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April 1, 2013Obesity70 citations

Body adiposity index and other indexes of body composition in the SAPHIR study: Association with cardiovascular risk factors

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AMAndreas MelmerCLClaudia LaminaATAlexander Tschoner

Key Result

The body adiposity index (BAI) was significantly associated with leptin but was inferior to BMI for predicting other anthropometric and metabolic parameters.

Study Design

Type

Cross-Sectional (n=1,770)

Structured PICO

Does the body adiposity index (BAI) better predict metabolic sequelae compared to other body composition indexes in high-risk subjects?

P
Population
1,770 patients at high individual risk for atherosclerosis from the SAPHIR study evaluated in a cross-sectional design.
E
Exposure
Body adiposity index (BAI)
C
Comparator
Body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR)
O
Outcome
Association with anthropometric parameters, adipocytokines, blood lipids, parameters of glucose-homeostasis and blood pressuresurrogate

The body adiposity index is inferior to the body mass index for predicting most cardiovascular and metabolic risk factors, with the exception of leptin levels.

Abstract

OBJECTIVE: The accuracy of anthropometric surrogate markers such as the body adiposity index (BAI) and other common indexes like the body mass index (BMI), waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) to predict metabolic sequelae is essential for its use in clinical practice. DESIGN AND METHODS: Thus, we evaluated the strength of BAI and other indexes to relate with anthropometric parameters, adipocytokines, blood lipids, parameters of glucose-homeostasis and blood pressure in 1,770 patients from the Salzburg Atherosclerosis Prevention Program in Subjects at High Individual Risk (SAPHIR) study in a crosssectional design. Measurements were BAI, BMI, WHR, WHtR, abdominal subcutaneous and visceral adipose tissue (aSAT and VAT), total body adipose tissue mass, body weight, waist- and hip circumference (WC and HC), leptin, adiponectin, high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), triglycerides (TG), fasting plasma glucose, fasting plasma insulin, the homeostasis model assessment of insulin resistance (HOMAIR), systolic and diastolic blood pressure. RESULTS AND CONCLUSIONS: BAI was significantly associated with leptin and HC. We conclude that BAI was the best calculator for leptin. BAI was inferior to BMI to predict anthropometric parameters other than HC, adiponectin, blood lipids, parameters of glucose homeostasis, and blood pressure in this cross-sectional study.

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Cite This Study

Melmer et al. (2013) conducted a cross-sectional in High individual risk for atherosclerosis (n=1,770). Body adiposity index (BAI) vs. Body mass index (BMI) was evaluated on Association with anthropometric parameters, adipocytokines, blood lipids, parameters of glucose-homeostasis and blood pressure. The body adiposity index (BAI) was significantly associated with leptin but was inferior to BMI for predicting other anthropometric and metabolic parameters.

synapsesocial.com/papers/6a221076f833e2d5e857fa30https://doi.org/10.1002/oby.20289
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