The Validity of Body Adiposity Indices in Predicting Metabolic Syndrome and Its Components among Egyptian Women
DOI:
https://doi.org/10.3889/oamjms.2016.036Keywords:
Body adiposity, metabolic syndrome, women, validityAbstract
AIM: To assess the associations between the body adiposity indices and risk of metabolic syndrome (MS) and its components in Egyptian women and to evaluate their predictive power.
MATERIALS AND METHODS: This was a cross-sectional analysis performed on 180 Egyptian women aged between 25-35 years. They were 90 women with MS diagnosed by International Diabetes Federation (IDF) and 90 healthy age matched controls. Body adiposity index (BAI), body mass index (BMI), waist to hip ratio (WHR) and waist to height ratio (WHtR) were calculated and serum samples were analyzed for metabolic parameters. Receiver operating characteristic curves (ROC) was used to determine the discriminatory capacity of BAI, WHR WHtR and BMI for MS.
RESULTS: Area under the curve (AUC) was highest for BIA, followed by WHR, WHtR and then BMI. All adiposity indices were significantly correlated with metabolic components and BAI had the highest correlation coefficients compared to other indices.
CONCLUSION: BAI is a practical predictor for MS and has satisfactory diagnostic accuracy for diagnosing MS among Egyptian women and can be used in addition to WHR, WHtR and BMI for identifying MS in the field studies.Downloads
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Dietz WH, Robinson TN. Clinical practice. Overweight children and adolescents. N Engl J Med. 2005; 352: 2100–2109.
http://dx.doi.org/10.1056/NEJMcp043052 DOI: https://doi.org/10.1056/NEJMcp043052
PMid:15901863
Must A, Spadano J, Coakley EH, Field AE, Colditz G, et al. The disease burden associated with overweight and obesity. JAMA. 1999;282:1523–1529.
http://dx.doi.org/10.1001/jama.282.16.1523 DOI: https://doi.org/10.1001/jama.282.16.1523
PMid:10546691
Ross R, Berentzen T, Bradshaw AJ, Janssen I, Kahn HS, et al. Does the relationship between waist circumference, morbidity and mortality depend on measurement protocol for waist circumference? Obes Rev. 2008;9:312–325.
http://dx.doi.org/10.1111/j.1467-789X.2007.00411.x DOI: https://doi.org/10.1111/j.1467-789X.2007.00411.x
PMid:17956544
Eckel RH, Alberti KG, Grundy SM, Zimmet PZ. The metabolic syndrome. Lancet. 2010;375: 181–183.
http://dx.doi.org/10.1016/S0140-6736(09)61794-3 DOI: https://doi.org/10.1016/S0140-6736(09)61794-3
Mathieu P, Poirier P, Pibarot P, Lemieux I, Despres JP. Visceral obesity: the link among inflammation, hypertension, and cardiovascular disease. Hypertension. 2009;53:577– 584.
http://dx.doi.org/10.1161/HYPERTENSIONAHA.108.110320 DOI: https://doi.org/10.1161/HYPERTENSIONAHA.108.110320
PMid:19237685
Whitlock G, Lewington S, Sherliker P, Clarke R, Emberson J, et al. Body mass index and cause-specific mortality in 900 000 adults: collaborative analyses of 57 prospective studies. Lancet. 2009;373:1083–1096.
http://dx.doi.org/10.1016/S0140-6736(09)60318-4 DOI: https://doi.org/10.1016/S0140-6736(09)60318-4
Huffman KM, Sun JL, Thomas L, Bales CW, Califf RM, Yates T, et al. Impact of baseline physical activity and diet behavior on metabolic syndrome in a pharmaceutical trial: results from NAVIGATOR. Metabolism. 2014;63: 554–61.
http://dx.doi.org/10.1016/j.metabol.2014.01.002 DOI: https://doi.org/10.1016/j.metabol.2014.01.002
PMid:24559843 PMCid:PMC4103164
Hamasaki H, Noda M, Moriyama S, Yoshikawa R, Katsuyama H, Sako A, Mishima S, Kakei M, Ezaki O, Yanai H. Daily Physical Activity Assessed by a Triaxial Accelerometer Is Beneficially Associated with Waist Circumference, Serum Triglycerides, and Insulin Resistance in Japanese Patients with Prediabetes or Untreated Early Type 2 Diabetes. J Diabetes Res. 2015;2015:526201.
http://dx.doi.org/10.1155/2015/526201 DOI: https://doi.org/10.1155/2015/526201
PMid:26064983 PMCid:PMC4441997
Preis SR, Massaro JM, Robins SJ et al. Abdominal subcutaneous and visceral adipose tissue and insulin resistance in the Framingham heart study. Obesity. 2010;18:2191–2198.
http://dx.doi.org/10.1038/oby.2010.59 DOI: https://doi.org/10.1038/oby.2010.59
PMid:20339361 PMCid:PMC3033570
Shay CM, Carnethon MR, Church TR et al. Lower extremity fat mass is associated with insulin resistance in overweight and obese individuals: The CARDIA Study Obesity. 2011;19:2248–2253.
http://dx.doi.org/10.1038/oby.2011.113 DOI: https://doi.org/10.1038/oby.2011.113
PMid:21617639 PMCid:PMC3203327
Goedecke JH, Levitt NS, Lambert EV et al. Differential effects of abdominal adipose tissue distribution on insulin sensitivity in black and white South African women. Obesity. 2009:17:1506–1512.
http://dx.doi.org/10.1038/oby.2009.73 DOI: https://doi.org/10.1038/oby.2009.73
PMid:19300428
Katzmarzyk PT, Gagnon J, Leon AS, Skinner JS, Wilmore JH, et al. Fitness, fatness, and estimated coronary heart disease risk: the HERITAGE Family Study. Med Sci Sports Exerc. 2001;33:585–590.
http://dx.doi.org/10.1097/00005768-200104000-00012 DOI: https://doi.org/10.1097/00005768-200104000-00012
PMid:11283434
Tanaka H, Clevenger CM, Jones PP, Seals DR, DeSouza CA. Influence of body fatness on the coronary risk profile of physically active postmenopausal women. Metabolism. 1998;47:1112–1120.
http://dx.doi.org/10.1016/S0026-0495(98)90286-4 DOI: https://doi.org/10.1016/S0026-0495(98)90286-4
National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106:3143–3421. DOI: https://doi.org/10.1161/circ.106.25.3143
PMid:12485966
IDF. The IDF consensus worldwide definition of the metabolic syndrome (booklet online). 2005. Available from: http://www. idf.org/webdata/docs/IDF_Meta_def_final.pdf. Accessed 15 Sept 2013.
Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA. 2002;287:356–359.
http://dx.doi.org/10.1001/jama.287.3.356 DOI: https://doi.org/10.1001/jama.287.3.356
PMid:11790215
Grundy SM. Metabolic syndrome pandemic. Arterioscler Thromb Vasc. 2008;28:629-636.
http://dx.doi.org/10.1161/ATVBAHA.107.151092 DOI: https://doi.org/10.1161/ATVBAHA.107.151092
PMid:18174459
Bergman RN, Stefanovski D, Buchanan TA, Sumner AE, Reynolds JC, et al. A better index of body adiposity. Obesity (Silver Spring). 2011;19:1083–1089.
http://dx.doi.org/10.1038/oby.2011.38 DOI: https://doi.org/10.1038/oby.2011.38
PMid:21372804 PMCid:PMC3275633
Bennasar-Veny M, Lopez-Gonzalez AA, Tauler P, Cespedes ML, Vicente-Herrero T, et al. Body Adiposity Index and Cardiovascular Health Risk Factors in Caucasians: A Comparison with the Body Mass Index and Others. PLoS ONE. 2013;8(5): e63999.
http://dx.doi.org/10.1371/journal.pone.0063999 DOI: https://doi.org/10.1371/journal.pone.0063999
PMid:23734182 PMCid:PMC3667028
Appelhans BM, Kazlauskaite R, Karavolos K, Janssen I, Kravitz HM, Dugan S, et al. How well does the body adiposity index capture adiposity change in midlife women?: The SWAN fat patterning study. Am J Hum Biol. 2012;24:866-9.
http://dx.doi.org/10.1002/ajhb.22330 DOI: https://doi.org/10.1002/ajhb.22330
PMid:23015468 PMCid:PMC3640421
Yeon-Ah Sung, Jee-Young Oh, Hyejin Lee. Comparison of the Body Adiposity Index to Body Mass Index in Korean Women. Yonsei Med J. 2014;55:1028–1035.
http://dx.doi.org/10.3349/ymj.2014.55.4.1028
PMid:24954333 PMCid:PMC4075363
Snijder MB, Nicolaou M, van Valkengoed IG, Brewster LM, Stronks K. Newly proposed body adiposity index (bai) by Bergman et al. is not strongly related to cardiovascular health risk. Obesity (Silver Spring). 2012;20:1138–1139.
http://dx.doi.org/10.1038/oby.2011.338 DOI: https://doi.org/10.1038/oby.2011.338
PMid:22627979
Romao I, Roth J. Genetic and environmental interactions in obesity and type 2 diabetes. J Am Diet Assoc. 2008;108: S24-S28.
http://dx.doi.org/10.1016/j.jada.2008.01.022 DOI: https://doi.org/10.1016/j.jada.2008.01.022
PMid:18358250
Lee K, Song Y, Sung J. Which obesity indicators are better predictors of metabolic risk? Healthy twin study. Obesity. 2008;16: 834-840.
http://dx.doi.org/10.1038/oby.2007.109 DOI: https://doi.org/10.1038/oby.2007.109
PMid:18239595
Esmaillzadeh A, Mirmiran P, Azizi F. Waist-to-hip ratio is a better screening measure for cardiovascular risk factors than other anthropometric indicators in Tehranian adult men. Int J Obes Relat Metab Disord. 2004;28:1325-1332.
http://dx.doi.org/10.1038/sj.ijo.0802757 DOI: https://doi.org/10.1038/sj.ijo.0802757
PMid:15314626
Goran MI, Driscoll P, Johnson R, Nagy TR, Hunter G. Cross-calibration of body-composition techniques against dual-energy X-ray absorptiometry in young children. Am J Clin Nutr. 1996; 63:299-305. DOI: https://doi.org/10.1093/ajcn/63.3.299
PMid:8602584
Piers LS, Soares MJ, Frandsen SL, O'Dea K. Indirect estimates of body composition are useful for groups but unreliable in individuals. Int J Obes Relat Metab Disord. 2000;24:1145-1152.
http://dx.doi.org/10.1038/sj.ijo.0801387 DOI: https://doi.org/10.1038/sj.ijo.0801387
PMid:11033983
Yeon-Ah Sung, Jee-Young Oh, Hyejin Lee.Comparison of the Body Adiposity Index to Body Mass Index in Korean Women. Yonsei Med J. 2014;55:1028–1035.
http://dx.doi.org/10.3349/ymj.2014.55.4.1028 DOI: https://doi.org/10.3349/ymj.2014.55.4.1028
PMid:24954333 PMCid:PMC4075363
Zhao D, Li Y, Zheng L, Yu K. Brief communication: body mass index, body adiposity index, and percent body fat in Asians. Am J Phys Anthropol. 2013;152:294-299.
http://dx.doi.org/10.1002/ajpa.22341
Johnson W, Chumlea WC, Czerwinski SA, Demerath EW. Concordance of the recently published body adiposity index with measured body fat percent in European-American adults. Obesity (Silver Spring). 2012;20:900-9003.
http://dx.doi.org/10.1038/oby.2011.346 DOI: https://doi.org/10.1038/oby.2011.346
PMid:22095112 PMCid:PMC3988697
Lopez AA, Cespedes ML, Vicente T, Tomas M, Bennasar-Veny M, Tauler P, et al. Body adiposity index utilization in a Spanish Mediterranean population: comparison with the body mass index. PLoS One. 2012;7:e35281.
http://dx.doi.org/10.1371/journal.pone.0035281
PMid:22496915 PMCid:PMC3322155
Sun G, Cahill F, Gulliver W, Yi Y, Xie Y, Bridger T, et al. Concordance of BAI and BMI with DXA in the Newfoundland population. Obesity (Silver Spring). 2013;21:499-503.
http://dx.doi.org/10.1002/oby.20009 DOI: https://doi.org/10.1002/oby.20009
PMid:23404962
Schulze MB, Thorand B, Fritsche A, Haring HU, SchickF, Zierer A, et al. Body adiposity index, body fat content and incidence of type 2 diabetes. Diabetologia. 2012;55:1660-1667.
http://dx.doi.org/10.1007/s00125-012-2499-z DOI: https://doi.org/10.1007/s00125-012-2499-z
PMid:22349074
Freedman DS, Thornton JC, Pi-Sunyer FX, Heymsfield SB, Wang J, Pierson RN Jr, et al. The body adiposity index (hip circumference÷ he ight (1.5)) is not a more accurate measure of adiposity than is BMI, waist circumference, or hip circumference. Obesity (Silver Spring). 2012;20:2438-2444.
http://dx.doi.org/10.1038/oby.2012.81 DOI: https://doi.org/10.1038/oby.2012.81
PMid:22484365 PMCid:PMC3477292
Gibson CD, Atalayer D, Flancbaum L, Geliebter A. Body adiposity index (BAI) correlates with BMI and body fat pre- and post-bariatric surgery but is not an adequate substitute for BMI in severely obese women. Int J Body Compos Res. 2012;10:9-14.
PMid:23243391 PMCid:PMC3520094
Lichtash CT, Cui J, Guo X, Chen YD, Hsueh WA, Rotter JI, et al. Body adiposity index versus body mass index and other anthropometric traits as correlates of cardiometabolic risk factors. PLoS One. 2013;8:e65954.
http://dx.doi.org/10.1371/journal.pone.0065954 DOI: https://doi.org/10.1371/journal.pone.0065954
PMid:23776578 PMCid:PMC3679008
López AA, Cespedes ML, Vicente T, Tomas M, Bennasar -Veny M, Tauler P, et al. Body adiposity index utilization in a Spanish Mediterranean population: comparison with the body mass index. PLoS One. 2012; 7:e35281.
http://dx.doi.org/10.1371/journal.pone.0035281 DOI: https://doi.org/10.1371/journal.pone.0035281
PMid:22496915 PMCid:PMC3322155
Zhao D, Li Y, Zheng L, Yu K. Brief communication: body mass index, body adiposity index, and percent body fat in Asians. Am J Phys Anthropol. 2013;152:294-299.
http://dx.doi.org/10.1002/ajpa.22341 DOI: https://doi.org/10.1002/ajpa.22341
Hastert TA, Gong J, Campos H, Baylin A. Physical activity patterns and metabolic syndrome in Costa Rica. Prev Med. 2015;70:39–45.
http://dx.doi.org/10.1016/j.ypmed.2014.11.006 DOI: https://doi.org/10.1016/j.ypmed.2014.11.006
PMid:25445330 PMCid:PMC4341893
Lee SS, Kim do H, Nam GE, Nam HY, Kim YE, Lee SH, Han KD, Park YG. Association between Metabolic Syndrome and Menstrual Irregularity in Middle-Aged Korean Women Korean J Fam Med. 2016;37:31–36.
http://dx.doi.org/10.4082/kjfm.2016.37.1.31 DOI: https://doi.org/10.4082/kjfm.2016.37.1.31
PMid:26885320 PMCid:PMC4754284
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