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Racil G, Chelly MS, Coquart J, Padulo J, Teodor DF, Russo L. Long- and Short-Term High-Intensity Interval Training on Lipid Profile and Cardiovascular Disorders in Obese Male Adolescents. CHILDREN (BASEL, SWITZERLAND) 2023; 10:1180. [PMID: 37508677 PMCID: PMC10378083 DOI: 10.3390/children10071180] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Revised: 06/28/2023] [Accepted: 07/03/2023] [Indexed: 07/30/2023]
Abstract
This study investigated the effects of short-term and long-term periods (8 and 16 weeks) of high-intensity interval training (HIIT) on cardiovascular components, blood lipids, and 6-min walking test performance in obese young boys (age = 16.2 ± 0.7) with >34% body fat. The participants were split into two groups: severe obesity (SOG; n = 17) and moderate obesity (MOG; n = 16). All participants performed on a cycle ergometer for 16 weeks (3 times per week) of HIIT at 100% peak power output at the ventilatory threshold and recovered at 50% of peak power. Except for BMI, both groups improved all body composition measures after 16 weeks, with a higher percentage of change (Δ) in SOG. The 6-min walking test increased in both groups (p < 0.001). Furthermore, cardiovascular variables, blood lactate concentration at rest and after 5-min post-exercise, blood lipids, and insulin concentrations improved significantly in both groups. After 16 weeks, MOG significantly improved in HRpeak, blood glucose concentration, and rating of perceived exertion (RPE), but the percentage of change (Δ) was higher in SOG for all the other variables. SOG showed a higher (Δ) waist-to-hip ratio, maximum heart rate, resting heart rate, systolic blood pressure, blood lactate at 5-min post-exercise, and triglyceride concentrations after 8 and 16 weeks of training. In conclusion, a long-term HIIT program appears to be an appropriate training approach for obese boys with extra body fat. However, considering the RPE values, short-duration training sessions should be planned.
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Affiliation(s)
- Ghazi Racil
- Research Laboratory (LR23JS01) "Sport Performance, Health & Society", Higher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Tunis 1000, Tunisia
- Department of Biological Sciences Applied for Physical Activities and Sport, Higher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Manouba 2010, Tunisia
| | - Mohamed-Souhaiel Chelly
- Research Laboratory (LR23JS01) "Sport Performance, Health & Society", Higher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Tunis 1000, Tunisia
- Department of Biological Sciences Applied for Physical Activities and Sport, Higher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Manouba 2010, Tunisia
| | - Jeremy Coquart
- Univ. Lille, Univ. Artois, Univ. Littoral Côte d'Opale, ULR 7369-URePSSS-Unité de Recherche Pluridisciplinaire Sport Santé Société, 59000 Lille, France
| | - Johnny Padulo
- Department of Biomedical Sciences for Health, Università degli Studi di Milano, 20133 Milan, Italy
| | - Dragos Florin Teodor
- Faculty of Physical Education and Sport, Ovidius University of Constanta, 900029 Constanta, Romania
| | - Luca Russo
- Department of Human Sciences, Università Telematica Degli Studi IUL, 50122 Florence, Italy
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Liu L, Xue X, Zhang H, Tian X, Chen Y, Guo Y, Pei P, Wang S, Duan H, Gao R, Pang Z, Chen Z, Li L. Family history, waist circumference and risk of ischemic stroke: A prospective cohort study among Chinese adults. Nutr Metab Cardiovasc Dis 2023; 33:758-769. [PMID: 36739230 PMCID: PMC7615010 DOI: 10.1016/j.numecd.2023.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 01/09/2023] [Accepted: 01/11/2023] [Indexed: 01/20/2023]
Abstract
BACKGROUND AND AIMS The associations between genetic factors and waist circumference (WC) with stroke risk have been evaluated in Western studies. However, evidence of this association has rarely been reported in the Chinese population. This study aimed to evaluate the association between WC and family history of stroke (FHS) with ischemic stroke (IS) risk among Chinese adults and to further explore the potential interaction of these associations. METHODS AND RESULTS The China Kadoorie Biobank (CKB) study recruited 35,508 participants aged 30-79 years from the Qingdao urban area during 2004-2008. A total of 33,355 participants were included in study. Cox regression analysis was used to estimate the multivariable-adjusted hazard ratios (HR) and 95% confidence intervals (CI) for the independent and interactional associations between FHS and WC and IS risk. Participants with FHS had a 29% (HR = 1.29, 95% CI: 1.12-1.50) higher IS risk than those without FHS. Participants with excessive WC (85 cm for males and 80 cm for females) had a 78% (HR = 1.78, 95% CI: 1.51-2.10) higher IS risk than those with normal WC. The combined effect of FHS and excessive WC on IS was statistically significant (HR = 2.29, 95% CI: 1.84-2.86). The present study further found statistically significant multiplicative interactions of FHS and WC with IS risk (Pinteraction < 0.001). CONCLUSION The present study indicated that FHS and WC were significantly associated with an increased risk of IS. The association between FHS and IS was associated with excessive WC.
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Affiliation(s)
- Lei Liu
- Department of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao 266071, China
| | - Xiaojia Xue
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Hua Zhang
- Department of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao 266071, China; Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Xiaocao Tian
- Department of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao 266071, China; Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China.
| | - Yunhui Chen
- Department of Vascular Surgery, Qingdao Municipal Hospital, Qingdao 266071, China.
| | - Yu Guo
- National Center for Cardiovascular Diseases, Fuwai Hospital Chinese Academy of Medical Sciences, Beijing 100037, China
| | - Pei Pei
- Chinese Academy of Medical Sciences, Beijing 102308, China
| | - Shaojie Wang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Haiping Duan
- Department of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao 266071, China; Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Ruqin Gao
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Zengchang Pang
- Qingdao Municipal Center for Disease Control and Prevention, Qingdao Institute of Preventive Medicine, Qingdao 266033, China
| | - Zhengming Chen
- Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, Medical Research Council Population Health Research Unit, University of Oxford, Oxford OX3 7LF, United Kingdom
| | - Liming Li
- Department of Epidemiology & Biostatistics, School of Public Health, Peking University, Beijing 100191, China; Peking University Center for Public Health and Epidemic Preparedness & Response, Beijing 100191, China
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Zanina GO, Guillo LA, Prudente PAN, Alves FM, Cruz AMD, Silva MS. CIRCUIT TRAINING REDUCES CARDIOMETABOLIC RISK FACTORS IN WOMEN. REV BRAS MED ESPORTE 2023. [DOI: 10.1590/1517-8692202329012020_0024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Introduction Combined training is more effective than an isolated modality in reducing cardiometabolic risk indicators. Objective To evaluate the effect of circuit training volume on anthropometric and biochemical risk indicators for cardiometabolic diseases in overweight women. Methods Thirty-two participants underwent 24 weeks of circuit training with free weights combined with aerobic exercise. The training volume during the 24 weeks was used to distribute the women into moderate-volume physical activity (MVA), low-volume physical activity (LVA) and control (CON) groups. Anthropometric indices (body mass, body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR)), blood glucose, insulin, insulin resistance (HOMA-IR), total cholesterol (TC), triglycerides, HDL-c, and LDL-c were evaluated at the beginning of the program and after 12 and 24 weeks. Results There was no interaction between training volume and time for any of the variables studied, but the intervention time influenced body mass (p=0.013) and BMI (p=0.012), and there was a tendency for participation time to reduce body mass (p=0.063) and BMI (p=0.062) after six months of intervention. The volume of the physical activity affected HDL-c (p=0.037), being significant (p=0.030) in the comparison between the MVA and CON groups. Additionally, there was a downward trend in HDL-c after six months of intervention (p=0.073), with a smaller reduction observed in the MVA group, indicating a protective role of moderate physical activity in the reduction of this lipid fraction. The association between physical activity volume and participation time resulted in a clinical improvement in total cholesterol (χ2 = 5.453, p = 0.02), with a higher probability of reaching clinically adequate values in the MVA group (OR = 0.126; 95%CI 0.019 - 0.827). Conclusion Training volume improved cardiometabolic risk factors in overweight women. Level of evidence II; Therapeutic Studies - Investigating the Results of Treatment.
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Wu Q, Zhang F, Li R, Li W, Gou D, Wang L. Identification of the Best Anthropometric Index for Predicting the 10-Year Cardiovascular Disease in Southwest China: A Large Single-Center, Cross-Sectional Study. High Blood Press Cardiovasc Prev 2022; 29:417-428. [PMID: 35776364 DOI: 10.1007/s40292-022-00528-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/02/2022] [Indexed: 02/08/2023] Open
Abstract
INTRODUCTION This population-based cross-sectional study aimed to identify the best predictor of the 10-year cardiovascular (CV) high risk among old and new anthropometric indices. METHODS We investigated 76,915 adults older than 18 years of age living in southwest China. Ten obesity indices were calculated. The 10-year cardiovascular disease (CVD) risk was estimated using the Framingham risk score. Receiver operating characteristic curve analysis was performed to assess the ability of the anthropometric index to predict the 10-year high risk of CVD events. RESULTS The waist-to-hip ratio (WHR) had the highest area under the curve (AUC) value (0.711; sensitivity: 62.22%, specificity: 42.73%) in men, while the body fat index (BAI) had the lowest AUC value (0.624, sensitivity: 49.07%, specificity: 54.84%). The waist-to-height ratio (WHtR) and the body roundness index (BRI) showed the highest AUC value (0.751, sensitivity: 39.24%, 39.83%, specificity: 75.68%, 68.59%) in women, while the BAI showed the lowest AUC value (0.671, sensitivity: 53.15%, specificity: 57.14%). CONCLUSIONS The WHR was the best anthropometric measure for assessing the 10-year high risk of CVD in men, while the WHtR and BRI were the best measures for women. In men, the WHR should be < 0.88, and in women, the WHtR should be < 0.502 or the BRI should be < 3.41.
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Affiliation(s)
- Qinqin Wu
- Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Fan Zhang
- Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Ruicen Li
- Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Wenyu Li
- Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Dan Gou
- Health Management Center, West China Hospital, Sichuan University, Chengdu, China
| | - Lin Wang
- Department of Cardiology, West China Hospital, Sichuan University, No.37 Guoxue Road, Chengdu, 610041, Sichuan, China.
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Gómez-Campos R, Vidal-Espinoza R, Castelli Correia de Campos LF, Sulla-Torres J, Cossio-Bolaños W, de Arruda M, Urra Albornoz C, Cossio-Bolaños M. Comparison of anthropometric indicators as predictors of the percentage of fat mass in young people and older adults in Chile. ENDOCRINOL DIAB NUTR 2022; 69:25-33. [PMID: 35232556 DOI: 10.1016/j.endien.2022.01.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 05/26/2021] [Indexed: 06/14/2023]
Abstract
OBJECTIVE To verify whether triponderal mass index (TMI) has a greater accuracy than body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR) as predictors of obesity in young people and older adults in a region of Chile. MATERIAL AND METHODS A cross-sectional descriptive study was carried out in 1176 adults (565 men and 611 women) from the Maule region (Chile). Their ages ranged from 20 to 80 years. The percentage of fat mass (%FM) was evaluated by means of dual energy X-ray absorptiometry (DXA). Weight, height and waist circumference (WC) were evaluated. TMI, BMI and WHtR were calculated. RESULTS The %FM predictions for BMI were 0.47% for men and 0.50% for women; for TMI, it was 0.50% for men and 0.51% for women; for WC, it was 0.28% for men and 0.21% for women; and finally, for WHtR, it was 0.28% in men and 0.21% in women. The area under the curve (AUC) for BMI was 0.85 in men and 0.85 in women; for TMI, it was 0.87 in men and 0.86 in women; for WHtR, it was 0.76 in men and 0.72 in women; and for WC, the AUC was 0.72 in men and 0.71 in women. CONCLUSION It was shown that TMI is the indicator that presented the greatest association with %FM and estimates body fat levels with greater precision than BMI, WC and WHtR. The results suggest its use and application as an indicator that discriminates obesity in young, middle-aged and elderly adults.
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Affiliation(s)
- Rossana Gómez-Campos
- Departamento de Diversidad e Inclusividad Educativa, Universidad Católica del Maule, Talca, Chile
| | | | | | | | - Wilbert Cossio-Bolaños
- Escuela de Posgrado, Segunda Especialidad de Estomatología, Universidad Privada San Juan Bautista, Lima, Peru
| | | | | | - Marco Cossio-Bolaños
- Departamento de Ciencias de la Actividad Física, Universidad Católica de Maule, Talca, Chile.
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do Nascimento RA, Vieira MCA, Dos Santos Aguiar Gonçalves RS, Moreira MA, de Morais MSM, da Câmara SMA, Maciel ÁCC. Cutoff points of adiposity anthropometric indices for low muscle mass screening in middle-aged and older healthy women. BMC Musculoskelet Disord 2021; 22:713. [PMID: 34416881 PMCID: PMC8379807 DOI: 10.1186/s12891-021-04532-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Accepted: 07/20/2021] [Indexed: 12/25/2022] Open
Abstract
Background The reduction of female sex hormones causes changes in the contractile properties of muscles as well as infiltration of fat in the muscle tissue. This results in a consequent decline in muscle strength. These changes are related to higher levels of functional impairment and physical disability. In this sense, several anthropometric indices have been used to quantify body and visceral fat. Thus, the objective of this paper is to propose cutoff points for adiposity anthropometric indices in order to identify low muscle mass, as well as to analyze the relationship between these indices and low muscle mass in middle-aged and older women. Methods Cross-sectional analytical study carried out in the Northeast of Brazil. The sample was formed by 593 women between 40—80 years old. Data collection included anthropometric assessment (BMI: Body Mass Index – WC: Waist Circumference – WHR: Waist-to-hip Ratio – WHtR: Waist-to-height Ratio – CI: Conicity Index – BAI: Body Adiposity Index – VAI: Visceral Adiposity Index – LAP: Lipid Accumulation Product), bioimpedance test and biochemical dosage. Moreover, sociodemographic data and practice of physical activity were collected. Descriptive statistics, Student's t-test, ROC curves, chi-squared and logistic regression were performed. Results The participants had a mean age of 53.11 (8.89) years, BMI of 28.49 (5.17) kg/m2 and WC of 95.35 (10.39). The prevalence of low muscle mass was 19.4%. Based on sensitivity and specificity of adiposity anthropometric indices, cutoff points were developed to identify the presence of low muscle mass (p < 0.05), except for VAI. After logistic regression, WC (OR = 6.2; CI 95%: 1.4—28.1), WHR (OR = 1.8; CI: 1.0—3.4), WHtR (OR = 5.0; CI 95%: 1.0—23.7) and BAI (OR = 14.5; CI 95%: 6.6—31.7) were associated with low muscle mass. Conclusions All anthropometric indices, except VAI, showed adequate accuracy in identifying low muscle mass in women, especially those that took into account WC. This suggests that they can become accessible and also be cost-effective strategies for assessing and managing health outcomes related to muscle mass analysis.
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Affiliation(s)
- Rafaela Andrade do Nascimento
- Physiotherapy, Department of Federal, University of Rio Grande Do Norte, 3000 Senador Salgado Filho Avenue, S/N, Lagoa Nova, Natal, RN, CEP: 59072-970, Brazil.
| | - Mariana Carmem Apolinário Vieira
- Physiotherapy, Department of Federal, University of Rio Grande Do Norte, 3000 Senador Salgado Filho Avenue, S/N, Lagoa Nova, Natal, RN, CEP: 59072-970, Brazil
| | | | - Mayle Andrade Moreira
- Physiotherapy Department of Federal, University of Ceará, 949 Alexandre Baraúna St, Rodolfo Teófilo, Fortaleza, CEP: 60430-110, Brazil
| | - Maria Socorro Medeiros de Morais
- Health Sciences Center of Federal, University of Rio Grande Do Norte, General Gustavo Cordeiro de Farias St, Petrópolis, Natal, RN, CEP 59012-570, Brazil
| | | | - Álvaro Campos Cavalcanti Maciel
- Physiotherapy, Department of Federal, University of Rio Grande Do Norte, 3000 Senador Salgado Filho Avenue, S/N, Lagoa Nova, Natal, RN, CEP: 59072-970, Brazil
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Gómez-Campos R, Vidal-Espinoza R, Castelli Correia de Campos LF, Sulla-Torres J, Cossio-Bolaños W, de Arruda M, Urra Albornoz C, Cossio-Bolaños M. Comparison of anthropometric indicators as predictors of the percentage of fat mass in young people and older adults in Chile. ENDOCRINOL DIAB NUTR 2021; 69:S2530-0164(21)00158-0. [PMID: 34294584 DOI: 10.1016/j.endinu.2021.05.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 05/25/2021] [Accepted: 05/26/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To verify whether tri-ponderal mass index (TMI) has a higher accuracy than body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WHtR) as predictors of obesity in young people and older adults in a region of Chile. MATERIAL AND METHODS A cross-sectional descriptive study was carried out in 1,176 adult subjects (565 men and 611 women) from the Maule region (Chile). The age range was from 20 to 80 years old. The percentage of fat mass (%FM) was evaluated by means of dual energy X-ray absorptiometry (DXA). Weight, height and WC were evaluated. TMI, BMI and WHtR were calculated. RESULTS The predictions of %FM for BMI were 0.47% for men and 0.50% for women, for TMI it was 0.50% for men and 0.51% for women, for WC it was 0.28% for men and 0.21% for women, and finally, for the WHtR it was 0.28% in men and 0.21% in women. The area under the curve (AUC) for the BMI was 0.85 in both men and women, for the TMI, it was 0.87 in men and 0.86 in women, for the WHtR, in men it was 0.76 and in women it was 0.72, and for WC, the AUC in men was 0.72 and in women it was 0.71. CONCLUSION It was shown that TMI is the indicator that presented the greatest association with %FM and estimates body fat levels with greater precision than BMI, WC and WHtR. The results suggest its use and application as an indicator that discriminates obesity in young, middle and late-aged adults.
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Affiliation(s)
- Rossana Gómez-Campos
- Departamento de Diversidad e Inclusividad Educativa, Universidad Católica del Maule, Talca, Chile
| | | | | | | | - Wilbert Cossio-Bolaños
- Escuela de Posgrado, Segunda Especialidad de Estomatología, Universidad Privada San Juan Bautista, Lima, Perú
| | | | | | - Marco Cossio-Bolaños
- Departamento de Ciencias de la Actividad Física, Universidad Católica de Maule, Talca, Chile.
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Zierfuss B, Höbaus C, Herz CT, Pesau G, Koppensteiner R, Schernthaner GH. Predictive power of novel and established obesity indices for outcome in PAD during a five-year follow-up. Nutr Metab Cardiovasc Dis 2020; 30:1179-1187. [PMID: 32451274 DOI: 10.1016/j.numecd.2020.03.019] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2019] [Revised: 03/16/2020] [Accepted: 03/20/2020] [Indexed: 01/22/2023]
Abstract
BACKGROUND AND AIMS Previous data show contradicting results regarding relevance of obesity on outcome in peripheral arterial disease (PAD). Thus, this study aims to evaluate the predictive power of obesity as measured by established and novel obesity indices (waist circumference WC, waist-hip ratio WHR, body-mass index BMI, body adiposity index BAI, visceral adiposity index VAI, weight-adjusted waist index WWI) in a PAD cohort. METHODS AND RESULTS In 367 patients with diagnosed PAD anthropometric parameters were assessed at study inclusion in an observational study. Mortality data was retrieved from the central death registry after five years. Outcome analyses were performed by multivariable Cox-regression models. 57 PAD patients (15.5%) died during the follow-up, of those 36 were categorized as cardiovascular origin. Patients from the all-cause mortality group were older, more often diabetics with a worse glucose control and had worse renal function. Obesity indices were not significantly different between the event and control group. None of the evaluated risk factors predicted cardiovascular or all-cause death after multivariable adjustment for age, gender, LDL-C, serum creatinine, systolic blood pressure, CRP, smoking habits, diabetes status and previous history of peripheral revascularisation (all-cause WC 1.007 (0.983-1.031), WHR 1.772 (0.106-29.595), BMI 1.006 (0.939-1.078), BAI 1.002 (0.945-1.063), VAI 1.019 (0.895-1.161), WWI 1.085 (0.831-1.416); cv-death WC 1.007 (0.978-1.036), WHR 0.382 (0.006-25.338), BMI 1.004 (0.918-1.098), BAI 1.034 (0.959-1.116), VAI 1.036 (0.885-1.213), WWI 1.061 (0.782-1.441)). CONCLUSION Obesity as risk marker estimated by indices both for general and visceral adiposity, does not predict mortality in a secondary prevention cohort of PAD patients.
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Affiliation(s)
- Bernhard Zierfuss
- Division of Angiology, Department of Internal Medicine 2, Medical University of Vienna, Austria.
| | - Clemens Höbaus
- Division of Angiology, Department of Internal Medicine 2, Medical University of Vienna, Austria
| | - Carsten T Herz
- Division of Endocrinology and Metabolism, Department of Internal Medicine 3, Medical University of Vienna, Austria
| | - Gerfried Pesau
- Division of Angiology, Department of Internal Medicine 2, Medical University of Vienna, Austria
| | - Renate Koppensteiner
- Division of Angiology, Department of Internal Medicine 2, Medical University of Vienna, Austria
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Yeşil E, Köse B, Özdemir M. Is Body Adiposity Index a Better and Easily Applicable Measure for Determination of Body Fat? J Am Coll Nutr 2020; 39:700-705. [PMID: 32155104 DOI: 10.1080/07315724.2020.1727378] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Objective: The BAI can be used to reflect %body fat. This study aimed to compare BAI with other methods used in the determination of body fat.Materials and Methods: A cross-sectional study was conducted in Turkish adults. BAI, BMI, WHR, WHtR, body weight, hip and waist circumference (WC), skinfold thicknesses (biceps, triceps, subscapular, suprailiac) were measured. Body fat was measured using Bioelectric Impedance Analysis.Results: The Bland-Altman analyses conducted in this study showed that for % body fat estimations, BIA was in excellent agreement with skinfold measurements (p = 0.131) without proportional bias (p = 0.082), but that BAI was not in agreement with BIA and skinfold measurement. There were a statistically significant positive correlation between BAI and other measurements in terms of females and males and also regardless of sex.Conclusion: BAI was not in agreement with BIA and skinfold measurement methods for % body fat estimations, it had a significantly stronger correlation with % fat calculated using BIA and skinfold thickness.
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Affiliation(s)
- Esen Yeşil
- Department of Nutrition and Dietetics, Baskent Universitesi, Ankara, Turkey
| | - Beril Köse
- Department of Nutrition and Dietetics, Baskent Universitesi, Ankara, Turkey
| | - Merve Özdemir
- Department of Nutrition and Dietetics, Baskent Universitesi, Ankara, Turkey
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Almeida RTD, Pereira ADC, Fonseca MDJMD, Matos SMAD, Aquino EML. Association between body adiposity index and coronary risk in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Clin Nutr 2019; 39:1423-1431. [PMID: 31280886 DOI: 10.1016/j.clnu.2019.06.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2018] [Revised: 05/10/2019] [Accepted: 06/03/2019] [Indexed: 12/17/2022]
Abstract
BACKGROUND & AIMS The body adiposity index (BAI) was recently proposed as a better indicator of body adiposity than body mass index in adults. The association between BAI and cardiometabolic risk factors has been widely investigated. However, the strength and magnitude of these associations varied as a function of the endpoint evaluated, the study design, the population investigated, and the cut-off points used. The aim of this study was to investigate the association between BAI and coronary heart disease (CHD) risk in a large sample of Brazilian adults and to propose the most appropriate cut-off points for BAI for the identification of CHD risk in the adult Brazilian population. METHODS Data from 15,092 civil servants (54.4% women) from universities and research institutes in six Brazilian states were evaluated in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). All were aged 35-74 years at baseline. The Framingham coronary risk score was used to identify a very high risk of CHD (≥20% risk of CHD over the next 10 years) and a high risk of CHD (≥10% risk). BAI cut-off points capable of detecting a risk of CHD were determined using ROC curves and associations were tested using Poisson regression with robust variance, according to sex and age. Three multivariable models were examined. RESULTS BAI remained positively associated with a very high and high risk of CHD following adjustment for potential confounding factors in all the strata and multivariable models (p < 0.05), with the exception of model 3 (adjusted for education level and waist-to-hip ratio) for very a high risk of CHD in younger women (p = 0.06). In the adjusted models, the prevalence ratios for a very high and high risk of CHD, irrespective of age group, varied between 1.23 (95%CI: 1.09-1.39) and 1.64 (1.33-2.03) and 1.07 (1.03-1.12) and 1.47 (1.36-1.60) in men; and 1.57 (1.08-2.31) and 2.42 (1.36-4.31) and 1.29 (1.13-1.47) and 1.82 (1.54-2.15) in women, respectively. The optimal cut-off points of BAI to determine a risk of CHD were: 28.0 in men of both age groups, and 34.0 in younger women and 36.0 in older women to determine a very high risk; and 26.0 in younger men and 34.0 in women of both age groups to determine a high risk. BAI showed a reasonable ability to predict coronary risk in participants of the ELSA-Brasil (AUC>60%, except for the group of men of 60-74 years of age). CONCLUSIONS Higher BAI levels were found to be associated with a greater risk of developing CHD in both men and women of different ages participating in the ELSA-Brasil, suggesting that BAI may be a useful tool for screening for CHD risk in Brazilian adults.
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Affiliation(s)
- Rogério Tosta de Almeida
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, Brazil; Departamento de Saúde, Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brazil.
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Rost S, Freuer D, Peters A, Thorand B, Holle R, Linseisen J, Meisinger C. New indexes of body fat distribution and sex-specific risk of total and cause-specific mortality: a prospective cohort study. BMC Public Health 2018; 18:427. [PMID: 29609587 PMCID: PMC5879745 DOI: 10.1186/s12889-018-5350-8] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2017] [Accepted: 03/21/2018] [Indexed: 01/04/2023] Open
Abstract
Background A number of prior studies have examined the association between anthropometric measures and mortality, but studies investigating the sex-specific predictive value of novel anthropometric measures on mortality are scarce so far. Therefore, we investigated the sex-specific relevance of the new anthropometric measures body adiposity index (BAI) and waist to height ratio (WHtR) as well as the common measures body mass index (BMI), waist circumference (WC), and waist to hip ratio (WHR) for cause-specific mortality risk. Methods The analysis was based on data from the German population based KORA (Cooperative Health Research in the Region of Augsburg) Augsburg cohort study. A total of 6670 men and 6637 women aged 25 to 74 years at baseline examination were included. During a mean follow-up period of 15.4 years, 2409 persons died. Via Cox proportional hazard regression, the associations between the different anthropometric measures and all cause-, cardiovascular disease (CVD)- and cancer mortality were assessed. Results BMI, WC, and WHR were significantly associated with all-cause and CVD-mortality in both sexes. WC and WHR were particularly associated with higher all-cause and CVD-mortality risk in women, while in men especially WHtR and BAI were strongly related to these outcomes. Females with WC, WHtR, and WHR measures in the 4th quartile compared with women in the 2nd quartile had a higher risk of death from cancer. Contrary, men in the lowest quartile of WC and WHtR in comparison to men in the 2nd quartile had a significantly elevated cancer mortality risk. BAI was no risk predictor for all-cause and cause-specific mortality in women. Conclusions Central obesity reflects higher all-cause and CVD-mortality risk particularly in women. BAI and WHtR seem to be valid as risk predictors for all-cause and especially CVD mortality in men but not women. There are marked sex-differences regarding cancer mortality risk for the different anthropometric measures. Electronic supplementary material The online version of this article (10.1186/s12889-018-5350-8) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Susanne Rost
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology, Neuherberg, Germany.,Institute for Medical Informatics, Biometry and Epidemiology; LMU Munich, Munich, Germany
| | - Dennis Freuer
- Chair of Epidemiology, Ludwig-Maximilians-Universität München, UNIKA-T Augsburg, Neusässer Str. 47, 86156, Augsburg, Germany
| | - Annette Peters
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology, Neuherberg, Germany
| | - Barbara Thorand
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology, Neuherberg, Germany
| | - Rolf Holle
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Health Economics and Health Care Management, Neuherberg, Germany
| | - Jakob Linseisen
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology, Neuherberg, Germany.,Chair of Epidemiology, Ludwig-Maximilians-Universität München, UNIKA-T Augsburg, Neusässer Str. 47, 86156, Augsburg, Germany
| | - Christa Meisinger
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology, Neuherberg, Germany. .,Chair of Epidemiology, Ludwig-Maximilians-Universität München, UNIKA-T Augsburg, Neusässer Str. 47, 86156, Augsburg, Germany.
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12
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Zahn K, Linseisen J, Heier M, Peters A, Thorand B, Nairz F, Meisinger C. Body fat distribution and risk of incident ischemic stroke in men and women aged 50 to 74 years from the general population. The KORA Augsburg cohort study. PLoS One 2018; 13:e0191630. [PMID: 29401461 PMCID: PMC5798769 DOI: 10.1371/journal.pone.0191630] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2016] [Accepted: 12/28/2017] [Indexed: 01/16/2023] Open
Abstract
Background It remains controversial whether measures of general or abdominal adiposity are better risk predictors for ischemic stroke. Furthermore, so far it is unclear whether body fat mass index (BFMI) and fat free mass index (FFMI) are risk predictors for ischemic stroke. This study examined the sex-specific relevance of body mass index (BMI), BROCA Index, waist circumference (WC), waist-height ratio (WHtR), BFMI and FFMI for the development of ischemic stroke in a Caucasian population. Material and methods The prospective population-based cohort study was based on 1917 men and 1832 women (aged 50 to 74 years) who participated in the third (1994/95) or fourth (1999/2001) MONICA/KORA Augsburg survey. Subjects were free of stroke at baseline. Standardized anthropometric and bioelectric impedance measurements were obtained at baseline. Hazard ratios (HR) were estimated from Cox proportional hazard models. Results During a median follow-up of 9.3 years 128 ischemic strokes occurred in men and 81 in women, respectively. Coded as quartiles WC and WHtR were significantly associated with incident stroke in multivariable analyses in women (comparing the 4th vs. the bottom quartile), but none of the adiposity measures was significantly associated with incident stroke in multivariable adjusted analyses in men. When anthropometric measures were used as continuous variables, these findings were confirmed. After multivariable adjustment the associations between obesity measures and incident ischemic stroke were statistically significant only for WC (HR 1.39, 95%CI 1.12-1.72) and WHtR in women (HR 1.39, 95%CI 1.12-1.73) per increase of 1 standard deviation. In both sexes the measures BFMI and FFMI were no independent predictors for incident ischemic stroke. Conclusions Abdominal obesity measures are independent predictors of incident ischemic stroke in women but not in men from the general adult population. Thus, it may be of particular importance for women to prevent central obesity in order to reduce their risk of ischemic stroke.
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Affiliation(s)
- Karl Zahn
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
- Institute for Medical Informatics, Biometry and Epidemiology (IBE), Munich, Germany
| | - Jakob Linseisen
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
- Chair of Epidemiology, Ludwig-Maximilians-Universität München, UNIKA-T, Augsburg, Germany
| | - Margit Heier
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
| | - Annette Peters
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
| | - Barbara Thorand
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
| | - Franziska Nairz
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
| | - Christa Meisinger
- Helmholtz Zentrum München, German Research Center for Environmental Health, Institute of Epidemiology II, Neuherberg, Germany
- Chair of Epidemiology, Ludwig-Maximilians-Universität München, UNIKA-T, Augsburg, Germany
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Dutra MT, Gadelha AB, Nóbrega OT, Lima RM. Body Adiposity Index, but not Visceral Adiposity Index, Correlates with Inflammatory Markers in Sarcopenic Obese Elderly Women. Exp Aging Res 2017; 43:291-304. [DOI: 10.1080/0361073x.2017.1298959] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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14
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Segheto W, Coelho FA, Cristina Guimarães da Silva D, Hallal PC, Marins JCB, Ribeiro AQ, Pessoa MC, Morais SHO, Longo GZ. Validity of body adiposity index in predicting body fat in Brazilians adults. Am J Hum Biol 2016; 29. [PMID: 27502080 DOI: 10.1002/ajhb.22901] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2016] [Revised: 06/09/2016] [Accepted: 07/17/2016] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES The aim of this study was to compare various methods of assessing body compositions with body adiposity index (BAI) and to identify the validity of BAI as a predictor of body fat in Brazilian adults. METHODS This study included 706 individuals (average age 37.3 years, SD = 12.1). Anthropometric data included percent body fat obtained by skinfold thicknesses, bioelectrical impedance analysis and DXA. Body mass index (BMI), waist/hip ratio, and BAI were calculated. The correlation between variables was assessed by Pearson's correlation coefficient, and the Bland-Altman and Kaplan Meier graphic approaches were used to verify the agreement between BAI and DXA. RESULTS There was a strong correlation between BAI and BMI (r = 0.84 in men and r = 0.86 in women, P < .001), waist circumference (r = 0.77 in men and r = 0.75 in women, P < .001) percent fat by skinfold thicknesses (r = 0.71 in men and r = 0.71 in women, P < .001) and by DXA (r = 0.72 in men and r = 0.78 in women, P < .001). The Bland-Altman approach showed an overestimation of BAI in males and an underestimation in women using DXA as the reference method. The agreement between BAI and DXA through the Kaplan-Meier analysis was 41%. CONCLUSIONS It was found that BAI does not replace other measurements of body fat, but compared with more complex methods can be an alternative for estimating the body fat in the absence of these methods.
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Affiliation(s)
- Wellington Segheto
- Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-000, Brazil
| | - France Araújo Coelho
- Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-000, Brazil
| | | | - Pedro Curi Hallal
- Department of Gymnastics and Health, Universidade Federal de Pelotas, Pelotas, Rio Grande do Sul, 96020-220, Brazil
| | - João Carlos Bouzas Marins
- Department of Physical Education and Sports, Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-000, Brazil
| | - Andreia Queiroz Ribeiro
- Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-000, Brazil
| | - Milene Cristine Pessoa
- Department of Nutrition, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, 30130-100, Brazil
| | - Sílvia Helena O Morais
- Department of Nutrition, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, 30130-100, Brazil
| | - Giana Zarbato Longo
- Department of Nutrition and Health, Universidade Federal de Viçosa, Viçosa, Minas Gerais, 36570-000, Brazil
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Blackford K, Jancey J, Lee AH, James AP, Waddell T, Howat P. Home-based lifestyle intervention for rural adults improves metabolic syndrome parameters and cardiovascular risk factors: A randomised controlled trial. Prev Med 2016; 89:15-22. [PMID: 27196148 DOI: 10.1016/j.ypmed.2016.05.012] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2016] [Revised: 05/03/2016] [Accepted: 05/15/2016] [Indexed: 12/22/2022]
Abstract
UNLABELLED The presence of metabolic syndrome (MetS) increases the risk of developing type 2 diabetes and cardiovascular disease. Targeted interventions to reduce MetS for high risk populations are crucial for the prevention of these chronic diseases. This study evaluated the effectiveness of a 6-month home-based physical activity and diet intervention for rural adults with, or at risk of MetS. The randomised controlled trial was conducted in Albany and surrounding towns, Western Australia, 2014-2015. Participants were screened for MetS using the International Diabetes Federation criteria, and eligible participants were randomly assigned to the intervention (n=201) or control (n=200) group. The intervention group received printed and online programme materials and motivational support, and the control group was waitlisted to receive the programme after post-test data collection. Anthropometry, lipid profiles, glycaemic status, and blood pressure were measured at baseline and 6-months post-test. In total, 312 (77.8%) participants completed post-test data collection and were included in the anthropometric analysis, and 274 (68.3%) participants were included in the blood sample analysis. After controlling for confounders, the intervention group significantly improved their triglyceride (-0.10mM, p=0.002), total cholesterol (-0.09mM, p=0.02), and non-HDL cholesterol (-0.08mM, p=0.02) concentrations compared to the control group. Waist circumference (-2.11cm, p=0.03), waist-to-hip ratio (-0.01, p=0.04), weight (-0.70kg, p=0.01), and body mass index (-0.20kg/m(2), p<0.001) were also improved. These findings suggest that comprehensive home-based prevention programmes that include a combination of dietary and physical activity interventions are a promising means to prevent the onset of chronic disease in rural adults. TRIAL REGISTRATION anzctr.org.au Identifier: ACTRN12614000512628.
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Affiliation(s)
- Krysten Blackford
- Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, WA, Australia; School of Public Health, Curtin University, Perth, WA, Australia.
| | - Jonine Jancey
- Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, WA, Australia; School of Public Health, Curtin University, Perth, WA, Australia
| | - Andy H Lee
- School of Public Health, Curtin University, Perth, WA, Australia
| | - Anthony P James
- School of Public Health, Curtin University, Perth, WA, Australia
| | - Tracy Waddell
- Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, WA, Australia; School of Public Health, Curtin University, Perth, WA, Australia
| | - Peter Howat
- Collaboration for Evidence, Research and Impact in Public Health (CERIPH), Curtin University, Perth, WA, Australia; School of Public Health, Curtin University, Perth, WA, Australia
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D'Elia L, Manfredi M, Sabino P, Strazzullo P, Galletti F. The Olivetti Heart Study: Predictive value of a new adiposity index on risk of hypertension, blood pressure, and subclinical organ damage. Nutr Metab Cardiovasc Dis 2016; 26:630-636. [PMID: 27131882 DOI: 10.1016/j.numecd.2016.03.009] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/01/2014] [Revised: 03/04/2016] [Accepted: 03/14/2016] [Indexed: 02/06/2023]
Abstract
BACKGROUND AND AIMS Recently, some studies have indicated that a new anthropometric index, body adiposity index (BAI), could be more strongly correlated with the percentage of body fat than BMI. However, the results on its role in predicting cardiovascular risk were not univocal. Therefore, the aim of our study was to compare the predictive role of BMI and BAI on risk of hypertension (HP), blood pressure (BP) changes, and subclinical organ damage after an 8-year follow-up, in a sample of adult men participating in the Olivetti Heart Study. METHODS AND RESULTS Participants were 350 untreated normotensive men without diabetes, examined twice at baseline (1994-95) and after 8 years of follow-up [2002-04]. BMI was expressed as kg/m(2). BAI was calculated according to the following formula: [(hip circumference (cm)/height(1.5) (m)) - 18]. Subclinical organ damage was detected by urinary albumin excretion (UAE) and left ventricular mass, evaluated by the Cornell product (CP). At baseline, BAI and BMI were both associated with diastolic blood pressure (DBP) and mean arterial pressure (MAP). After 8 years, both baseline BAI and BMI were associated with changes (Δ) in systolic BP, MAP and pulse pressure, while only BMI was also positively related to ΔDBP. Analysis of HP incidence showed that both indices were significant predictors of HP. In addition, both BAI and BMI were significantly associated with ΔUAE, but not with ΔCP. Analysis of the changes in BAI and BMI confirmed these results, as the two indices were significantly associated with risk of HP and changes in BP and UAE, but not with changes in CP. CONCLUSIONS In this sample of healthy adult men, BAI and BMI were significant predictors of risk of HP and changes in BP, after an 8-years follow-up. In addition both indices predicted UAE changes, but neither was associated with the CP changes.
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Affiliation(s)
- L D'Elia
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy
| | - M Manfredi
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy
| | - P Sabino
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy
| | - P Strazzullo
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy
| | - F Galletti
- Department of Clinical Medicine and Surgery, "Federico II" University of Naples Medical School, Naples, Italy.
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Thomson CA, Garcia DO, Wertheim BC, Hingle MD, Bea JW, Zaslavsky O, Caire-Juvera G, Rohan T, Vitolins MZ, Thompson PA, Lewis CE. Body shape, adiposity index, and mortality in postmenopausal women: Findings from the Women's Health Initiative. Obesity (Silver Spring) 2016; 24:1061-9. [PMID: 26991923 PMCID: PMC5014350 DOI: 10.1002/oby.21461] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 12/26/2015] [Indexed: 01/22/2023]
Abstract
OBJECTIVE Studies evaluating the relationship between body mass index (BMI) and mortality demonstrate a U-shaped association. To expand, this study evaluated the relationship between adiposity indices, a body shape index (ABSI) and body adiposity index (BAI), and mortality in 77,505 postmenopausal women. METHODS A prospective cohort analysis was conducted in the Women's Health Initiative to ascertain the independent relationships between adiposity indices and mortality in order to inform on the clinical usefulness of alternate measures of mortality risk. ABSI (waist circumference (cm)/[BMI(2/3) × height (cm)(1/2) ]), BAI (hip circumference (cm)/[height (m)(1.5) ] - 18), weight, BMI, and waist circumference (WC) were evaluated in relation to mortality risk using adjusted Cox proportional hazards regression models. RESULTS ABSI showed a linear association with mortality (HR, 1.37; 95% CI, 1.28-1.47 for quintile 5 vs. 1) while BMI and BAI had U-shaped relationships with HR of 1.30; 95% CI, 1.20-1.40 for obesity II/III BMI and 1.06, 95% CI, 0.99-1.13 for BAI. Higher WC (HR, 1.21; 95% CI, 1.13-1.29 for quintile 5 vs. 1) showed relationships similar to BMI. CONCLUSIONS ABSI appears to be a clinically useful measure for estimating mortality risk, perhaps more so than BAI and BMI in postmenopausal women.
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Affiliation(s)
- Cynthia A. Thomson
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
| | - David O. Garcia
- Department of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
| | | | - Melanie D. Hingle
- Department of Nutritional Sciences, College of Agriculture and Life Sciences, University of Arizona, Tucson, Arizona, USA
| | - Jennifer W. Bea
- University of Arizona Cancer Center, Tucson, Arizona, USA
- Department of Nutritional Sciences, College of Agriculture and Life Sciences, University of Arizona, Tucson, Arizona, USA
- Department of Medicine, College of Medicine, Tucson, Arizona, USA
| | - Oleg Zaslavsky
- Depto. Nutrición Pública Y Salud, Centro De Investigación En Alimentación Y Desarrollo, Hermosillo, Mexico
- Faculty of Health Sciences & Social Welfare, University of Haifa, Hafia, Israel
| | - Graciela Caire-Juvera
- Depto. Nutrición Pública Y Salud, Centro De Investigación En Alimentación Y Desarrollo, Hermosillo, Mexico
| | - Thomas Rohan
- Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, New York, USA
| | - Mara Z. Vitolins
- Department of Epidemiology and Prevention, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA
| | - Patricia A. Thompson
- Department of Pathology, Stony Brook School of Medicine, Stony Brook, New York, USA
| | - Cora E. Lewis
- Division of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA
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Lytvyak E, Olstad DL, Schopflocher DP, Plotnikoff RC, Storey KE, Nykiforuk CIJ, Raine KD. Impact of a 3-year multi-centre community-based intervention on risk factors for chronic disease and obesity among free-living adults: the Healthy Alberta Communities study. BMC Public Health 2016; 16:344. [PMID: 27090293 PMCID: PMC4835846 DOI: 10.1186/s12889-016-3021-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Accepted: 04/10/2016] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND Healthy Alberta Communities (HAC) was a 3-year community-based intervention to reduce lifestyle-related risk factors for chronic disease and obesity at a population-level. The current paper examines changes in blood pressure (BP) and anthropometric indicators within HAC communities compared to secular trends. METHODS Between 2006 and 2009, this community-academic partnership sought to create environments supportive of healthier dietary and physical activity behaviours within four diverse communities in Alberta, Canada. Height, weight, waist and hip circumference and BP were measured among 1554 and 1808 community residents at baseline (2006) and follow-up (2009), respectively. A comparison sample was drawn from a representative national survey. Samples were stratified by age and change between pre- and post-intervention was assessed using t-tests. Changes in parameters over time between groups were compared using meta-analysis. The net difference in change in outcomes (change in intervention communities minus change in comparison group) represented the effect of the intervention. RESULTS Adjusted systolic (SBP) and diastolic (DBP) BP declined within most age groups in HAC communities from pre- to post-intervention. The net decline in SBP was 1 mmHg in 20-39 year olds (p = 0.006) and 2 mmHg in 40-59 year olds (p = 0.001), while the net decline in DBP was 3 mmHg in 20-39 year olds (p < 0.001), 2 mmHg in 40-59 year olds (p < 0.001) and 3 mmHg in 60-79 year olds (p < 0.001). The net increase in the proportion of individuals with normal BP was 5.9 % (p < 0.001), while the net decline in the proportion of individuals with stage 1 hypertension was 4.5 % (p < 0.001). BMI and body weight were unchanged. There was a significant net increase in waist and hip circumference among 20-39 year olds within intervention communities. CONCLUSIONS Findings suggest HAC succeeded in shifting the population distribution of BP in a leftward direction. By contrast, anthropometric parameters remained unchanged or worsened within intervention communities. Therefore, while improvements in some clinical risk factors can be achieved through relatively diffuse and shorter-term community-level environmental changes, improvements in others may require interventions of greater intensity and duration. Evaluating the success of community-based interventions based on their efficacy in changing individual-level clinical indicators may, however, underestimate their potential.
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Affiliation(s)
- Ellina Lytvyak
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
| | - Dana Lee Olstad
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
- />Institute for Physical Activity and Nutrition, Deakin University, 221 Burwood Highway, Burwood, VIC 3125 Australia
| | - Donald P. Schopflocher
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
| | - Ronald C. Plotnikoff
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
- />Priority Research Centre in Physical Activity and Nutrition, The University of Newcastle Callaghan, Callaghan, NSW 2308 Australia
| | - Kate E. Storey
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
| | - Candace I. J. Nykiforuk
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
| | - Kim D. Raine
- />School of Public Health, University of Alberta, 3-300 ECHA, 11405 87 Ave, Edmonton, AB T6G 1C9 Canada
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Moh MC, Sum CF, Lam BCC, Ng XW, Su C, Tavintharan S, Yeoh LY, Wong MDS, Lee SBM, Tang WE, Lim SC. Evaluation of body adiposity index as a predictor of aortic stiffness in multi-ethnic Asian population with type 2 diabetes. Diab Vasc Dis Res 2015; 12:111-8. [PMID: 25491287 DOI: 10.1177/1479164114554609] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Cardiovascular disease is the leading cause of morbidity and mortality in type 2 diabetes mellitus. We evaluated the predictive ability of the recently developed body adiposity index for aortic stiffness, an intermediate endpoint of cardiovascular disease, in a cross-sectional multi-ethnic Asian type 2 diabetes mellitus cohort (N = 1408). AS was estimated using carotid-femoral pulse wave velocity measured by applanation tonometry. Body adiposity index was computed as hip circumference/(height)(1.5) - 18. Compared to body mass index, waist circumference and visceral fat area, body adiposity index displayed the weakest association with pulse wave velocity (r = 0.077, 0.096, 0.134 and 0.058, respectively; all p < 0.05). Interestingly, the relationship between measurements of obesity and pulse wave velocity was ethnic dependent - body mass index, body adiposity index, waist circumference and visceral fat area consistently predicted pulse wave velocity only in Indians but not others. In multi-variable analysis, body mass index was a significant determinant of pulse wave velocity in all ethnicities. In conclusion, body adiposity index is a weak predictor of aortic stiffness (when compared with body mass index) in Asians with type 2 diabetes mellitus.
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Affiliation(s)
- Mei Chung Moh
- Clinical Research Unit, Khoo Teck Puat Hospital, Singapore
| | | | | | - Xiao Wei Ng
- Clinical Research Unit, Khoo Teck Puat Hospital, Singapore
| | - Chang Su
- Clinical Research Unit, Khoo Teck Puat Hospital, Singapore
| | | | - Lee Ying Yeoh
- Department of Medicine, Khoo Teck Puat Hospital, Singapore
| | | | | | - Wern Ee Tang
- National Healthcare Group Polyclinics, Singapore
| | - Su Chi Lim
- Diabetes Centre, Khoo Teck Puat Hospital, Singapore
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Utilidad del índice de adiposidad corporal como indicador de obesidad y predictor de riesgo cardiovascular en adultos de Bogotá, Colombia. ACTA ACUST UNITED AC 2015; 62:130-7. [DOI: 10.1016/j.endonu.2014.11.007] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2014] [Revised: 11/11/2014] [Accepted: 11/13/2014] [Indexed: 12/18/2022]
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