Gang Li1, Tao Yao2, Xiao-Wei Wu3, Zhe Cao4, Yuan-Chao Tu5, Yi Ma6, Bo-Ning Li7, Qiu-Yue Peng8, Bing Wu9, Jian Hou10. 1. Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China; Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China. Electronic address: marty007@163.com. 2. Department of Neurology, Renmin Hospital of Wuhan University, Wuhan, China. Electronic address: yaotao@whu.edu.cn. 3. Department of Thoracic Surgery, TongJi Hospital, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: wuxiaowei119@gmail.com. 4. Department of Cardiology, The Central Hospital of Wuhan, Wuhan, China. Electronic address: caozhe_2006@126.com. 5. Hubei Province Academy of Traditional Chinese Medicine, Wuhan, China. Electronic address: tuyuanchao@hbhtcm.com. 6. Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China. Electronic address: mayi13972771666@163.com. 7. Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China. Electronic address: 442448581@qq.com. 8. Emergency Department, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan 430061, China. Electronic address: 364360950@qq.com. 9. Department of Cardiology, Hubei Provincial Hospital of Traditional Chinese Medicine, Wuhan, China. Electronic address: wubin_9116@hotmail.com. 10. Key Laboratory of Environment and Health, School of Public Health, TongJi Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address: 13667176505@163.com.
Abstract
BACKGROUND: Obesity and arterial stiffness are both independently associated with cardiovascular risk. New anthropometric indices can better reflect abdominal obesity than traditional anthropometric indices. Thus, we hypothesized that compared with conventional parameters, these newly developed anthropometric parameters were more accurate to identify arterial stiffness among overweight and obesity population. METHODS: Cross-sectional data on socio-demographic, lifestyle, clinical characteristics and biochemical measurements were collected for 1442 Chinese obese and overweight adults. Six anthropometric indices including a body shape index (ABSI), body mass index (BMI), ABSI combined with BMI, body roundness index (BRI), waist circumference and waist-to-hip ratio were calculated. Carotid-femoral pulse wave velocity (cf-PWV) was detected in all subjects. Meanwhile, visceral fat area (VFA) was quantificationally measured by CT. Partial Spearman correlation coefficients were used to clarify the association between anthropometric measures with cf-PWV. Logistic regression analyses were used to identify to the association between anthropometric measures and arterial stiffness. RESULTS: After adjusting for covariates, BRI had the strongest correlation with cf-PWV and VFA in all anthropometric indices. Multivariate regression analysis showed VFA (β = 0.322, p < 0.001) and BRI (β = 0.307, p < 0.001) remained independently associated with cf-PWV. BRI had a highest odds ratios in all anthropometric indices (OR = 1.543, p < 0.001). ABSI only displayed a weak correlation with arterial stiffness. Meanwhile, BRI had the highest area under curve for abnormal cf-PWV, and the optimum cutoff value was a BRI ≥5.4. CONCLUSION: BRI was found to have a close relationship with arterial stiffness in overweight and obesity people. However, ABSI was weakly correlated with arterial stiffness, but not better than traditional anthropometric indices.
BACKGROUND:Obesity and arterial stiffness are both independently associated with cardiovascular risk. New anthropometric indices can better reflect abdominal obesity than traditional anthropometric indices. Thus, we hypothesized that compared with conventional parameters, these newly developed anthropometric parameters were more accurate to identify arterial stiffness among overweight and obesity population. METHODS: Cross-sectional data on socio-demographic, lifestyle, clinical characteristics and biochemical measurements were collected for 1442 Chinese obese and overweight adults. Six anthropometric indices including a body shape index (ABSI), body mass index (BMI), ABSI combined with BMI, body roundness index (BRI), waist circumference and waist-to-hip ratio were calculated. Carotid-femoral pulse wave velocity (cf-PWV) was detected in all subjects. Meanwhile, visceral fat area (VFA) was quantificationally measured by CT. Partial Spearman correlation coefficients were used to clarify the association between anthropometric measures with cf-PWV. Logistic regression analyses were used to identify to the association between anthropometric measures and arterial stiffness. RESULTS: After adjusting for covariates, BRI had the strongest correlation with cf-PWV and VFA in all anthropometric indices. Multivariate regression analysis showed VFA (β = 0.322, p < 0.001) and BRI (β = 0.307, p < 0.001) remained independently associated with cf-PWV. BRI had a highest odds ratios in all anthropometric indices (OR = 1.543, p < 0.001). ABSI only displayed a weak correlation with arterial stiffness. Meanwhile, BRI had the highest area under curve for abnormal cf-PWV, and the optimum cutoff value was a BRI ≥5.4. CONCLUSION: BRI was found to have a close relationship with arterial stiffness in overweight and obesity people. However, ABSI was weakly correlated with arterial stiffness, but not better than traditional anthropometric indices.
Authors: Simon Higgins; Babette S Zemel; Philip R Khoury; Elaine M Urbina; Joseph M Kindler Journal: Pediatr Obes Date: 2021-10-19 Impact factor: 4.000
Authors: Monika Starzak; Agata Stanek; Grzegorz K Jakubiak; Armand Cholewka; Grzegorz Cieślar Journal: Int J Environ Res Public Health Date: 2022-08-19 Impact factor: 4.614