Are Obesity Indices Useful for Detecting Subclinical Atheromatosis in a Middle-Aged Population?

Sánchez Peña, Enric; Sánchez, Marta; Betriu i Bars, M. Àngels; Rius, Ferran; Torres, Gerard; Purroy Garcia, Francisco; Pamplona Gras, Reinald; Ortega, Marta; López Cano, Carolina; Hernández García, Marta; Bueno Díez, Marta; Fernández i Giráldez, Elvira; Salvador, Javier; Lecube Torelló, Albert; ILERVAS project collaborators

doi:https://doi.org/10.1159/000502696

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Issue date

2020

Author

Sánchez Peña, Enric

Sánchez, Marta

Betriu i Bars, M. Àngels

Rius, Ferran

Torres, Gerard

Purroy Garcia, Francisco

Pamplona Gras, Reinald

Ortega, Marta

López Cano, Carolina

Hernández García, Marta

Bueno Díez, Marta

Fernández i Giráldez, Elvira

Salvador, Javier

Lecube Torelló, Albert

ILERVAS project collaborators

Suggested citation

Sánchez Peña, Enric; Sánchez, Marta; Betriu i Bars, M. Àngels; Rius, Ferran; Torres, Gerard; Purroy Garcia, Francisco; ... ILERVAS project collaborators. (2020) . Are Obesity Indices Useful for Detecting Subclinical Atheromatosis in a Middle-Aged Population?. Obesity Facts, 2020, vol. 13, núm. 1, p. 29-39. https://doi.org/10.1159/000502696.

Abstract

Objective: There is a close relationship between excess adiposity and cardiovascular disease. Although body mass index (BMI) is the most used approach to estimate excess weight, other anthropometric indices have been developed to measure total body and abdominal adiposity. Here, our objective was to

assess the usefulness of these anthropometric indices to detect subclinical atheromatous disease. Methods: A cross-sectional study with 6,809 middle-aged subjects (mean age, 57 [53-63] years) with low to moderate cardiovascular risk from the ILERVAS project. Measures of total body fat (BMI, Clínica Universidad de Navarra - Body Adiposity Estimator [CUN-BAE], and Deurenberg's formula) and central adiposity (waist and neck circumferences, conicity index, waist-to-height ratio, Bonora's equation, the A body adiposity index, and body roundness index) were performed in all participants. Bilateral carotid and femoral ultrasound vascular studies allowed the identification of subjects with plaque. -Results: All measured indices were significantly higher in males with subclinical carotid or femoral plaques (p ≤ 0.021 for all). Also, a positive and significant correlation between all indices and the number of affected territories was found (p ≤ 0.013 for all). From the ROC analysis, all measurements identified patients with asymptomatic atheromatosis but none of them helped make clinical decisions. Regarding females, the results were less conclusive. Conclusion: Obesity indices are related to subclinical atheromatosis, especially in men, in a large cohort of middle-aged subjects. However, the indices could not detect the presence of arterial plaque, so, when used in isolation, are unlikely to be decisive.

URI

http://hdl.handle.net/10459.1/69508

DOI

https://doi.org/10.1159/000502696

Is part of

Obesity Facts, 2020, vol. 13, núm. 1, p. 29-39

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Except where otherwise noted, this item's license is described as cc-by-nc-nd, (c) Sánchez, Enric et al., 2020