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Cited by 76Diabetes, Cardiovascular Risks, and LipoproteinsObesity, Physical Activity, DietBody Composition Measurement Techniques

Discriminatory Capacity of Anthropometric Indices for Cardiovascular Disease in Adults: A Systematic Review and Meta-Analysis

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Darbandi, Mitra, Pasdar, Yahya, Moradi, Shima, Mohamed, Hamid Jan Jan, Hamzeh, Behrooz, Salimi, Yahya·2020·Preventing Chronic Disease
DOI 10.5888/pcd17.200112PMC PMC7587303
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Abstract

INTRODUCTION: Obesity is one of the main risk factors for cardiovascular disease (CVD) and cardiometabolic disease (CMD). Many studies have developed cutoff points of anthropometric indices for predicting these diseases. The aim of this systematic review was to differentiate the screening potential of body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) for adult CVD risk. METHODS: statistic and Cochran's Q test. RESULTS: This meta-analysis included 38 cross-sectional and 2 cohort studies with 105 to 137,256 participants aged 18 or older. The pooled area under the ROC curve (AUC) value for BMI was 0.66 (95% CI, 0.63-0.69) in both men and women. The pooled AUC values for WC were 0.69 (95% CI, 0.67-0.70) in men and 0.69 (95% CI, 0.64-0.74) in women, and the pooled AUC values for WHR were 0.69 (95% CI, 0.66-0.73) in men and 0.71 (95% CI, 0.68-0.73) in women. CONCLUSION: Our findings indicated a slight difference between AUC values of these anthropometric indices. However, indices of abdominal obesity, especially WHR, can better predict CVD occurrence.

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  • Obesity is a risk factor for multiple outcomes such as cardiovascular disease, diabetes, chronic orthopedic problems, accidents, collagen vascular diseases, lower quality of life, osteoarthritis, and autoimmune disorders.

    “Healthcare providers and public health agencies alike recognize obesity to be a risk factor for multiple outcomes such as cardiovascular disease, diabetes, chronic orthopedic problems, accidents, collagen vascular diseases, lower quality of life, osteoarthritis, and autoimmune disorders [13,14].”

    From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [13]

    The Introduction identifies obesity as a CVD risk factor, and the Discussion links excess fat accumulation to features of diabetes. The supplied passages do not support the additional claims about orthopedic problems, accidents, collagen vascular diseases, lower quality of life, osteoarthritis, or autoimmune disorders. Page numbers are not provided in our copy. (LLM, conf=0.88)

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  • Waist-to-hip ratio may be a better predictor of cardiovascular disease occurrence than BMI.

    “The waist-to-hip ratio uses waist and hip circumference measurements and may be a better predictor of cardiovascular disease occurrence than BMI [13].”

    From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [13]

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Authors
Darbandi, M., Pasdar, Y., Moradi, S., Mohamed, H. J. J., Hamzeh, B., & Salimi, Y.
Affiliations
  • Kermanshah University of Medical Sciences (IR)
  • Universiti Sains Malaysia (MY)
Corresponding author
Darbandi, Mitra
ORCID
Venue
Preventing Chronic Disease
Publisher
Centers for Disease Control and Prevention - Preventing Chronic Disease
Published
2020-10-22
Volume
17
Pages
E131-E131
ISSN
1545-1151 (ISSN-L)
DOI
10.5888/pcd17.200112
PMC
PMC7587303
OpenAlex
W3093792159
Cited by
76
References
2
Citations by year
2026: 13 · 2025: 19 · 2024: 16 · 2023: 10 · 2022: 9 · 2021: 8 · 2020: 1
FWCI
1.07
Type
journal article
Language
en
Open access
Licence
public-domain
Locations
  • Preventing Chronic Disease (publishedVersion, public-domain)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
Kermanshah University of Medical Sciences
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
Keywords
cardiovascular disease, anthropometric indices, body mass index, waist circumference, waist-to-hip ratio, abdominal obesity, cardiovascular risk prediction, area under the ROC curve, cardiometabolic disease, obesity
MeSH terms
Cardiometabolic Risk Factors, Adult, Cardiovascular Diseases, Female, Humans, Male, Reference Standards, ROC Curve, Body Mass Index, Risk Assessment, Waist-Hip Ratio, Waist Circumference

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