Effectiveness of body roundness index in predicting metabolic syndrome: A systematic review and meta‐analysis

Abstract

Body roundness index (BRI) is a new anthropometric index developed to predict both body fat and the percentage of visceral adipose tissue. Our aim was to investigate whether BRI is superior to traditional anthropometric indices in predicting metabolic syndrome (MetS). This systematic review and meta-analysis was conducted using Pubmed, Scopus and Web of Sciences databases. The estimated pooled areas under curve (AUCs) for BRI predicting MetS was higher than body mass index (BMI), waistto-hip ratio (WHR), body shape index (ABSI) and body adiposity index (BAI), similar to waist circumference (WC) and lower than waist-to-height ratio (WHtR). However, the difference between BRI and BMI, WC and WHtR predicting MetS was statistically non-significant. Similar results were found with the summary receiver operating characteristic curve (AUC-SROC). In addition, the non-Chinese population had pooled AUCs greater than the Chinese population for all indices. Pooled ORs showed that BRI is associated with an increased MetS risk. In conclusion, BRI had good discriminatory power for MetS in adults of both sexes from diverse populations (AUC > 0.7; AUC-SROC>0.7). However, WC and WHtR offer the best performance when screening for MetS, and non-significant differences were found with BRI. In contrast, BRI was superior to BMI, WHR, ABSI and BAI in predicting MetS. K E Y W O R D Santhropometric indices, body roundness index, metabolic syndrome, review

Body roundness index is a superior indicator to associate with the cardio‐metabolic risk: evidence from a cross‐sectional study with 17,000 Eastern-China adults

“…Meanwhile, a study with Polish population also showed that BRI had superior ability to predict metabolic syndrome [ 46 ]. Generally, BRI possesses a stable ability to predict cardiometabolic risk and metabolic syndrome even in different ethnic groups, and these results were well determined in our study [ 49 ]. Moreover, Chang et al [ 64 ].…”

“…Body roundness index (BRI) was developed to predict both body fat and the percentage of visceral adipose tissue using WC in relation to height, which will estimate the shape of the human body figure as an ellipse [ 4 , 43 , 71 ]. BRI was generally used as an adipose indicator for determining the presence of hyperuricemia, arterial stiffness, CVD, diabetes, dyslipidemia, hypertension, and MetSy [ 7 , 46 , 49 , 51 , 67 , 68 ]. However, BRI was limited in predicting percentage of fat mass in athletes when compared with bio-impedance analysis or skinfold prediction [ 72 ].…”

“…However, the traditional anthropometric indices failed to discriminate between fat and muscle mass [ 41 , 42 ]. Recently, body shape index (ABSI) which reflects the body shape using waist circumference (WC), weight, and height and body roundness index (BRI) combines height and WC to predict the percentage of total and regional fat have been developed to overcome the limits of traditional obesity markers [ 33 , 43 – 49 ]. A previous study found the two new indices were associated with abdominal adipose and more associated with cardiometabolic risk, onset of diabetes and premature mortality hazards than BMI and WC [ 4 , 50 , 51 ].…”

Anthropometric indices and cut-off points in the diagnosis of metabolic disorders

“…It is a better predictor of body fat and the percentage of visceral tissue compared with traditional indicators, such as the BMI and WC [29]. The discriminatory power of the BRI in predicting MetS was similar to that of the WC and only slightly lower than that of the WHtR [30]. It was higher than that of the BMI and ABSI in both sexes.…”

Trunk Fat Estimation According To Gender In Childhood Through Basic Somatic Readings. An Opportunity for Improving Girl’S Evaluation

“…Derived risk of excessive trunk fat was described in mid 1900s in the adult (21) stressing the body shape of the individuals. These risks were proven later by means of the association with T2D (22, 23), hyperuricemia (24), elevation of free T and MRI assessed abdominal fat distribution (25), with heart failure mid-range ejection fraction (26), or even with the vintage metabolic syndrome, this relationship was established by means of different waist circumference derived indexes (27). It is worth referring to the conclusions of Baton Rouge (28) after analyzing these varied equations, although in favor of the Waist circumference index, considered the indexes capacity for evaluating an individual person's health risks.…”