Body Roundness Index and Waist-to-Height Ratio are Strongly Associated With Non-Alcoholic Fatty Liver Disease: A Population-Based Study
Open accessAbstract
BACKGROUND: A strong association between obesity and non-alcoholic fatty liver disease (NAFLD) has been reported. OBJECTIVES: This study was conducted to evaluate if new obesity indices, including a body shape index (ABSI) and body roundness index (BRI), have stronger associations with NAFLD than waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR). METHODS: In this cross-sectional study, we utilized the data of 4,872 participants aged 18 - 74 years from a cohort study conducted among 6,143 subjects in northern Iran. Logistic regression analysis was performed on NAFLD as the outcome and obesity measures (based on Z-score values) as potential predictors. Receiver operating characteristic (ROC) analyses were conducted, in which NAFLD was considered as a reference variable and obesity measures as classification variables. The discriminatory ability of the obesity measures was reported based on area-under-the-curves, and the related cut-off points of BRI and WHtR were determined using the Youden index (YI). RESULTS: Based on our results, BRI (OR = 5.484 for men and OR = 3.482 for women) and WHtR (OR = 5.309 for men and OR = 3.854 for women) showed a higher association with NAFLD than ABSI (OR = 1.363 for men and OR = 1.003 for women) and WHR (OR = 3.123 for men and OR = 1.628 for women). The optimal cut-off points for BRI were 4.00 (sensitivity = 82.7%, specificity = 70.8%) for men and 5.00 (sensitivity = 83.3%, specificity = 71.7%) for women. The optimal cut-off points for WHtR were 0.533 (sensitivity = 82.7%, specificity = 70.8%) for men and 0.580 (sensitivity = 83.3%, specificity = 71.7%) for women. CONCLUSIONS: While BRI and WHtR have equally strong associations with NAFLD, ABSI and WHR have weaker associations with NAFLD than BRI and WHtR.
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Another population-based cross-sectional study discovered that BRI and WHtR have stronger correlations with NAFLD compared to ABSI and WHR.
“Another population-based cross-sectional study discovered that BRI and waist-to-height ratio (WHtR) have stronger correlations with NAFLD compared to ABSI and waist-to-hip ratio (WHR) [14].”
From Effectiveness of body roundness index for the prediction of nonalcoholic fatty liver disease: a systematic review and meta-analysis (2025) · cites this paper as [14]
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- Authors
- Motamed, N., Rabiee, B., Hemasi, G. R., Ajdarkosh, H., Khonsari, M. R., Maadi, M., Keyvani, H., & Zamani, F.
- Affiliations
- Zanjan University of Medical Sciences (IR)
- Iran University of Medical Sciences (IR)
- Corresponding author
- Zamani, Farhad
- Venue
- Hepatitis Monthly
- Publisher
- Brieflands
- Published
- 2016-08-14
- Volume
- 16
- Issue
- 9
- Pages
- e39575-e39575
- ISSN
- 1735-143X (ISSN-L)
- 1735-3408
- PMC
- PMC5091031
- OpenAlex
- W2517413134
- Cited by
- 80
- References
- 21
- Citations by year
- 2026: 9 · 2025: 16 · 2024: 7 · 2023: 7 · 2022: 7 · 2021: 15 · 2020: 6 · 2019: 2 · 2018: 6 · 2017: 4
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by-nc
- Locations
- Hepatitis Monthly (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Iran University of Medical Sciences
- Topics
- Health Sciences › Medicine › Epidemiology › Liver Disease Diagnosis and Treatment
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- non-alcoholic fatty liver disease, body roundness index, waist-to-height ratio, body shape index, waist-to-hip ratio, obesity indices, obesity, anthropometric measures, cut-off values, sex differences
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