Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study

Abstract Background Metabolic syndrome (MetS) is one of the most significant public health issues worldwide, which increases the risk of various diseases. Epidemiological evidence suggests that newer anthropometric measures, such as a body shape index (ABSI) and body roundness index (BRI) can be use...

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Main Authors: MohammadSalar Fahami, Ali Hojati, Mahdieh Abbasalizad Farhangi
Format: Article
Language:English
Published: BMC 2024-10-01
Series:BMC Endocrine Disorders
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Online Access:https://doi.org/10.1186/s12902-024-01763-6
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author MohammadSalar Fahami
Ali Hojati
Mahdieh Abbasalizad Farhangi
author_facet MohammadSalar Fahami
Ali Hojati
Mahdieh Abbasalizad Farhangi
author_sort MohammadSalar Fahami
collection DOAJ
description Abstract Background Metabolic syndrome (MetS) is one of the most significant public health issues worldwide, which increases the risk of various diseases. Epidemiological evidence suggests that newer anthropometric measures, such as a body shape index (ABSI) and body roundness index (BRI) can be used to predict MetS. However, anthropometric measures to predict the risk for MetS should be clarified in each population. Therefore, this study aimed to examine the association between ABSI, BRI, and MetS risk factors among overweight and obese Iranian adults. Methods This cross-sectional study included 347 overweight and obese individuals [body mass index (BMI) > 25 kg/m2] aged 20–50 years in Tabriz, Iran. Anthropometric measures were assessed, including BMI, waist circumference (WC), and waist-to-hip ratio (WHR). Additionally, ABSI and BRI were calculated based on the collected data. Blood pressure was measured using standard protocols. Body composition also was measured using body impedance analysis (BIA). Enzymatic-colorimetric methods were used to assess serum glucose and lipids, and enzyme-linked immunosorbent assay (ELISA) kits were used to measure insulin levels. Results Participants with higher ABSI exhibited significantly higher systolic blood pressure (SBP) (P = 0.001), diastolic blood pressure (DBP) (P = 0.010), and triglyceride (TG) levels (P < 0.001), along with significantly lower high-density lipoprotein cholesterol (HDL-C) levels (P < 0.001). In the crude model, individuals in the highest ABSI tertile (tertile 3) had a higher likelihood of having higher SBP (OR: 1.032; 95% CI: 1.014–1.051) and DBP (OR: 1.33; 95% CI: 1.009–1.058), as well as a significant association with lower HDL-C levels (OR: 0.945; 95% CI: 0.918–0.973). Additionally, both ABSI tertile 2 (OR: 1.005; 95% CI: 1.001–1.008) and tertile 3 (OR: 0.993; 95% CI: 1.003–1.011) were linked to a higher likelihood of having higher TG levels. No significant associations were found between BRI tertiles and MetS risk factors. Conclusion According to our results, ABSI and BRI are poor predictors of MetS risk variables, in overweight and obese individuals. High ABSI is only slightly linked with high SBP, DBP, and TG and low HDL-C. However, longitudinal and long-term investigations are encouraged to verify the efficacy of these two measures.
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spelling doaj-art-2e4e0223a9c24b1f880e5a5d36118b8f2025-08-20T02:18:28ZengBMCBMC Endocrine Disorders1472-68232024-10-012411910.1186/s12902-024-01763-6Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional studyMohammadSalar Fahami0Ali Hojati1Mahdieh Abbasalizad Farhangi2Tabriz Health Services Management Research Center, Tabriz University of Medical SciencesTabriz Health Services Management Research Center, Tabriz University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition, Tabriz University of Medical SciencesAbstract Background Metabolic syndrome (MetS) is one of the most significant public health issues worldwide, which increases the risk of various diseases. Epidemiological evidence suggests that newer anthropometric measures, such as a body shape index (ABSI) and body roundness index (BRI) can be used to predict MetS. However, anthropometric measures to predict the risk for MetS should be clarified in each population. Therefore, this study aimed to examine the association between ABSI, BRI, and MetS risk factors among overweight and obese Iranian adults. Methods This cross-sectional study included 347 overweight and obese individuals [body mass index (BMI) > 25 kg/m2] aged 20–50 years in Tabriz, Iran. Anthropometric measures were assessed, including BMI, waist circumference (WC), and waist-to-hip ratio (WHR). Additionally, ABSI and BRI were calculated based on the collected data. Blood pressure was measured using standard protocols. Body composition also was measured using body impedance analysis (BIA). Enzymatic-colorimetric methods were used to assess serum glucose and lipids, and enzyme-linked immunosorbent assay (ELISA) kits were used to measure insulin levels. Results Participants with higher ABSI exhibited significantly higher systolic blood pressure (SBP) (P = 0.001), diastolic blood pressure (DBP) (P = 0.010), and triglyceride (TG) levels (P < 0.001), along with significantly lower high-density lipoprotein cholesterol (HDL-C) levels (P < 0.001). In the crude model, individuals in the highest ABSI tertile (tertile 3) had a higher likelihood of having higher SBP (OR: 1.032; 95% CI: 1.014–1.051) and DBP (OR: 1.33; 95% CI: 1.009–1.058), as well as a significant association with lower HDL-C levels (OR: 0.945; 95% CI: 0.918–0.973). Additionally, both ABSI tertile 2 (OR: 1.005; 95% CI: 1.001–1.008) and tertile 3 (OR: 0.993; 95% CI: 1.003–1.011) were linked to a higher likelihood of having higher TG levels. No significant associations were found between BRI tertiles and MetS risk factors. Conclusion According to our results, ABSI and BRI are poor predictors of MetS risk variables, in overweight and obese individuals. High ABSI is only slightly linked with high SBP, DBP, and TG and low HDL-C. However, longitudinal and long-term investigations are encouraged to verify the efficacy of these two measures.https://doi.org/10.1186/s12902-024-01763-6A body shape indexBody roundness indexMetabolic syndromeObesityOverweight
spellingShingle MohammadSalar Fahami
Ali Hojati
Mahdieh Abbasalizad Farhangi
Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
BMC Endocrine Disorders
A body shape index
Body roundness index
Metabolic syndrome
Obesity
Overweight
title Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
title_full Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
title_fullStr Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
title_full_unstemmed Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
title_short Body shape index (ABSI), body roundness index (BRI) and risk factors of metabolic syndrome among overweight and obese adults: a cross-sectional study
title_sort body shape index absi body roundness index bri and risk factors of metabolic syndrome among overweight and obese adults a cross sectional study
topic A body shape index
Body roundness index
Metabolic syndrome
Obesity
Overweight
url https://doi.org/10.1186/s12902-024-01763-6
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