超重和肥胖成年人的体形指数(ABSI)、体圆度指数(BRI)和代谢综合征的风险因素:一项横断面研究。

IF 2.8 3区 医学 Q3 ENDOCRINOLOGY & METABOLISM BMC Endocrine Disorders Pub Date : 2024-10-28 DOI:10.1186/s12902-024-01763-6
MohammadSalar Fahami, Ali Hojati, Mahdieh Abbasalizad Farhangi
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引用次数: 0

摘要

背景:代谢综合征(MetS)是全球最重要的公共卫生问题之一,会增加罹患各种疾病的风险。流行病学证据表明,体形指数(ABSI)和体圆指数(BRI)等较新的人体测量指标可用于预测代谢综合征。然而,预测 MetS 风险的人体测量指标应针对不同人群加以明确。因此,本研究旨在探讨伊朗超重和肥胖成年人的 ABSI、BRI 和 MetS 风险因素之间的关联:这项横断面研究纳入了伊朗大不里士市 347 名 20-50 岁的超重和肥胖者[体重指数 (BMI) > 25 kg/m2]。对人体测量指标进行了评估,包括体重指数(BMI)、腰围(WC)和腰臀比(WHR)。此外,还根据收集到的数据计算了 ABSI 和 BRI。血压采用标准方案进行测量。此外,还使用身体阻抗分析法(BIA)测量身体成分。使用酶比色法评估血糖和血脂,使用酶联免疫吸附试验(ELISA)试剂盒测量胰岛素水平:结果:ABSI 越高的参与者收缩压(SBP)(P = 0.001)、舒张压(DBP)(P = 0.010)和甘油三酯(TG)水平(P 结论:ABSI 越高的参与者血糖水平越高:根据我们的研究结果,ABSI 和 BRI 对超重和肥胖者的 MetS 风险变量的预测能力较差。高 ABSI 与高 SBP、DBP 和 TG 以及低 HDL-C 仅有轻微联系。不过,我们鼓励进行纵向和长期调查,以验证这两种测量方法的有效性。
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Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study.

Background: Metabolic syndrome (MetS) is one of the most significant public health issues worldwide, which increases the risk of various diseases. Epidemiological evidence suggests that newer anthropometric measures, such as a body shape index (ABSI) and body roundness index (BRI) can be used to predict MetS. However, anthropometric measures to predict the risk for MetS should be clarified in each population. Therefore, this study aimed to examine the association between ABSI, BRI, and MetS risk factors among overweight and obese Iranian adults.

Methods: This cross-sectional study included 347 overweight and obese individuals [body mass index (BMI) > 25 kg/m2] aged 20-50 years in Tabriz, Iran. Anthropometric measures were assessed, including BMI, waist circumference (WC), and waist-to-hip ratio (WHR). Additionally, ABSI and BRI were calculated based on the collected data. Blood pressure was measured using standard protocols. Body composition also was measured using body impedance analysis (BIA). Enzymatic-colorimetric methods were used to assess serum glucose and lipids, and enzyme-linked immunosorbent assay (ELISA) kits were used to measure insulin levels.

Results: Participants with higher ABSI exhibited significantly higher systolic blood pressure (SBP) (P = 0.001), diastolic blood pressure (DBP) (P = 0.010), and triglyceride (TG) levels (P < 0.001), along with significantly lower high-density lipoprotein cholesterol (HDL-C) levels (P < 0.001). In the crude model, individuals in the highest ABSI tertile (tertile 3) had a higher likelihood of having higher SBP (OR: 1.032; 95% CI: 1.014-1.051) and DBP (OR: 1.33; 95% CI: 1.009-1.058), as well as a significant association with lower HDL-C levels (OR: 0.945; 95% CI: 0.918-0.973). Additionally, both ABSI tertile 2 (OR: 1.005; 95% CI: 1.001-1.008) and tertile 3 (OR: 0.993; 95% CI: 1.003-1.011) were linked to a higher likelihood of having higher TG levels. No significant associations were found between BRI tertiles and MetS risk factors.

Conclusion: According to our results, ABSI and BRI are poor predictors of MetS risk variables, in overweight and obese individuals. High ABSI is only slightly linked with high SBP, DBP, and TG and low HDL-C. However, longitudinal and long-term investigations are encouraged to verify the efficacy of these two measures.

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来源期刊
BMC Endocrine Disorders
BMC Endocrine Disorders ENDOCRINOLOGY & METABOLISM-
CiteScore
4.40
自引率
0.00%
发文量
280
审稿时长
>12 weeks
期刊介绍: BMC Endocrine Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of endocrine disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
期刊最新文献
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