Department of Internal Medicine, Medical University - Sofia, Sofia, Bulgaria.
Clinic of Endocrinology, University Hospital "Alexandrovska", Sofia, Bulgaria.
Arch Physiol Biochem. 2023 Oct;129(5):1105-1110. doi: 10.1080/13813455.2021.1899241. Epub 2021 May 12.
Despite the role of BMI as a classical obesity index, other indexes reflecting mainly abdominal obesity, usually outperform BMI in terms of metabolic complications prediction.
The aim of the present study is to compare the usefulness of different adiposity indexes for the identification of metabolic disturbances in patients with obesity.
In the study, we included 461 patients - group 1 with obesity ( = 182), group 2 with prediabetes ( = 193), and group 3 with newly diagnosed type 2 diabetes ( = 86). Different anthropometric and adiposity indexes were calculated - WHR, WSR, VAI, ABSI, BRI, Hip index, WWI, LAP.
VAI and LAP had the highest predictive value for the presence of carbohydrate disturbances. VAI also showed the strongest correlation with Framingham and SCORE compared to other adiposity indexes.
VAI and LAP are most useful for the identification of metabolic disturbances and cardiovascular risk in patients with obesity.
尽管 BMI 作为经典肥胖指数的作用不可忽视，但其他主要反映腹部肥胖的指数在预测代谢并发症方面通常优于 BMI。
本研究旨在比较不同肥胖指数在识别肥胖患者代谢紊乱方面的作用。
在这项研究中，我们纳入了 461 名患者 - 第 1 组为肥胖患者（n=182），第 2 组为糖尿病前期患者（n=193），第 3 组为新诊断的 2 型糖尿病患者（n=86）。计算了不同的人体测量和肥胖指数 - WHR、WSR、VAI、ABSI、BRI、Hip index、WWI、LAP。
VAI 和 LAP 对碳水化合物紊乱的存在具有最高的预测价值。与其他肥胖指数相比，VAI 与 Framingham 和 SCORE 的相关性也最强。
VAI 和 LAP 最有助于识别肥胖患者的代谢紊乱和心血管风险。
