Tri-Ponderal Mass Index vs body Mass Index in discriminating central obesity and hypertension in adolescents with overweight

Malavazos, Alexis Elias; Capitanio, Gloria; Milani, Valentina; Ambrogi, Federico; Matelloni, Irene A.; Basilico, Sara; Dubini, Carola; Sironi, Francesca; Stella, Elisabetta; Castaldi, Silvana; Secchi, Francesco; Menicanti, Lorenzo; Iacobellis, Gianluca; Romanelli, Massimiliano Marco Corsi; Carruba, Michele O.; Morricone, Lelio

doi:10.1016/j.numecd.2021.02.013

Cited by 16 publications

(22 citation statements)

References 28 publications

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“…Even though these parameters present serious limitations, particularly in children, because they do not accurately discriminate between lean and fat mass, they are considered good markers of metabolic and cardiovascular comorbidities [5,6]. Recently, new indexes of obesity, such as triponderal mass index (TMI) [7] and non-linear equations to estimate the fat mass [8], have been proposed as markers of cardiovascular risk. Additionally, ultrasonography may be used as a reliable method to measure subcutaneous and visceral fat for predicting health risk [9] related to obesity.…”

Section: Introductionmentioning

confidence: 99%

Interaction between Autonomic Regulation, Adiposity Indexes and Metabolic Profile in Children and Adolescents with Overweight and Obesity

et al. 2021

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Early obesity predicts initial modifications in cardiac and vascular autonomic regulation. The aim of this study was to assess the possible interaction between non-invasive measures of autonomic cardiovascular control and peripheral endothelium regulation in children with overweight and obesity. We involved 114 young subjects (77M/37F, 12.7 ± 2.2 years) with normal weight (NW, n = 46,) to overweight or obesity (OB, n = 68). Multivariate statistical techniques utilizing a collection of modern indices of autonomic regulation, adiposity indexes and metabolic profile were employed. Resting values show substantial equivalence of data. Conversely, blood pressure variance is greater in NW/OB groups. The correlation matrix between major autonomic and metabolic/hemodynamic variables shows a clustered significant correlation between homogeneous indices. A significant correlation between metabolic indices and endothelial and autonomic control, mostly in its vascular end, was recorded. Particularly, the alpha index is significantly correlated with triglycerides (r = −0.261) and endothelial indices (RHI, r = 0.276). Children with obesity show a link between indices of autonomic and endothelial function, fat distribution and metabolic profile. The optimization of autonomic control, for instance by exercise/nutrition interventions, could potentially prevent/delay the occurrence of structural vascular damage leading to reduced cardiovascular health.

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Section: Introductionmentioning

confidence: 99%

Interaction between Autonomic Regulation, Adiposity Indexes and Metabolic Profile in Children and Adolescents with Overweight and Obesity

et al. 2021

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“…Table 1 describes the characteristics of the included studies including 14 for the association between TMI and body fat in childhood and adolescence ( 10 , 14 , 18 – 26 , 41 – 43 ), 20 for TMI and CVRFs in childhood and adolescence ( 13 – 18 , 21 , 26 – 34 , 42 – 45 ), and 4 for the association in adulthood ( 35 – 37 , 46 ). Twenty-five of the included studies used a cross-sectional design ( 10 , 13 , 15 – 28 , 30 – 34 , 41 – 43 , 45 ), 2 a retrospective design ( 14 , 44 ), 1 a case-control design ( 29 ), and 4 a cohort design ( 35 – 37 , 46 ).…”

Section: Resultsmentioning

confidence: 99%

“…It has been shown that percent of body fat (BF%) as a gold standard was better predicted by TMI than by BMI ( 10 , 25 ), although one study reported that both relative fat mass pediatric (RFMp) based on height and waist circumference [WC], and waist-to-height ratio (WHtR) performed better than both TMI and BMI ( 25 ). When WHtR was used to define central obesity as the gold standard, three articles showed that TMI was better than BMI correlated with central fat accumulation in both preschool-aged children aged 2–5 years ( 24 ) and children and adolescents aged 5–17 years ( 19 , 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…Only five studies compared the correlation of TMI and BMI with BP, with inconsistent results ( Table 2 ) ( 13 , 17 , 21 , 33 , 43 ). Although BMI correlated with BP levels stronger than TMI ( 17 , 33 ), one study based on 5,814 children and adolescents aged 6–19 years showed that, similar to BMI using a continuous variable, TMI (used as a continuous variable) had a low ability to identify high BP, with an AUC of only 0.66 to predict systolic BP and 0.60 to predict diastolic BP ( 21 ); similar findings were found among 57,201 Chinese children and adolescents aged 7–18 years, among 10,441 American adolescents aged 12–18 years ( 13 ) and among Italian adolescents ( 43 ).…”

Section: Resultsmentioning

confidence: 99%

“…A total of 14 articles evaluated the ability of TMI to identify body fat mass in children and adolescents compared with BMI (Table 2) (10,14,(18)(19)(20)(21)(22)(23)(24)(25)(26)(41)(42)(43).…”

Section: Tmi For Screening Body Fat In Children and Adolescentsmentioning

confidence: 99%

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Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

et al. 2021

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Because of the limitation of body mass index (BMI) in distinguishing adipose mass from muscle, the tri-ponderal mass index (TMI) has been proposed as a new indicator for better assessing adiposity in children and adolescents. However, it remains unclear whether TMI performs better than BMI or other adiposity indices in predicting obesity status in childhood and obesity-related cardiovascular risk factors (CVRFs) in childhood or adulthood. We searched PubMed, Cochrane Library, and Web of Science for eligible publications until June 15, 2021. A total of 32 eligible studies were included in this systematic review. We found that TMI had a similar or better ability to predict body fat among children and adolescents than BMI. However, most of the included studies suggested that TMI was similar to BMI in identifying metabolic syndrome although TMI was suggested to be a useful tool when used in combination with other indicators (e.g., BMI and waist circumference). In addition, limited evidence showed that TMI did not perform better than BMI for identifying specific CVRFs, including insulin resistance, high blood pressure, dyslipidemia, and inflammation in children and adolescents, as well as CVRFs in adults.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero, CRD42021260356.

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Evaluation of body mass index, ponderal index, visceral cross-sectional area, subcutaneous fat cross-sectional area, and liver volume as predictive factors for obesity-related comorbidities: a retrospective cohort study

Penny,

Ho,

Villa

et al. 2024

Journal of Gastrointestinal Surgery

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Tri-Ponderal Mass Index vs body Mass Index in discriminating central obesity and hypertension in adolescents with overweight

Cited by 16 publications

References 28 publications

Interaction between Autonomic Regulation, Adiposity Indexes and Metabolic Profile in Children and Adolescents with Overweight and Obesity

Interaction between Autonomic Regulation, Adiposity Indexes and Metabolic Profile in Children and Adolescents with Overweight and Obesity

Tri-Ponderal Mass Index as a Screening Tool for Identifying Body Fat and Cardiovascular Risk Factors in Children and Adolescents: A Systematic Review

Evaluation of body mass index, ponderal index, visceral cross-sectional area, subcutaneous fat cross-sectional area, and liver volume as predictive factors for obesity-related comorbidities: a retrospective cohort study

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