Diagnostic accuracy of the tri-ponderal mass index in identifying the unhealthy metabolic obese phenotype in obese patients

Yeste, Diego; Clemente, María; Campos, Ariadna; Fábregas, Anna; Mogas, Eduard; Soler, Laura; Carrascosa, Antonio

doi:10.1016/j.anpede.2020.04.017

Cited by 4 publications

(1 citation statement)

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“…Another study found that the TMI more strongly correlated with fat mass percentage measured by dual-energy X-ray absorptiometry (DEXA) and central obesity compared to the BMI z-score in adolescents with type 2 diabetes mellitus 37 . The results of a prospective study showed that patients aged 8–18 years with metabolically unhealthy obesity had greater BMI, TMI, and WC, had higher values of triglycerides, BP, and HOMA-IR and a lower level of high-density lipoprotein cholesterol compared to patients with metabolically healthy obesity 38 .…”

Section: Discussionmentioning

confidence: 99%

Associations between tri-ponderal mass index, body mass index, and high blood pressure among children and adolescents: a cross-sectional study

Kuciene,

Dulskiene

2023

Sci Rep

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High blood pressure (HBP) and obesity are major public health issues globally. The aim of the study was to evaluate the associations between tri-ponderal mass index (TMI) and body mass index (BMI) and HBP and to determine which anthropometric parameters may best predict HBP among Lithuanian children and adolescents aged 7–18 years. This cross-sectional study included 3710 Lithuanian children and adolescents aged 7–18 (52.7% boys and 47.3% girls). Each subject’s height, weight, and other anthropometric parameters, as well as blood pressure were measured according to standardized protocols; subsequently, TMI and BMI were calculated. The prevalence of HBP was 27% (the prevalence of elevated BP and hypertension was 13.7% and 13.3%, respectively), significantly higher for boys than for girls. The Pearson correlation coefficients between the BMI z-score and BP were higher than those between the TMI z-score and BP. In both sexes combined, the adjusted odds ratios (aOR) for HBP were increased significantly with increasing quartiles of TMI and BMI as compared to the first quartile (Q1) (Q2: aOR = 1.37 and aOR = 1.69; Q3: aOR = 2.10 and aOR = 2.27; Q4: aOR = 3.95 and aOR = 4.91, respectively). Significant associations also were observed between overweight and obesity (defined according to two methods: age- and sex-specific TMI percentiles and IOTF criteria) among boys and girls separately. BMI presented a higher area under the curve value than TMI for predicting HBP in children and adolescents. The findings of the study suggest that BMI and TMI are significantly associated with HBP. However, BMI is a better predictor for HBP than TMI among Lithuanian children and adolescents aged 7–18 years.

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Section: Discussionmentioning

confidence: 99%