Djeneba Audrey Djibo1, Maria Rosario G Araneta2, Donna Kritz-Silverstein2, Elizabeth Barrett-Connor2, Wilma Wooten3. 1. Joint Doctoral Program, San Diego State University/University of California, San Diego, CA, United States. Electronic address: adjibo@ucsd.edu. 2. Department of Family and Preventive Medicine, University of California, San Diego, CA, United States. 3. County of San Diego Health and Human Services Agency, San Diego, CA, United States.
Abstract
AIMS: To investigate the utility of the body adiposity index (BAI) and its association with the metabolic syndrome (MetS) in older Caucasian (n=369), African American (n=336) and Filipina (n=275) women. METHODS: Dual energy X-ray absorptiometry, anthropometric measures, plasma glucose and medical history were assessed in 1993-1999. RESULTS: Despite smaller body size, 32.7% of Filipina women had higher MetS compared to African American and Caucasian women based on the National Cholesterol Education Program (NCEP) (32.7% vs 19.6% and 13.3%, respectively) or the International Diabetes Federation (IDF) (42.6% vs 33.0% and 18.7%, respectively ps<0.05). BAI had higher positive correlations with BMI, %body fat (%BF), and %truncal fat in Caucasian than African American and Filipina women. Adjusted for age, smoking, estrogen use, exercise, and alcohol intake, odds of the MetS (NCEP) were 2.08 (95%CI: 1.52-2.85) by BAI, 3.04 (95%CI: 2.11-4.38) by BMI, and 2.13 (95%CI: 1.52-3.00) by %BF for Caucasian women; 0.92 (95%CI: 0.69-1.23) by BAI, 1.44 (95%CI: 1.09-1.90) by BMI, and 1.12 (95%CI: 0.84-1.50) by %BF for African American women; and 1.14 (95%CI: 0.88-1.47) by BAI, 1.51 (95%CI: 1.15-1.97) by BMI, and 0.96 (95%CI: 0.74-1.25) by %BF for Filipinas. CONCLUSION: BAI was better able to assess adiposity in postmenopausal Caucasian women compared to African American and Filipina women. This index can distinguish ethnic differences in MetS confirmed by %BF.
AIMS: To investigate the utility of the body adiposity index (BAI) and its association with the metabolic syndrome (MetS) in older Caucasian (n=369), African American (n=336) and Filipina (n=275) women. METHODS: Dual energy X-ray absorptiometry, anthropometric measures, plasma glucose and medical history were assessed in 1993-1999. RESULTS: Despite smaller body size, 32.7% of Filipina women had higher MetS compared to African American and Caucasian women based on the National Cholesterol Education Program (NCEP) (32.7% vs 19.6% and 13.3%, respectively) or the International Diabetes Federation (IDF) (42.6% vs 33.0% and 18.7%, respectively ps<0.05). BAI had higher positive correlations with BMI, %body fat (%BF), and %truncal fat in Caucasian than African American and Filipina women. Adjusted for age, smoking, estrogen use, exercise, and alcohol intake, odds of the MetS (NCEP) were 2.08 (95%CI: 1.52-2.85) by BAI, 3.04 (95%CI: 2.11-4.38) by BMI, and 2.13 (95%CI: 1.52-3.00) by %BF for Caucasian women; 0.92 (95%CI: 0.69-1.23) by BAI, 1.44 (95%CI: 1.09-1.90) by BMI, and 1.12 (95%CI: 0.84-1.50) by %BF for African American women; and 1.14 (95%CI: 0.88-1.47) by BAI, 1.51 (95%CI: 1.15-1.97) by BMI, and 0.96 (95%CI: 0.74-1.25) by %BF for Filipinas. CONCLUSION: BAI was better able to assess adiposity in postmenopausal Caucasian women compared to African American and Filipina women. This index can distinguish ethnic differences in MetS confirmed by %BF.
Authors: Nasser M Al-Daghri; Omar S Al-Attas; Kaiser Wani; Abdullah M Alnaami; Shaun Sabico; Abdulrahman Al-Ajlan; George P Chrousos; Majed S Alokail Journal: Cardiovasc Diabetol Date: 2015-08-07 Impact factor: 9.951