Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults

Abstract Objectives Central obesity is a well-known risk factor of numerous disease. Numerous indicators are developed for central obesity measurement, among them, abdominal volume index (AVI), reflecting total volume of the abdomen, precisely estimates the visceral fat volume. As a relatively new h...

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Main Authors: Mansuor Ahmed Alanazi, Khaled Alshehri, Faisal H. Alerwy, Tariq Alrasheed, Hassan Fareed M. Lahza, Nisreen Khalid Aref Albezrah, Yazeed Ibrahim Alghabban, Mahfoudh Almusali Mohammed Abdulghani
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Language:English
Published: BMC 2025-02-01
Series:BMC Endocrine Disorders
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Online Access:https://doi.org/10.1186/s12902-025-01884-6
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author Mansuor Ahmed Alanazi
Khaled Alshehri
Faisal H. Alerwy
Tariq Alrasheed
Hassan Fareed M. Lahza
Nisreen Khalid Aref Albezrah
Yazeed Ibrahim Alghabban
Mahfoudh Almusali Mohammed Abdulghani
author_facet Mansuor Ahmed Alanazi
Khaled Alshehri
Faisal H. Alerwy
Tariq Alrasheed
Hassan Fareed M. Lahza
Nisreen Khalid Aref Albezrah
Yazeed Ibrahim Alghabban
Mahfoudh Almusali Mohammed Abdulghani
author_sort Mansuor Ahmed Alanazi
collection DOAJ
description Abstract Objectives Central obesity is a well-known risk factor of numerous disease. Numerous indicators are developed for central obesity measurement, among them, abdominal volume index (AVI), reflecting total volume of the abdomen, precisely estimates the visceral fat volume. As a relatively new health measure and potent prognostic marker of metabolic disturbances, no study is available to investigate its role in cardio-metabolic health and oxidized LDL among obese young adults. In the current study we aimed to evaluate the association between abdominal volume index (AVI) with cardio-metabolic profile including serum lipids, glycemic markers of serum glucose, hemoglobin (Hb) A1C, insulin, oxidized LDL and blood pressure among young obese adults. Methods Two hundred twenty young adults aged 18 to 25 years old with overweight or obesity were enrolled in the current study. Anthropometric measurements were done and AVI were calculated. Biochemical variables including serum total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglyceride (TG), glycemic markers, including fasting serum glucose (FBS), insulin, hemoglobin (Hb) A1C and blood pressure were also measured with an automatic analyzer. Results Participants in the third tertiles of AVI had higher body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) (p < 0.001 for all). Among biochemical variables, oxidized LDL, TG and HDL demonstrated significant associations across AVI tertiles in the first and second models, with higher oxidized LDL and TG and lower HDL levels observed in higher AVI tertiles (p < 0.05). Moreover, those at the highest AVI tertiles showed significantly higher odds ratios for elevated cardio-metabolic index and systolic and diastolic blood pressures compared to the first tertiles (p < 0.05). Conclusions In the current study, we comprehensively investigated the association between AVI with cardio-metabolic health in young obese adults and accordingly, AVI was unfavorably associated with metabolic health among obese adults. Further studies are needed to elaborate the underlying mechanisms. Clinical trial number Not applicable.
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series BMC Endocrine Disorders
spelling doaj-art-c348c560b96b4e41953a51c2012090df2025-08-20T02:59:32ZengBMCBMC Endocrine Disorders1472-68232025-02-012511910.1186/s12902-025-01884-6Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adultsMansuor Ahmed Alanazi0Khaled Alshehri1Faisal H. Alerwy2Tariq Alrasheed3Hassan Fareed M. Lahza4Nisreen Khalid Aref Albezrah5Yazeed Ibrahim Alghabban6Mahfoudh Almusali Mohammed Abdulghani7Department of Family Medicine, University of TabukDepartment of Internal Medicine, University of TabukInternal Medicine and Adult Nephrology, Internal Medicine department, Faculty of Medicine, Universty of TabukAmerican Board Certified in Internal Medicine and Endocrinology, Diabetes & Metabolism, Department of Internal Medicine, University of TabukDepartment of Information Systems, College of Computers and Information Systems, Umm Al-Qura UniversityDepartment of Obstetric & Gynecology, College of Medicine, Taif UniversityDepartment of Surgery, Faculty of Medicine, University of TabukPharmacy Department, Faculty of Medicine, and Health Sciences, University Science and TechnologyAbstract Objectives Central obesity is a well-known risk factor of numerous disease. Numerous indicators are developed for central obesity measurement, among them, abdominal volume index (AVI), reflecting total volume of the abdomen, precisely estimates the visceral fat volume. As a relatively new health measure and potent prognostic marker of metabolic disturbances, no study is available to investigate its role in cardio-metabolic health and oxidized LDL among obese young adults. In the current study we aimed to evaluate the association between abdominal volume index (AVI) with cardio-metabolic profile including serum lipids, glycemic markers of serum glucose, hemoglobin (Hb) A1C, insulin, oxidized LDL and blood pressure among young obese adults. Methods Two hundred twenty young adults aged 18 to 25 years old with overweight or obesity were enrolled in the current study. Anthropometric measurements were done and AVI were calculated. Biochemical variables including serum total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL), triglyceride (TG), glycemic markers, including fasting serum glucose (FBS), insulin, hemoglobin (Hb) A1C and blood pressure were also measured with an automatic analyzer. Results Participants in the third tertiles of AVI had higher body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) (p < 0.001 for all). Among biochemical variables, oxidized LDL, TG and HDL demonstrated significant associations across AVI tertiles in the first and second models, with higher oxidized LDL and TG and lower HDL levels observed in higher AVI tertiles (p < 0.05). Moreover, those at the highest AVI tertiles showed significantly higher odds ratios for elevated cardio-metabolic index and systolic and diastolic blood pressures compared to the first tertiles (p < 0.05). Conclusions In the current study, we comprehensively investigated the association between AVI with cardio-metabolic health in young obese adults and accordingly, AVI was unfavorably associated with metabolic health among obese adults. Further studies are needed to elaborate the underlying mechanisms. Clinical trial number Not applicable.https://doi.org/10.1186/s12902-025-01884-6Abdominal volume indexAVICentral obesityCardio-metabolic healthOxidized LDLObesity
spellingShingle Mansuor Ahmed Alanazi
Khaled Alshehri
Faisal H. Alerwy
Tariq Alrasheed
Hassan Fareed M. Lahza
Nisreen Khalid Aref Albezrah
Yazeed Ibrahim Alghabban
Mahfoudh Almusali Mohammed Abdulghani
Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
BMC Endocrine Disorders
Abdominal volume index
AVI
Central obesity
Cardio-metabolic health
Oxidized LDL
Obesity
title Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
title_full Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
title_fullStr Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
title_full_unstemmed Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
title_short Abdominal volume index is associated with higher oxidized LDL, high blood pressure and lower HDL among obese adults
title_sort abdominal volume index is associated with higher oxidized ldl high blood pressure and lower hdl among obese adults
topic Abdominal volume index
AVI
Central obesity
Cardio-metabolic health
Oxidized LDL
Obesity
url https://doi.org/10.1186/s12902-025-01884-6
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