Adiposity rather than BMI determines metabolic risk

Lorenzo, Antonino De; Bianchi, Alessia; Maroni, Pasquale; Iannarelli, Annarita; Daniele, Nicola Di; Iacopino, L; Renzo, Laura Di

doi:10.1016/j.ijcard.2011.10.006

Cited by 135 publications

(104 citation statements)

References 41 publications

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“…In assessing adults' nutritional status, the literature had elucidated that the use of body fat percentage is a more accurate parameter in predicting CVD risk as BMI does not differentiate between body fat and lean mass [32, 33]. Between genders, female respondents were found to have higher prevalence of over fat (35.2%) compared to males (26.7%).…”

Section: Discussionmentioning

confidence: 99%

Understanding the Relationship between Atherogenic Index of Plasma and Cardiovascular Disease Risk Factors among Staff of an University in Malaysia

Cheah

Lwin

et al. 2018

Journal of Nutrition and Metabolism

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Background Atherogenic index of plasma (AIP) was found to be one of the strongest markers in predicting the cardiovascular disease (CVD) risk. This study was to determine the AIP and its relationship with other CVD risk factors. Materials and Methods This cross-sectional study was done among 349 staff of a public university in Sarawak. Data were collected using questionnaire, blood sampling, and anthropometric and blood pressure measurement. Data were analyzed using IBM SPSS version 20. Results A total of 349 respondents participated with majority females (66.8%), aged 38.5 ± 7.82 years. Nearly 80% of the respondents were overweight and obese, 87.1% with high and very high body fat, and 46.9% with abnormal visceral fat. For AIP category, 8.9% were found to be in intermediate and 16.4% were at high risk. Elevated lipid profile showed that total cholesterol (TC) is 15.5%, low density lipoprotein (LDL) is 16.1%, and triglyceride (TG) is 10.6%. AIP was significantly correlated with body mass index (r=0.25), visceral fat (r=0.37), TC (r=0.22), LDL (0.24), HDL (r=−0.72), TG (r=0.84), glucose (r=0.32), systolic blood pressure (r=0.22), and diastolic blood pressure (r=0.28). Conclusion It indicated that AIP is associated with other CVD risk factors. Modification of lifestyle is strongly recommended.

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Section: Discussionmentioning

confidence: 99%

Understanding the Relationship between Atherogenic Index of Plasma and Cardiovascular Disease Risk Factors among Staff of an University in Malaysia

Cheah

Lwin

et al. 2018

Journal of Nutrition and Metabolism

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“…Currently, the WHO classification scheme for obesity, based on BMI, determines diagnostic and therapeutic management. However, BMI is confounded by ethnic differences (43 [EL 2, MNRCT]; 44 [EL 4, NE]) and body composition (44 [EL 4, NE]); (45 [EL 2, CSS], and future improved risk stratification strategies may incorporate other anthropometric measurements, such as waist circumference (46 [EL 3, SS]) or waist-to-hip ratio (43 [EL 2, MNRCT]), co-morbidity and functional status assessments (47 [EL 4 NE]), and body composition technologies (45 [EL 3, CSS]). Factors found to be associated with poor outcome include open procedures, male gender, older age, congestive heart failure, peripheral vascular disease, deep venous thrombosis, PE, obstructive sleep apnea, impaired functional status, and chronic kidney disease (48 [EL 2, PCS]; 49 [EL 3, SS]).…”

Section: Evidence Basementioning

confidence: 99%

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

et al. 2013

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The development of these updated guidelines was commissioned by the AACE, TOS, and ASMBS Board of Directors and adheres to the AACE 2010 protocol for standardized production of clinical practice guidelines (CPG). Each recommendation was re-evaluated and updated based on the evidence and subjective factors per protocol. Examples of expanded topics in this update include: the roles of sleeve gastrectomy, bariatric surgery in patients with type-2 diabetes, bariatric surgery for patients with mild obesity, copper deficiency, informed consent, and behavioral issues. There are 74 recommendations (of which 56 are revised and 2 are new) in this 2013 update, compared with 164 original recommendations in 2008. There are 403 citations, of which 33 (8.2%) are EL 1, 131 (32.5%) are EL 2, 170 (42.2%) are EL 3, and 69 (17.1%) are EL 4. There is a relatively high proportion (40.4%) of strong (EL 1 and 2) studies, compared with only 16.5% in the 2008 AACE- TOS-ASMBS CPG. These updated guidelines reflect recent additions to the evidence base. Bariatric surgery remains a safe and effective intervention for select patients with obesity. A team approach to perioperative care is mandatory with special attention to nutritional and metabolic issues.

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“…BMI does not distinguish the different body-composition compartments (22), which are diversely affected by age (24). Reduced risk of death reported in overweight and obese older adults may be explained by the lack of discriminatory power of BMI in detecting such age-related changes of body composition, in particular the increased ratio of fat mass to lean mass (25,26).…”

Section: Introductionmentioning

confidence: 96%

Body-composition predictors of mortality in women aged ≥75 y: data from a large population-based cohort study with a 17-y follow-up

Rolland¹,

Gallini²,

Cristini³

et al. 2014

The American Journal of Clinical Nutrition

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Adiposity rather than BMI determines metabolic risk

Cited by 135 publications

References 41 publications

Understanding the Relationship between Atherogenic Index of Plasma and Cardiovascular Disease Risk Factors among Staff of an University in Malaysia

Understanding the Relationship between Atherogenic Index of Plasma and Cardiovascular Disease Risk Factors among Staff of an University in Malaysia

Clinical Practice Guidelines For The Perioperative Nutritional, Metabolic, And Nonsurgical Support Of The Bariatric Surgery Patient2013 Update: Cosponsored By American Association Of Clinical Endocrinologists, The Obesity Society, And American Society For Metabolic & Bariatric Surgery

Body-composition predictors of mortality in women aged ≥75 y: data from a large population-based cohort study with a 17-y follow-up

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