ABSI (A Body Shape Index) and ARI (Anthropometric Risk Indicator) in Bariatric Surgery. First Application on a Bariatric Cohort and Possible Clinical Use

Consalvo, Vincenzo; Krakauer, Jesse C.; Krakauer, Nir Y.; Canero, Antonio; Romano, Mafalda; Salsano, Vincenzo

doi:10.1007/s11695-018-3117-z

Cited by 9 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Enhancing the BMI-based risk stratification with ABSI is potentially useful, as it would outline higher-risk subgroups for closer follow-up and monitoring for metabolic complications. Some combined applications of ABSI with BMI in clinical settings have already been described [45][46][47] . Although Krakauer & Krakauer have argued that joining ABSI, HI, BMI and height in a combined Anthropometric Risk Indicator (ARI) achieves better risk prediction compared to the individual components 47 , combining ABSI and BMI in a single index would prevent evaluating individually the risks arising from general and abdominal adiposity.…”

Section: Discussionmentioning

confidence: 99%

A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort

Christakoudi

Tsilidis

Muller

et al. 2020

Sci Rep

117

View full text Add to dashboard Cite

Abdominal and general adiposity are independently associated with mortality, but there is no consensus on how best to assess abdominal adiposity. We compared the ability of alternative waist indices to complement body mass index (BMI) when assessing all-cause mortality. We used data from 352,985 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) and Cox proportional hazards models adjusted for other risk factors. During a mean follow-up of 16.1 years, 38,178 participants died. Combining in one model BMI and a strongly correlated waist index altered the association patterns with mortality, to a predominantly negative association for BMI and a stronger positive association for the waist index, while combining BMI with the uncorrelated A Body Shape Index (ABSI) preserved the association patterns. Sex-specific cohort-wide quartiles of waist indices correlated with BMI could not separate high-risk from low-risk individuals within underweight (BMI < 18.5 kg/m 2) or obese (BMI ≥ 30 kg/m 2) categories, while the highest quartile of ABSI separated 18-39% of the individuals within each BMI category, which had 22-55% higher risk of death. In conclusion, only a waist index independent of BMI by design, such as ABSI, complements BMI and enables efficient risk stratification, which could facilitate personalisation of screening, treatment and monitoring.

show abstract

Section: Discussionmentioning

confidence: 99%

A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort

Christakoudi

Tsilidis

Muller

et al. 2020

Sci Rep

117

View full text Add to dashboard Cite

show abstract

“…Here, we for the first time evaluated, for mortality prediction in the general population, the combination of a systematically selected set of independent anthropometrics (H, BMI, ABSI, and HI, whose respective attributable hazards were summed to give ARI) with MS. We found that although ARI was the best single mortality predictor and was positively correlated with all MS components, the clinical and laboratory data that contribute to the MS score could be used synergistically with ARI to further improve mortality prediction. Such individualized risk information could potentially be useful in a variety of clinical contexts for guiding personalized medical care [ 44 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

Anthropometrics, Metabolic Syndrome, and Mortality Hazard

Krakauer

Krakauer²

2018

Journal of Obesity

Self Cite

View full text Add to dashboard Cite

Independent indices (height, body mass index, a body shape index, and hip index) derived from basic anthropometrics have been found to be powerful predictors of mortality hazard, especially when the attributable risks are summed over these indices to give an anthropometric risk index (ARI). The metabolic syndrome (MS) is defined based on the co-occurrence of anthropometric, clinical, and laboratory criteria and is also widely employed for evaluating disease risk. Here, we investigate correlations between ARI and MS in a general population sample, the United States Third National Health and Nutrition Examination Survey. Baseline values of ARI and MS were also evaluated for their association with mortality over approximately 20 years of follow-up. ARI was found to be positively correlated with each component of MS, suggesting connections between the two entities as measures of cardiometabolic risk. ARI and MS were both significant predictors of mortality hazard. Although the association of ARI with mortality hazard was stronger than that of MS, a combined model with both ARI and MS score as predictors improved predictive ability over either construct in isolation. We conclude that the combination of anthropometrics and clinical and laboratory measurements holds the potential to increase the effectiveness of risk assessment compared to using either anthropometrics or the current components of MS alone.

show abstract

“…In addition, it has been reported that ABSI is independent of BMI, and more accurately than WC to be a substantial marker of arterial stiffness in Japanese adults 28. Among persons who received bariatric surgery in the USA, baseline ABSI could predict change in mortality risk at 3-year after surgery, but baseline BMI did not 40…”

Section: Discussionmentioning

confidence: 99%

Association of body indices and risk of mortality in patients with type 2 diabetes

Li,

Liu,

Lin

et al. 2023

BMJ Open Diab Res Care

View full text Add to dashboard Cite

IntroductionA body shape index (ABSI) is independently associated with mortality in general population, but studies on the predictability of ABSI in the risk of mortality in patients with type 2 diabetes (T2D) are limited. We aimed to examine the independent and joint association of ABSI, body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), and body roundness index (BRI) with mortality in patients with T2D.Research design and methodsThe study included 11 872 patients (46.5% women) aged 30 years and older and who took part in diabetes care management program of a medical center in Taiwan. Body indices were evaluated by anthropometric measurements at baseline between 2001 and 2016, and their death status was followed up through 2021. Multivariate Cox regression models were used to assess the effect of body indices on mortality.ResultsDuring a mean follow-up of 10.2 years, 560 cardiovascular disease (CVD) deaths and 3043 deaths were recorded. For ABSI, WC, WHR, WHtR and BRI, all-cause mortality rates were statistically significantly greater in Q4 versus Q2. For BMI and WHtR, all-cause mortality rates were also statistically significantly greater in Q1 versus Q2. The combination of BMI and ABSI exhibited a superiority in identifying risks of all-cause mortality and CVD mortality (HRs: 1.45 and 1.37, both p<0.01).ConclusionsCombined use of ABSI and BMI can contribute to the significant explanation of the variation in death risk in comparison with the independent use of BMI or other indices.

show abstract

ABSI (A Body Shape Index) and ARI (Anthropometric Risk Indicator) in Bariatric Surgery. First Application on a Bariatric Cohort and Possible Clinical Use

Abstract: 2814.

Cited by 9 publications

References 22 publications

A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort

A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort

Anthropometrics, Metabolic Syndrome, and Mortality Hazard

Association of body indices and risk of mortality in patients with type 2 diabetes

Contact Info

Product

Resources

About