time trade-offs should be considered hypothesis-generating and require further validation. true 2026 true true true false true false GOLD 2026-10-12 true https://doi.org/10.3390/nu18091410 3 0 3 1 2 3 1 1 1 1 1 1 1 1 2 0 3 1 3 1 0 17 17 Folyóiratcikk Journal Article 24 1 Könyvrészlet Chapter in Book 25 2 Könyv Book 23 0 Egyéb konferenciaközlemény Conference paper 31 0 Egyéb konferenciakötet Conference proceedings 32 0 Oltalmi formák Protection forms 26 0 Disszertáció Thesis 28 0 Egyéb Miscellaneous 29 0 Alkotás Achievement 22 0 Kutatási adat Research data 33 0 Folyóiratcikk Journal Article 24 0 0 0 Könyvrészlet Chapter in Book 25 0 0 0 Könyv Book 23 0 0 0 Egyéb konferenciaközlemény Conference paper 31 0 0 0 Egyéb konferenciakötet Conference proceedings 32 0 0 0 Oltalmi formák Protection forms 26 0 0 0 Disszertáció Thesis 28 0 0 0 Egyéb Miscellaneous 29 0 0 0 Alkotás Achievement 22 0 0 0 Kutatási adat Research data 33 0 0 0 2026 0 3 1 3 1 D1 false false false false 2026-04-29T07:27:10.958+0000 Doktori Iskola (SE); Egészségügyi Menedzserképző Központ (SE / EKK); Gazdaságtudományi Kar (DE); Humántudományi Intézet (SE / PAK); Megelőző Orvostani és Népegészségtani Intézet (SE / AOK / I); Észak-Közép-budai Centrum, Új Szent János Kórhá... 9 33 6 12 0 true Language 10002 /api/language/10002 Angol English true 2 true PersonAuthorship 137659491 /api/authorship/137659491 1 0.083 true false false Author 10101204 /api/author/10101204 Jarecsny Tamás true true Jarecsny Tamás true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659492 /api/authorship/137659492 2 0.083 false false false Author 10059298 /api/author/10059298 Al-Muhanna Nadim true 10059298 true Al-Muhanna Nadim true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659493 /api/authorship/137659493 3 0.083 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137659498 /api/authorship/137659498 8 0.083 false false false Author 10098932 /api/author/10098932 Tomasics Gyula true true Tomasics Gyula true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659499 /api/authorship/137659499 9 0.083 false false false Author 10080531 /api/author/10080531 Pázmándi Eszter Melinda true true Pázmándi Eszter Melinda true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659500 /api/authorship/137659500 10 0.083 false false false Author 10032441 /api/author/10032441 Folyovich András true 10032441 true Folyovich András true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659501 /api/authorship/137659501 11 0.083333336 false false false Author 10106063 /api/author/10106063 Fazekas Ferenc true true Fazekas Ferenc true false false AuthorshipType 1 /api/authorshiptype/1 0 true 0 true false true PersonAuthorship 137659502 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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=42124011&dopt=Abstract true true Classification 13076 /api/classification/13076 true true Classification 12740 /api/classification/12740 true true Keyword 11273 /api/keyword/11273 true 11273 true Keyword 11905 /api/keyword/11905 true 11905 true Keyword 1024299 /api/keyword/1024299 true 1024299 true Keyword 1059191 /api/keyword/1059191 true 1059191 true Keyword 1830571 /api/keyword/1830571 true true Keyword 2328352 /api/keyword/2328352 true true Keyword 2955562 /api/keyword/2955562 true true Keyword 2986651 /api/keyword/2986651 true true SjrRating 11658342 /api/sjrrating/11658342 25 0.1 journal RatingType 10002 /api/ratingtype/10002 sjr true true ClassificationExternal 1106 /api/classificationexternal/1106 true 1106 true D1 FROM_LAST_YEAR true true /api/publication/37102317 <div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10101204"><a href="/gui2/?type=authors&mode=browse&sel=10101204" target="_blank">Jarecsny Tamás (<span class="authorship-author-name">Jarecsny Tamás</span> <span class="authorAux-mtmt"> neurológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola; Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10059298"><a href="/gui2/?type=authors&mode=browse&sel=10059298" target="_blank">Al-Muhanna Nadim (<span class="authorship-author-name">Al-Muhanna Nadim</span> <span class="authorAux-mtmt"> neurológia</span>) </a> </span> <span class="author-affil">Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Fábián Dóra Rebeka </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Kosik Roland </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" >Schwab Richard </span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10057499"><a href="/gui2/?type=authors&mode=browse&sel=10057499" target="_blank">Szőllősi Gergő József (<span class="authorship-author-name">Szőllősi Gergő József</span> <span class="authorAux-mtmt"> biostatisztika, epidemiológia</span>) </a> </span> <span class="author-affil"><span title="Debreceni Egyetem">DE</span>/Gazdaságtudományi Kar</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10012421"><a href="/gui2/?type=authors&mode=browse&sel=10012421" target="_blank">Schandl László (<span class="authorship-author-name">Schandl László</span> <span class="authorAux-mtmt"> Diabetológia</span>) </a> </span> <span class="author-affil">Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10098932"><a href="/gui2/?type=authors&mode=browse&sel=10098932" target="_blank">Tomasics Gyula (<span class="authorship-author-name">Tomasics Gyula</span> <span class="authorAux-mtmt"> Belgyógyászat</span>) </a> </span> <span class="author-affil">Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10080531"><a href="/gui2/?type=authors&mode=browse&sel=10080531" target="_blank">Pázmándi Eszter Melinda (<span class="authorship-author-name">Pázmándi Eszter Melinda</span> <span class="authorAux-mtmt"> egészségtudomány, konduktív pedagógia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/Doktori Iskola; <span title="Semmelweis Egyetem">SE</span>/<span title="Pető András Kar">PAK</span>/Humántudományi Intézet</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10032441"><a href="/gui2/?type=authors&mode=browse&sel=10032441" target="_blank">Folyovich András (<span class="authorship-author-name">Folyovich András</span> <span class="authorAux-mtmt"> neurológia, psychiátria</span>) </a> </span> <span class="author-affil">Észak-Közép-budai Centrum, Új Szent János Kórház és Szakrendelő; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10106063"><a href="/gui2/?type=authors&mode=browse&sel=10106063" target="_blank">Fazekas Ferenc (<span class="authorship-author-name">Fazekas Ferenc</span> <span class="authorAux-mtmt"> neurológia, klinikai neurofiziológia</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Egészségügyi Közszolgálati Kar">EKK</span>/Egészségügyi Menedzserképző Központ</span> ;&nbsp;&nbsp;&nbsp; <span class="author-name" mtid="10058020"><a href="/gui2/?type=authors&mode=browse&sel=10058020" target="_blank">Fekete Mónika ✉ (<span class="authorship-author-name">Fekete Mónika</span> <span class="authorAux-mtmt"> Népegészségtan</span>) </a> </span> <span class="author-affil"><span title="Semmelweis Egyetem">SE</span>/<span title="Általános Orvostudományi Kar">AOK</span>/<span title="Intézet">I</span>/Megelőző Orvostani és Népegészségtani Intézet ; <span title="Semmelweis Egyetem">SE</span>/Doktori Iskola</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse&params=publication;37102317" target="_blank">Optimizing Public Health Screening: Population-Specific BMI Thresholds for Targeted Body Composition Assessment in Hungary</a></div> <div> <span class="journal-title">NUTRIENTS</span> <span class="journal-issn">( <a target="_blank" href="https://portal.issn.org/resource/ISSN/2072-6643">2072-6643</a>)</span>: <span class="journal-volume">18</span> <span class="journal-issue">9</span> <span class="page"> Paper 1410. 15 p. </span> <span class="year">(2026)</span> </div> <div class="pub-footer"> <span class="language" 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href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=42124011&dopt=Abstract"> PubMed </a> </span> </span> <OnlyViewableByAuthor><div class="ratings"> <div class="journal-subject">Folyóirat szakterülete: Scopus - Food Science&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;D1</div> <div class="journal-subject">Folyóirat szakterülete: Scopus - Nutrition and Dietetics&nbsp;&nbsp;&nbsp;SJR indikátor:&nbsp;Q1</div> </div></OnlyViewableByAuthor> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 3</span> | Független: 1 | Függő: 2 | Nem jelölt: 0 | WoS jelölt: 1 | Scopus jelölt:&nbsp;1 | WoS/Scopus jelölt:&nbsp;1 | DOI jelölt:&nbsp;1 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;37102317&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 17 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 37102317</span> | <span class="status-data status-APPROVED"> Nyilvános </span> Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WoS-XML</span> </div> <div class="lastModified">Utolsó módosítás: 2026.06.25. 08:35 Kondor Zóra (SE_KK_Admin5_KZ, admin) </div> <pre class="comment" style="margin-top: 0; margin-bottom: 0;"><u>Megjegyzés</u>: Department of Neurology and Stroke, Saint John’s Central Hospital of North Buda, Budapest, 1125, Hungary Doctoral School, Semmelweis University, Budapest, 1085, Hungary National Public Health and Pharmaceutical Center, Budapest, 1097, Hungary MiND Brain-Gut Center, Budapest, 1125, Hungary Faculty of ...</pre> </div></div>