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. 2016 Nov 7;60(6):515–525. doi: 10.1590/2359-3997000000220

Table 5. Diagnosis of obesity (body fat percentage ≥ 25) based on body mass index. Analysis stratified by number of sit-ups (n = 3,822 male firefighters).

  Completed sit-ups (n)

≤ 30 N = 315 31–40 N = 891 41–50 N = 2,019 > 50 N = 597
BMI ≥ 27 kg/m2        

Agreement, % (95%CI) 68.3 (62.8–73.4) 69.0 (65.9–72.0) 68.5 (66.4–70.5) 77.1 (73.5–80.4)
Sensitivity, % (95%CI) 87.9 (80.6–93.2) 87.0 (81.4–91.4) 78.5 (73.0–83.3) 69.2 (52.4–83.0)
Specificity, % (95%CI) 56.8 (49.6–63.8) 64.1 (60.4–67.7) 67.0 (64.8–69.2) 77.6 (73.9–81.0)
Positive likelihood ratio, (95%CI) 2.03 (1.71–2.42) 2.42 (2.16–2.71) 2.38 (2.17–2.61) 3.09 (2.38–4.01)
Negative likelihood ratio, (95%CI) 0.21 (0.13–0.35) 0.20 (0.14–0.29) 0.32 (0.25–0.41) 0.40 (0.25–0.64)
Positive predictive value, % (95%CI) 54.3 (46.8–61.5) 40.0 (35.2–44.8) 26.0 (23.0–29.2) 17.8 (12.0–24.8)
Negative predictive value, % (95%CI) 89.0 (82.2–93.8) 94.7 (92.3–96.6) 95.5 (94.2–96.6) 97.3 (95.3–98.6)

BMI ≥ 28 kg/m2        

Agreement, % (95%CI) 72.7 (67.4–77.5) 75.3 (72.3–78.1) 77.5 (75.6–79.3) 84.8 (81.6–87.5)
Sensitivity, % (95%CI) 80.2 (71.7–87.0) 76.0 (69.4–81.9) 68.8 (62.8–74.4) 51.3 (34.8–67.6)
Specificity, % (95%CI) 68.3 (61.4–74.7) 75.1 (71.7–78.3) 78.8 (76.8–80.7) 87.1 (84.0–89.8)
Positive likelihood ratio, (95%CI) 2.53 (2.03–3.17) 3.05 (2.63–3.55) 3.25 (2.87–3.67) 3.97 (2.73–5.78)
Negative likelihood ratio, (95%CI) 0.29 (0.20–0.42) 0.32 (0.25–0.41) 0.39 (0.33–0.47) 0.56 (0.40–0.77)
Positive predictive value, % (95%CI) 59.6 (51.5–67.4) 45.6 (40.1–51.3) 32.4 (28.5–36.5) 21.7 (13.8–31.6)
Negative predictive value, % (95%CI) 85.5 (79.1–90.6) 91.9 (89.4–94.0) 94.5 (93.2–95.6) 96.2 (94.2–97.7)

BMI ≥ 29 kg/m2        

Agreement, % (95%CI) 77.1 (72.1–81.7) 79.9 (77.1–82.5) 83.1 (81.4–84.7) 89.9 (87.3–92.2)
Sensitivity, % (95%CI) 74.1 (65.2–81.8) 64.1 (56.8–70.8) 54.6 (48.3–60.8) 41.0 (25.6–57.9)
Specificity, % (95%CI) 78.9 (72.6–84.3) 84.3 (81.3–86.9) 87.3 (85.7–88.8) 93.4 (91.0–95.3)
Positive likelihood ratio, (95%CI) 3.51 (2.63–4.69) 4.07 (3.33–4.98) 4.31 (3.65–5.08) 6.19 (3.80–10.1)
Negative likelihood ratio, (95%CI) 0.33 (0.24–0.45) 0.43 (0.35–0.52) 0.52 (0.45–0.60) 0.63 (0.49–0.82)
Positive predictive value, % (95%CI) 67.2 (58.3–75.2) 52.8 (46.2–59.3) 38.9 (33.9–44.1) 30.2 (18.3–44.3)
Negative predictive value, % (95%CI) 84.0 (77.9–88.9) 89.5 (86.9–91.7) 92.9 (91.5–94.1) 95.8 (93.7–97.3)

BMI ≥ 30 kg/m2        

Agreement, % (95%CI) 78.1 (73.1–82.5) 82.2 (79.5–84.6) 86.6 (85.0–88.0) 93.0 (90.6–94.9)
Sensitivity, % (95%CI) 62.9 (53.5–71.7) 50.5 (43.2–57.8) 40.4 (34.4–46.6) 33.3 (19.1–50.2)
Specificity, % (95%CI) 86.9 (81.4–91.3) 90.8 (88.5–92.9) 93.4 (92.1–94.5) 97.1 (95.4–98.4)
Positive likelihood ratio, (95%CI) 4.82 (3.28–7.08) 5.52 (4.20–7.24) 6.12 (4.87–7.70) 11.6 (6.03–22.4)
Negative likelihood ratio, (95%CI) 0.43 (0.33–0.54) 0.71 (0.67–0.74) 0.64 (0.58–0.71) 0.69 (0.55–0.86)
Positive predictive value, % (95%CI) 73.7 (63.9–82.1) 60.2 (52.2–67.9) 47.5 (40.8–54.3) 44.8 (26.4–64.3)
Negative predictive value, % (95%CI) 80.1 (74.1–85.2) 87.0 (84.3–89.3) 91.4 (90.0–92.6) 95.4 (93.4–97.0)