Comparison of body mass index (BMI) with the CUN-BAE body adiposity estimator in the prediction of hypertension and type 2 diabetes

Martín, Vicente; Dávila-Batista, Verónica; Castilla, Jesús; Godoy, Pere; Delgado-Rodrı́guez, Miguel; Soldevila, Núria; Molina, A.; Fernández‐Villa, Tania; Astray, Jenaro; Castro, Almudena; Gónzález-Candelas, Fernando; Mayoral, José María; Quintana, José M.; Domı́nguez, Àngela

doi:10.1186/s12889-016-2728-3

Cited by 32 publications

(32 citation statements)

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“…Additionally, the correlation improved greatly when the sample was stratified by sex; this coincides with the results of other studies [16,19,20,27]. Thus, by sex, the BMI and CUN-BAE correlation is strong (r > 0.94), while between WC and CUN-BAE, the correlation is somewhat lower (r 0.76-0.80).…”

Section: Discussionsupporting

confidence: 89%

“…In the current study, the correlation between CUN-BAE and BMI was very low. It was weaker than those observed in other studies in the general population [15][16][17]19,20,27]. The results of this study are original, as well as, CUN-BAE is an indirect index of BF and we do not have a gold standard, which means that a low correlation does not imply that BMI and WC are weaker indicators.…”

Section: Discussioncontrasting

confidence: 77%

“…That BMI and direct measurements of BF% are not strongly correlated has been known for over two decades [25,26]. In the general population, CUN-BAE has shown stronger correlations with direct measures of BF% than other anthropometric measures such as BMI, WC, body adiposity index (BAI), or body shape index (ABSI) [12,17,[19][20][21]. CUN-BAE-based on BMI, sex, and age-has been shown to be an independent measure of BMI [16].…”

Section: Discussionmentioning

confidence: 99%

“…This is an adiposity estimator based on BMI, sex, and age in Caucasian adults [13,14]. The CUN-BAE index was proposed as a better indicator of BF than BMI or WC in adults to predict cardiovascular disease and other outcomes, as well as, it might be better able to identify metabolically unhealthy individuals [15][16][17][18][19]. Therefore, the Spanish Society for the Study of Obesity (SEEDO) has promoted the use of CUN-BAE in strategies of obesity prevention since 2016 [11]; however, the evidence on the CUN-BAE is not convincing.…”

Section: Introductionmentioning

confidence: 99%

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The Relation of CUN-BAE Index with Body Mass Index and Waist Circumference in Adults Aged 50 to 85 Years: The MCC-Spain Study

et al. 2020

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Backgound: Traditional anthropometrics such as body mass index (BMI) or waist circumference (WC) do not fully capture the complex biology of body fat (BF) in the elderly. The Clinica Universidad de Navarra-Body Adiposity Estimator (CUN-BAE) index, based on BMI, is proposed as a better indicator of BF. However, its relation with BMI is not clear. The aim was to compare the agreement between CUN-BAE, BMI, and WC in those aged ≥50 years. Methods: A cross-sectional sample of 3153 Caucasian healthy adults was taken from the MCC-Spain study. The Pearson’s correlation and its 95% confidence interval (CI), adiposity distribution, and Kappa Index (95%CI) were calculated. Results: The correlation of CUN-BAE with WC is 0.18 (95%CI 0.14–0.21) and that with BMI is moderate (r 0.58; 95%CI 0.55–0.60), but both increased strongly by sex. Agreement (normal weight/overweight/obesity) of CUN-BAE with BMI is 7% and with WC is 18%. Conclusions: The correlation and the degree of agreement of CUN-BAE with BMI and WC are low in individuals aged over 50, but it is higher by sex. Thus, this different criterion of obesity may have clinical applications. More studies with a gold standard are needed to evaluate the CUN-BAE in elderly adults.

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Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Relation of CUN-BAE Index with Body Mass Index and Waist Circumference in Adults Aged 50 to 85 Years: The MCC-Spain Study

et al. 2020

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“…The cross-sectional associations of CUN-BAE with biochemical risk markers of CVD, and with odds ratio (OR) of hypertension and type 2 diabetes have been reported. 13 , 14 However, the associations of CUN-BAE estimates with hard CVD events, such as myocardial infarction and stroke, have not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

The relation of CUN-BAE index and BMI with body fat, cardiovascular events and diabetes during a 6-year follow-up: the Hordaland Health Study

Vinknes

Nurk

Tell

et al. 2017

CLEP

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ObjectiveWe compared Clínica Universidad de Navarra-Body Adiposity Estimator (CUN-BAE) and body mass index (BMI) as correlates of body fat percent (BF%) and the association with future risk of cardiovascular disease (CVD) and type 2 diabetes in a Caucasian population.MethodsWe used data from 6796 individuals (born 1925–27 and 1950–52) from the Hordaland Health Study, a prospective cohort study in Norway. The study was conducted in 1992–1993 and 1997–1999. Cross-sectional analyses were conducted with data from 1997/99, including BF% measured by dual-energy X-ray absorptiometry. Longitudinal analyses included BMI and CUN-BAE calculated in 1992/93, and self-reported information on CVD events and diabetes in 1997/99.ResultsThe correlation between CUN-BAE and BF% (r=0.88) was stronger than between BMI and BF% (r=0.56). In sex-stratified analyses, CUN-BAE and BMI correlated similarly with BF% in men (r=0.77 and r=0.76, respectively) and women (r=0.82 and r=0.81, respectively). In longitudinal analyses, the odds ratio (per 1 SD increase) of CVD and type 2 diabetes was higher for BMI (ORCVD =1.23 [95% CI: 1.11–1.36]; ORdiabetes =2.11 [1.82–2.45]) than for CUN-BAE (ORCVD =1.15 [1.04–1.27]; ORdiabetes =2.06 [1.72–2.47]) in the total population. In sex-stratified analyses, CUN-BAE showed higher CVD and diabetes risk than BMI: in men BMI ORCVD =1.22 (1.04–1.44), ORdiabetes =2.13 (1.64–2.83); CUN-BAE ORCVD =1.93 (1.54–2.43), ORdiabetes =4.33 (2.80–6.71); and in women BMI ORCVD =1.22 (1.07–1.39), ORdiabetes =2.11 (1.76–2.53); CUN-BAE ORCVD =2.06 (1.69–2.51), ORdiabetes =5.45 (3.87–7.67).ConclusionCUN-BAE is more strongly associated with future risk of type 2 diabetes and CVD compared with BMI in analysis stratified by sex. As a measure of adiposity in men and women separately, CUN-BAE has no advantage over BMI, except when the value of estimated BF% itself is of interest.

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Assessing body mass index stages, individual diabetes and hypertension history effects on the risk of developing hypertension among Ghanaians: A cross‐sectional study

Iddrisu,

Adam

2023

Health Science Reports

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Background and AimsThis study aimed to understand the relationship between body mass index (BMI), diabetes and hypertension history, and other risk of hypertension among Ghanaians.MethodsThe BMI data are categorized according to the World Health Organization (WHO) definition. The data were obtained from the WHO Study on global AGEing and adult health (WHO SAGE) Ghana Wave 2. Descriptive statistics were used to summarize the variables, and the association between these variables and hypertension was assessed using the χ². Multivariable logistic regression was used to examine the relationship between hypertension and different BMI levels and other variables.ResultsObesity class II individuals have about a 4‐fold higher risk of developing hypertension compared to underweight individuals. Obesity class III, class I, and preobesity individuals have approximately a 3‐fold higher risk. Normal weight is associated with increased hypertension risk. Both males and females show a significant increase in hypertension risk across all BMI categories. History of hypertension is linked to a 2.2‐fold increased risk. Diabetes history is associated with hypertension when considering other factors. Elevated hypertension risk is observed among married, divorced, and widowed males then never married males. Only widowed females showed an increased risk. Older age significantly increases hypertension risk, particularly in females. Vegetable servings reduce hypertension risk, while fruit servings are associated with an increased risk. Vigorous exercise increases hypertension risk, particularly in females.ConclusionRegular check‐ups are recommended for married, divorced, and widowed males, focusing on blood pressure (BP) levels. Regular exercise from young age helps lower BP in later years. Individuals with a history of hypertension should follow BP control measures. Encouraging the consumption of the right combination of vegetables and fruits can help lower BP. Female tobacco smoking should be strongly discouraged due to a 54% increased risk of developing hypertension.

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Comparison of body mass index (BMI) with the CUN-BAE body adiposity estimator in the prediction of hypertension and type 2 diabetes

Cited by 32 publications

References 28 publications

The Relation of CUN-BAE Index with Body Mass Index and Waist Circumference in Adults Aged 50 to 85 Years: The MCC-Spain Study

The Relation of CUN-BAE Index with Body Mass Index and Waist Circumference in Adults Aged 50 to 85 Years: The MCC-Spain Study

The relation of CUN-BAE index and BMI with body fat, cardiovascular events and diabetes during a 6-year follow-up: the Hordaland Health Study

Assessing body mass index stages, individual diabetes and hypertension history effects on the risk of developing hypertension among Ghanaians: A cross‐sectional study

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