A Body Shape Index and Body Roundness Index: Two new body indices for detecting association between obesity and hyperuricemia in rural area of China

Naijin Zhang; Ye Chang; Xiaofan Guo; Yintao Chen; Ning Ye; Yingxian Sun

doi:10.1016/j.ejim.2016.01.019

A Body Shape Index and Body Roundness Index: Two new body indices for detecting association between obesity and hyperuricemia in rural area of China

Eur J Intern Med. 2016 Apr:29:32-6. doi: 10.1016/j.ejim.2016.01.019. Epub 2016 Feb 16.

Authors

Naijin Zhang¹, Ye Chang², Xiaofan Guo³, Yintao Chen⁴, Ning Ye⁵, Yingxian Sun⁶

Affiliations

¹ Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: 1640917750@qq.com.
² Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: 1329658018@qq.com.
³ Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: 348061760@qq.com.
⁴ Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: 905058009@qq.com.
⁵ Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: 653984551@163.com.
⁶ Department of Cardiology, The First Hospital of China Medical University, 155 Nanjing North Street, Heping District, Shenyang 110001, China. Electronic address: yxsun@mail.cmu.edu.cn.

PMID: 26895753
DOI: 10.1016/j.ejim.2016.01.019

Abstract

Objective: The first objective was to examine whether A Body Shape Index (ABSI) and Body Roundness Index (BRI) can identify hyperuricemia in rural China. The second aim was to compare the relative strength of association between anthropometric indices and hyperuricemia.

Methods: A total of 11,345 participants were involved in this cross-sectional study. Obesity measurements included BMI, WC, WHtR, ABSI and BRI. According to the statistical distribution of serum uric acid (SUA), we split our study population in sex-specific tertiles of SUA.

Results: After adjusting for confounding variables, BRI (linear regression: 0.170; AUC: 0.641; OR: 1.459) showed more powerful predictive ability for hyperuricemia than BMI (linear regression: 0.151; AUC: 0.630; OR: 1.108), while having a similar predictive power for hyperuricemia as WHtR (linear regression: 0.191; AUC: 0.656; OR: 1.067) and WC (linear regression: 0.209; AUC: 0.658; OR: 1.047) in the female group, but not in the male group. However, ABSI (A) (linear regression: 0.089 for women, 0.121 for men; AUC: 0.589 for women, 0.578 for men; OR: 1.027 for women, 1.034 for men) and ABSI (B) (linear regression: 0.118 for women, 0.121 for men; AUC: 0.607 for women, 0.578 for men; OR: 1.049 for women, 1.034 for men) had the lowest predictive power for hyperuricemia in both sex categories.

Conclusions: ABSI, BRI, BMI, WC and WHtR were all significantly associated with hyperuricemia in both sexes. In addition, BRI rather than ABSI showed a superior predictive ability for identifying hyperuricemia than BMI in female and similar capabilities as those of WC and WHtR in the female, but not in the male gender.

Keywords: A Body Shape Index; Body Roundness Index; Cardiovascular disease; Hyperuricemia; Obesity.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Aged
Body Mass Index*
China / epidemiology
Cross-Sectional Studies
Female
Humans
Hyperuricemia / epidemiology*
Logistic Models
Male
Middle Aged
Obesity / epidemiology*
Risk Factors
Rural Population
Sex Factors
Uric Acid / blood*
Waist Circumference*

Substances

Uric Acid