Interrelationships between self reported physical health and health behaviors among healthy US adults: From the NHANES 2009–2016

Ware, Deanna; Landy, David C.; Rabil, Anna; Hennekens, Charles H.; Hecht, Eric M.

doi:10.1016/j.puhip.2022.100277

Cited by 5 publications

(3 citation statements)

References 26 publications

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“…The NHANES is a cross-sectional survey conducted every two years to assess the nutritional and physical health of the general public in the United States (15,16). Through interviews and related tests, demographics, dietary, and health-related information are collected (12,13). The survey is approved by the Center for Disease Control and Prevention Research Ethics Review Board, and all survey participants provide written informed consent to participate (17).…”

Section: Data and Sample Sourcesmentioning

confidence: 99%

“…Weight-adjusted-waist index (WWI) was first postulated in 2018 as an anthropometric measure of central obesity that reflects both fat and muscle mass components, regardless of the body mass index (BMI) (10,11). The links between WWI and various cardiovascular events have since been well established (11)(12)(13)(14). However, the relationship between WWI and these hepatic indicators has not been defined.…”

Section: Introductionmentioning

confidence: 99%

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Association between weight-adjusted-waist index with hepatic steatosis and liver fibrosis: a nationally representative cross-sectional study from NHANES 2017 to 2020

Shen

et al. 2023

Front. Endocrinol.

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BackgroundThe negative effects of obesity on hepatic steatosis and fibrosis have received considerable attention in recent years. The weight-adjusted-waist index (WWI) reflects weight-independent centripetal obesity. Herein, we provide the first investigation of a link between WWI, hepatic steatosis, and liver fibrosis.MethodsWe used data from the National Health and Nutrition Examination Survey 2017-2020 to conduct a cross-sectional study. The linear relationship between WWI, controlled attenuation parameters, and liver stiffness measurements (LSM) was investigated using multivariate linear regression models. The nonlinear relationship was described using fitted smoothed curves and threshold effect analyses. Subgroup analyses were performed based on gender, age, body mass index, diabetes, hypertension, drinking, and smoking.ResultsThis population-based study included 7,594 people, 50.74% of whom were men and 49.26% of whom were women. Multivariate linear regression analysis revealed a significant positive relationship between WWI and hepatic steatosis [CAP, β=7.60, 95% confidence interval (CI) (4.42, 10.78), P<0.0001]. This positive association was stronger when excessive alcohol intake was present compared to when it was absent (P for interaction = 0.031), and when hypertension was present compared to when it was not (P for interaction = 0.014). The linear relationship between WWI and liver fibrosis was not statistically significant on multiple regression analysis [LSM, β=0.03, 95% CI (-0.26, 0.32), P=0.84]. However, a U-shaped association was seen between WWI and LSM, with a negative correlation when WWI< 10.92 and a positive correlation when WWI > 10.92.ConclusionWe report a strong association between WWI and hepatic steatosis, and suggest that it may potentially be used as a simple anthropometric index to predict hepatic steatosis.

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Section: Data and Sample Sourcesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between weight-adjusted-waist index with hepatic steatosis and liver fibrosis: a nationally representative cross-sectional study from NHANES 2017 to 2020

Shen

et al. 2023

Front. Endocrinol.

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“…[16,17] Demographics, dietary, and health-related details are obtained through questionnaires and related examinations. [18,19] The Centers for Disease Control and Prevention Research Ethics Review Board has authorized this inquiry, and each respondent must submit written informed consent to participate. [20] This study utilized NHANES data from 1999 to 2000.…”

Section: Data Origin and Investigation Subjectsmentioning

confidence: 99%

Associations between weight-adjusted-waist index and telomere length: Results from NHANES: An observational study

Xia,

Xu,

et al. 2024

Medicine

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Previous studies have demonstrated the connection between obesity and telomere length. A recently devised metric for determining obesity, the weight-adjusted-waist index (WWI), offers a distinct advantage in predicting fat and lean mass by depicting weight-independent abdominal adiposity. This article presents the results of the inaugural study on the relationship between WWI and telomere length in adult populations. The cross-sectional investigation analyzed data from 3479 participants from the National Health and Nutrition Examination Survey (NHANES) conducted from 1999 to 2000. To inspect linear and nonlinear correlations, we adopted weighted multiple logistic regression analysis and smooth curve fit, respectively. In addition, threshold effects and subgroup analyses were accomplished. In the fully adapted model, a significant adverse association of WWI with telomere length was detected [β = −0.02, 95% CI: (−0.03, −0.00), P value = 0.01]. The adverse correlation remained consistent across all subcategories. We also discovered an inverted U-shaped curve linking WWI and telomere length, with a conspicuous inflection point of 10.07 cm/√kg. For the first time, our research demonstrated strong links between WWI and telomere length. The inflection point suggests that controlling WWI within an optimum range might be essential for aging and health.

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Clustered health risk behaviors with mind wandering in young adults: serial mediation of sleep quality and emotional symptoms

Huang,

Zhang,

et al. 2024

Curr Psychol

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Interrelationships between self reported physical health and health behaviors among healthy US adults: From the NHANES 2009–2016

Cited by 5 publications

References 26 publications

Association between weight-adjusted-waist index with hepatic steatosis and liver fibrosis: a nationally representative cross-sectional study from NHANES 2017 to 2020

Association between weight-adjusted-waist index with hepatic steatosis and liver fibrosis: a nationally representative cross-sectional study from NHANES 2017 to 2020

Associations between weight-adjusted-waist index and telomere length: Results from NHANES: An observational study

Clustered health risk behaviors with mind wandering in young adults: serial mediation of sleep quality and emotional symptoms

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