Key result
A body shape index (ABSI) was directly and linearly related to high cardiovascular risk, whereas Hip index did not predict high cardiovascular risk in the Spanish Caucasian population.
Why the study?
To investigate whether the Hip index improves identification of cardiovascular risk beyond waist-to-height ratio or body mass index-adjusted waist circumference in the Spanish Caucasian population.
Does the Hip index (HI) improve the identification of cardiovascular risk beyond that achieved with waist-to-height ratio (WHtR) or A body shape index (ABSI) in a Spanish Caucasian population?
Observational (n=3,844)
Does the Hip index (HI) improve the identification of cardiovascular risk beyond that achieved with waist-to-height ratio (WHtR) or A body shape index (ABSI) in a Spanish Caucasian population?
In a Spanish Caucasian population, the Hip index does not predict high cardiovascular risk, whereas the A body shape index (ABSI) is a strong linear predictor of high cardiovascular risk.
ABSI may aid CV risk assessment in Spanish Caucasians; leaves open Hip index's incremental value beyond WHtR or ABSI.
Background: Our aim in this study was to investigate if Hip index (HI) improves the identification of cardiovascular risk (CVR) beyond that achieved with either the waist-to-height ratio (WHtR) or body mass index (BMI)-adjusted waist circumference (A body shape index [ABSI]) in the Spanish Caucasian population. Methods: Three thousand eight hundred forty-four subjects (1754 males, response rate 75.8%) were included. Anthropometric indices (AIs) included were HI, ABSI, and WHtR. CVR was estimated using the Framingham, Systematic COronary Risk Evaluation (SCORE), and American College of Cardiology/American Heart Association (ACC/AHA) charts. Areas under the receiver operating characteristic curve (AUC) were obtained to evaluate the performance of AIs in detecting CVR. We also estimated the AIs' standardized Z-scores and compared them against the CVR. Results: AUC demonstrated that the best AI in males to estimate higher CVR according to Framingham and ACC/AHA charts was WHtR. In females, WHtR also achieved good performance and showed higher prediction capacity than the other AIs. After transforming to Z-scores, ABSI was the best linear predictor for CVR according to SCORE and ACC/AHA, although WHtR also proved to be good. HI did not associate with the measures of CVR. Conclusions: HI does not predict high CVR in the Spanish Caucasian Population. However, ABSI is directly and linearly related to high CVR, with a higher performance than WHtR when standardized and evaluated as a linear predictor.
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Anchuelo et al. (2021) conducted an observational in Cardiovascular risk (n=3,844). Hip index (HI) and A body shape index (ABSI) vs. Waist-to-height ratio (WHtR) was evaluated on Cardiovascular risk (CVR) estimated using Framingham, SCORE, and ACC/AHA charts. A body shape index (ABSI) was directly and linearly related to high cardiovascular risk, whereas Hip index did not predict high cardiovascular risk in the Spanish Caucasian population.
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