A Body Shape Index (ABSI) and Hip Index (HI) Adjust Waist and Hip Circumferences for Body Mass Index, But Only ABSI Predicts High Cardiovascular Risk in the Spanish Caucasian Population
| Autor: | María Teresa Martínez-Larrad, Nir Y. Krakauer, Jesse C. Krakauer, Manuel Serrano-Ríos, Arturo Corbatón-Anchuelo, Irene Serrano-García |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Index (economics) Waist Endocrinology Diabetes and Metabolism Body Mass Index Internal medicine Internal Medicine Medicine Humans Waist-to-height ratio Framingham Risk Score Waist-Height Ratio Receiver operating characteristic Anthropometry business.industry Waist-Hip Ratio Body Shape Index Cardiovascular Diseases Heart Disease Risk Factors Cardiology Female Waist Circumference business Body mass index |
| Zdroj: | Metabolic syndrome and related disorders. 19(6) |
| ISSN: | 1557-8518 |
| Popis: | Background: Our aim in this study was to investigate if Hip index (HI) improves the identification of cardiovascular risk (CVR) beyond that achieved with either the waist-to-height ratio (WHtR) or body mass index (BMI)-adjusted waist circumference (A body shape index [ABSI]) in the Spanish Caucasian population. Methods: Three thousand eight hundred forty-four subjects (1754 males, response rate 75.8%) were included. Anthropometric indices (AIs) included were HI, ABSI, and WHtR. CVR was estimated using the Framingham, Systematic COronary Risk Evaluation (SCORE), and American College of Cardiology/American Heart Association (ACC/AHA) charts. Areas under the receiver operating characteristic curve (AUC) were obtained to evaluate the performance of AIs in detecting CVR. We also estimated the AIs' standardized Z-scores and compared them against the CVR. Results: AUC demonstrated that the best AI in males to estimate higher CVR according to Framingham and ACC/AHA charts was WHtR. In females, WHtR also achieved good performance and showed higher prediction capacity than the other AIs. After transforming to Z-scores, ABSI was the best linear predictor for CVR according to SCORE and ACC/AHA, although WHtR also proved to be good. HI did not associate with the measures of CVR. Conclusions: HI does not predict high CVR in the Spanish Caucasian Population. However, ABSI is directly and linearly related to high CVR, with a higher performance than WHtR when standardized and evaluated as a linear predictor. |
| Databáze: | OpenAIRE |
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