Comparative analysis of three BMI cutoffs for five metabolic abnormalities in the population of Western Guangdong, China

Among the population in Western Guangdong, China, the Chinese BMI standard outperformed both the WHO universal and Asia-Pacific standards in identifying "five highs" and their clustered risks, demonstrating greater sensitivity in screening high-risk individuals. It is recommended as the preferred tool for primary prevention of metabolic diseases and public health strategy development in this region.