Obesity as Assessed by Body Adiposity Index and Multivariable Cardiovascular Disease Risk

Abstract

To assess the role of body adiposity index (BAI) in predicting cardiovascular disease (CVD) and coronary heart disease (CHD) mortality, in comparison with body mass index (BMI), waist circumference (WC), and the waist circumference to hip circumference ratio (WHR). This study was a prospective 15 year mortality follow-up of 4175 Australian males, free of heart disease, diabetes and stroke. The Framingham Risk Scores (FRS) for CHD and CVD death were calculated at baseline for all subjects. Multivariable logistic regression was used to assess the effects of the measures of obesity on CVD and CHD mortality, before adjustment and after adjustment for FRS. The predictive ability of BAI, though present in the unadjusted analyses, was generally not significant after adjustment for age and FRS for both CVD and CHD mortality. BMI behaved similarly to BAI in that its predictive ability was generally not significant after adjustments. Both WC and WHR were significant predictors of CVD and CHD mortality and remained significant after adjustment for covariates. BAI appeared to be of potential interest as a measure of % body fat and of obesity, but was ineffective in predicting CVD and CHD.

Validity of body adiposity index in predicting body fat in Brazilians adults

“…BAI's ability to predict body fat has been analyzed in the literature, especially in relation to BMI. Some studies have shown that BAI is a better predictor of body fat when compared with BMI (Chang, Simonsick, Ferrucci, & Cooper, ; Dhaliwal, Welborn, Goh, & Howat, ; Godoy‐Matos et al, ; Johnson, Chumlea, Czerwinski, & Demerath, ; Silva et al, ; Sun et al, ;), while others have found a similar or higher capacity of BMI as a predictor of body fat when compared with BAI (Appelhans et al, ; Barreira et al, ; Freedman et al, ; Gibson, Atalayer, Flancbaum, & Geliebter, ; Lopez et al, ; Schulze & Stefan, ; Vinknes et al, ). In the present study, despite the strong correlation with DXA in men ( r = 0.72) and in women ( r = 0.78), BAI was not shown to be a better indicator of body fat than BMI.…”

Utilidad del índice de adiposidad corporal como indicador de obesidad y predictor de riesgo cardiovascular en adultos de Bogotá, Colombia

“…En población con ECV, Dhaliwal et al 36 describen también correlaciones entre el IAC y el IMC, la CC y el PC (p < 0,001). Sin embargo, tras ajustar por edad la CC y la relación cintura-cadera se asociaron significativamente como predictores de ECV con OR 3,84 (IC 95%: 1,59-9,25) y OR 5,42 (IC 95%: 2,12 a 13,89), respectivamente.…”

Evaluation of body adiposity index as a predictor of aortic stiffness in multi-ethnic Asian population with type 2 diabetes

“…15 More recently, BAI was shown to lack predictive ability for CVD mortality after age and risk factor adjustments in Australian men. 16 Among Asians, BAI was described to be an inappropriate biomarker for screening hypertension, dyslipidemia, metabolic syndrome and carotid intimamedia thickening in the Chinese population compared with WC and BMI. 22 Our study also showed that BAI is an ineffective determinant of body fatness for Asians.…”