Key result
Waist-to-height ratio was the best predictor for dyslipidemia (AUC 0.646), hyperglycemia (AUC 0.595), and CVDs (AUC 0.619), while waist circumference best predicted abnormal blood pressure (AUC 0.671).
Why the study?
The predictive value of adiposity indices and the newly developed index for cardiometabolic risk factors and cardiovascular diseases remains unclear in the Chinese population.
Which anthropometric index best predicts cardiometabolic risk factors and cardiovascular diseases in a Chinese population?
Population
44 048 participants derived from baseline data of the PURE-China study
Comparison
A Body Shape Index vs 5 conventional obesity-related anthropometric indices
Design
Cross-sectional analysis of baseline cohort data
Authors
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Waist-to-height ratio and waist circumference may aid cardiometabolic risk assessment beyond BMI in Chinese adults; cross-sectional data leave prospective validation open.
Cross-Sectional (n=44,048)
Yes
Which anthropometric index best predicts cardiometabolic risk factors and cardiovascular diseases in a Chinese population?
Effect estimate: AUC 0.646 (dyslipidemia), 0.595 (hyperglycemia), 0.619 (CVDs) for waist-to-height ratio; AUC 0.671 (abnormal BP) for waist circumference
p-value: p=<0.001
Waist-to-height ratio and waist circumference are superior to BMI and A Body Shape Index for predicting cardiometabolic risk factors and cardiovascular diseases in the Chinese population.
Liu et al. (2019) conducted a cross-sectional in Cardiometabolic risk factors and cardiovascular diseases (n=44,048). Waist-to-height ratio and waist circumference vs. Other anthropometric indices (BMI, hip circumference, waist-to-hip ratio, A Body Shape Index) was evaluated on Prediction of dyslipidemia, hyperglycemia, abnormal blood pressure, and CVDs (AUC 0.646 (dyslipidemia), 0.595 (hyperglycemia), 0.619 (CVDs) for waist-to-height ratio; AUC 0.671 (abnormal BP) for waist circumference, p=<0.001). Waist-to-height ratio was the best predictor for dyslipidemia (AUC 0.646), hyperglycemia (AUC 0.595), and CVDs (AUC 0.619), while waist circumference best predicted abnormal blood pressure (AUC 0.671).
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