Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China

Background A body shape index (ABSI) has been proven to be related to a population’s CVD incidence. However, the application of this indicator has produced different results. Aim This study aimed to evaluate the applicability of the ABSI in predicting the incidence of CVD in rural Xinjiang, China, a...

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Main Authors: Tao Wu, Bin Wei, Yan-peng Song, Xiang-hui Zhang, Yi-zhong Yan, Xin-ping Wang, Jiao-long Ma, Mulatibieke Keerman, Jing-yu Zhang, Jia He, Ru-lin Ma, Heng Guo, Dong-sheng Rui, Shu-xia Guo
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Annals of Human Biology
Subjects:
Online Access:http://dx.doi.org/10.1080/03014460.2022.2049874
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author Tao Wu
Bin Wei
Yan-peng Song
Xiang-hui Zhang
Yi-zhong Yan
Xin-ping Wang
Jiao-long Ma
Mulatibieke Keerman
Jing-yu Zhang
Jia He
Ru-lin Ma
Heng Guo
Dong-sheng Rui
Shu-xia Guo
author_facet Tao Wu
Bin Wei
Yan-peng Song
Xiang-hui Zhang
Yi-zhong Yan
Xin-ping Wang
Jiao-long Ma
Mulatibieke Keerman
Jing-yu Zhang
Jia He
Ru-lin Ma
Heng Guo
Dong-sheng Rui
Shu-xia Guo
author_sort Tao Wu
collection DOAJ
description Background A body shape index (ABSI) has been proven to be related to a population’s CVD incidence. However, the application of this indicator has produced different results. Aim This study aimed to evaluate the applicability of the ABSI in predicting the incidence of CVD in rural Xinjiang, China, and compare it with waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), and body mass index (BMI). Subjects and methods 5375 people aged 18 years or older were included in the study. We used the Cox proportional hazard model to evaluate the relationship between WC, WHR, WHtR, BMI, and ABSI and the incidence of CVD, the area under the curve (AUC) to evaluate the predictive power of each anthropometric index for the incidence of CVD, and restricted cubic splines are used to analyse the trend relationship between anthropometric indicators and the incidence of CVD. Results After multivariate adjustment, standardised WC, WHR, WHtR, BMI, and ABSI all positively correlated with the incidence of CVD. WC had the highest HR (95% CI) value, 1.64 (1.51–1.78), and AUC (95% CI) value, 0.7743 (0.7537–0.7949). ABSI had the lowest HR (95% CI) value, 1.21(1.10–1.32), and AUC (95% CI) value, 0.7419 (0.7208–0.7630). In the sex-specific sensitivity analysis, the predictive ability of traditional anthropometric indicators for the incidence of CVD is higher than that of ABSI. Conclusions In the rural areas of Xinjiang, the traditional anthropometric indicators of WC had better ability to predict the incidence of CVD than ABSI.
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spelling doaj.art-dde92fb5d9f64fa9b8be9736f33ed6c22023-09-15T08:45:19ZengTaylor & Francis GroupAnnals of Human Biology0301-44601464-50332022-01-01491273410.1080/03014460.2022.20498742049874Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, ChinaTao Wu0Bin Wei1Yan-peng Song2Xiang-hui Zhang3Yi-zhong Yan4Xin-ping Wang5Jiao-long Ma6Mulatibieke Keerman7Jing-yu Zhang8Jia He9Ru-lin Ma10Heng Guo11Dong-sheng Rui12Shu-xia Guo13Department of Public Health, Shihezi University School of MedicineThe First Affiliated Hospital of Shihezi University Medical CollegeThe First Affiliated Hospital of Shihezi University Medical CollegeDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineDepartment of Public Health, Shihezi University School of MedicineBackground A body shape index (ABSI) has been proven to be related to a population’s CVD incidence. However, the application of this indicator has produced different results. Aim This study aimed to evaluate the applicability of the ABSI in predicting the incidence of CVD in rural Xinjiang, China, and compare it with waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), and body mass index (BMI). Subjects and methods 5375 people aged 18 years or older were included in the study. We used the Cox proportional hazard model to evaluate the relationship between WC, WHR, WHtR, BMI, and ABSI and the incidence of CVD, the area under the curve (AUC) to evaluate the predictive power of each anthropometric index for the incidence of CVD, and restricted cubic splines are used to analyse the trend relationship between anthropometric indicators and the incidence of CVD. Results After multivariate adjustment, standardised WC, WHR, WHtR, BMI, and ABSI all positively correlated with the incidence of CVD. WC had the highest HR (95% CI) value, 1.64 (1.51–1.78), and AUC (95% CI) value, 0.7743 (0.7537–0.7949). ABSI had the lowest HR (95% CI) value, 1.21(1.10–1.32), and AUC (95% CI) value, 0.7419 (0.7208–0.7630). In the sex-specific sensitivity analysis, the predictive ability of traditional anthropometric indicators for the incidence of CVD is higher than that of ABSI. Conclusions In the rural areas of Xinjiang, the traditional anthropometric indicators of WC had better ability to predict the incidence of CVD than ABSI.http://dx.doi.org/10.1080/03014460.2022.2049874body mass indexwaist circumferencewaist-to-height ratiochinese uygurchinese kazakh
spellingShingle Tao Wu
Bin Wei
Yan-peng Song
Xiang-hui Zhang
Yi-zhong Yan
Xin-ping Wang
Jiao-long Ma
Mulatibieke Keerman
Jing-yu Zhang
Jia He
Ru-lin Ma
Heng Guo
Dong-sheng Rui
Shu-xia Guo
Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
Annals of Human Biology
body mass index
waist circumference
waist-to-height ratio
chinese uygur
chinese kazakh
title Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
title_full Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
title_fullStr Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
title_full_unstemmed Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
title_short Predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease: a cohort study in rural Xinjiang, China
title_sort predictive power of a body shape index and traditional anthropometric indicators for cardiovascular disease a cohort study in rural xinjiang china
topic body mass index
waist circumference
waist-to-height ratio
chinese uygur
chinese kazakh
url http://dx.doi.org/10.1080/03014460.2022.2049874
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