Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies

Introduction: The body roundness index (BRI) and a body shape index (ABSI) are novel anthropometric indices established to determine both the amount visceral adipose tissue and body fat. Objective: to investigate whether BRI and ABSI are better predictors of hypertension than body mass index (BMI),...

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Autores principales:	Julián F. Calderón-García, Raúl Roncero-Martín, Sergio Rico-Martín, Jorge M. De Nicolás-Jiménez, Fidel López-Espuela, Esperanza Santano-Mogena, Pilar Alfageme-García, Juan F. Sánchez Muñoz-Torrero
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	body roundness index a body shape index hypertension anthropometric indices systematic review meta-analysis Medicine R
Acceso en línea:	https://doaj.org/article/472c1d5ffd39446bba67ddba5b2538dd
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spelling	oai:doaj.org-article:472c1d5ffd39446bba67ddba5b2538dd2021-11-11T16:42:46ZEffectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies10.3390/ijerph1821116071660-46011661-7827https://doaj.org/article/472c1d5ffd39446bba67ddba5b2538dd2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11607https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Introduction: The body roundness index (BRI) and a body shape index (ABSI) are novel anthropometric indices established to determine both the amount visceral adipose tissue and body fat. Objective: to investigate whether BRI and ABSI are better predictors of hypertension than body mass index (BMI), waist circumference (WC) or waist-to-height ratio (WHtR). <i>Methods</i>: A systematic search was conducted in the Scopus, PubMed and Web of Science databases up until 31 December 2020. Results: The estimated pooled area under curve [AUC (95% CI)] for BRI [0.67 (0.65–0.70)] for the prediction of hypertension were superior to that of ABSI (0.58 (0.56–0.60)), similar to that of BMI [0.67 (0.64–0.69)], and lower than those WC [0.68 (0.66–0.70)] and WHtR [0.68 (0.66–0.71)]. Nevertheless, the difference of BRI compared to WC and WHtR in the context of predicting hypertension was non-significant. ABSI was significantly lower (<i>p</i> < 0.05) than BRI, BMI, WC and WHtR. Similar findings were observed with the summary receiver operating characteristic curve (AUC-SROC). There were no significant differences between subgroups according to type of population or diagnostic criteria of hypertension. The diagnostic odds ratio (dORs) proved that increased BRI and ABSI were related with an elevated hypertension risk. Conclusions: BRI and ABSI have discriminatory power for hypertension in adult women and men from different populations. Although, WHtR and WC provided the best performance when assessing hypertension, no significant differences were found for BRI. Finally, BRI was significantly better predictor of hypertension than ABSI.Julián F. Calderón-GarcíaRaúl Roncero-MartínSergio Rico-MartínJorge M. De Nicolás-JiménezFidel López-EspuelaEsperanza Santano-MogenaPilar Alfageme-GarcíaJuan F. Sánchez Muñoz-TorreroMDPI AGarticlebody roundness indexa body shape indexhypertensionanthropometric indicessystematic reviewmeta-analysisMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11607, p 11607 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	body roundness index a body shape index hypertension anthropometric indices systematic review meta-analysis Medicine R
spellingShingle	body roundness index a body shape index hypertension anthropometric indices systematic review meta-analysis Medicine R Julián F. Calderón-García Raúl Roncero-Martín Sergio Rico-Martín Jorge M. De Nicolás-Jiménez Fidel López-Espuela Esperanza Santano-Mogena Pilar Alfageme-García Juan F. Sánchez Muñoz-Torrero Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
description	Introduction: The body roundness index (BRI) and a body shape index (ABSI) are novel anthropometric indices established to determine both the amount visceral adipose tissue and body fat. Objective: to investigate whether BRI and ABSI are better predictors of hypertension than body mass index (BMI), waist circumference (WC) or waist-to-height ratio (WHtR). <i>Methods</i>: A systematic search was conducted in the Scopus, PubMed and Web of Science databases up until 31 December 2020. Results: The estimated pooled area under curve [AUC (95% CI)] for BRI [0.67 (0.65–0.70)] for the prediction of hypertension were superior to that of ABSI (0.58 (0.56–0.60)), similar to that of BMI [0.67 (0.64–0.69)], and lower than those WC [0.68 (0.66–0.70)] and WHtR [0.68 (0.66–0.71)]. Nevertheless, the difference of BRI compared to WC and WHtR in the context of predicting hypertension was non-significant. ABSI was significantly lower (<i>p</i> < 0.05) than BRI, BMI, WC and WHtR. Similar findings were observed with the summary receiver operating characteristic curve (AUC-SROC). There were no significant differences between subgroups according to type of population or diagnostic criteria of hypertension. The diagnostic odds ratio (dORs) proved that increased BRI and ABSI were related with an elevated hypertension risk. Conclusions: BRI and ABSI have discriminatory power for hypertension in adult women and men from different populations. Although, WHtR and WC provided the best performance when assessing hypertension, no significant differences were found for BRI. Finally, BRI was significantly better predictor of hypertension than ABSI.
format	article
author	Julián F. Calderón-García Raúl Roncero-Martín Sergio Rico-Martín Jorge M. De Nicolás-Jiménez Fidel López-Espuela Esperanza Santano-Mogena Pilar Alfageme-García Juan F. Sánchez Muñoz-Torrero
author_facet	Julián F. Calderón-García Raúl Roncero-Martín Sergio Rico-Martín Jorge M. De Nicolás-Jiménez Fidel López-Espuela Esperanza Santano-Mogena Pilar Alfageme-García Juan F. Sánchez Muñoz-Torrero
author_sort	Julián F. Calderón-García
title	Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
title_short	Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
title_full	Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
title_fullStr	Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
title_full_unstemmed	Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies
title_sort	effectiveness of body roundness index (bri) and a body shape index (absi) in predicting hypertension: a systematic review and meta-analysis of observational studies
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/472c1d5ffd39446bba67ddba5b2538dd
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Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies

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