Department of Public Health, Shihezi University School of Medicine, Shihezi, Xinjiang, China.
The First Affiliated Hospital of Shihezi University Medical College, Shihezi, Xinjiang, China.
Ann Hum Biol. 2022 Feb;49(1):27-34. doi: 10.1080/03014460.2022.2049874. Epub 2022 Apr 21.
A body shape index (ABSI) has been proven to be related to a population's CVD incidence. However, the application of this indicator has produced different results.
This study aimed to evaluate the applicability of the ABSI in predicting the incidence of CVD in rural Xinjiang, China, and compare it with waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), and body mass index (BMI).
5375 people aged 18 years or older were included in the study. We used the Cox proportional hazard model to evaluate the relationship between WC, WHR, WHtR, BMI, and ABSI and the incidence of CVD, the area under the curve (AUC) to evaluate the predictive power of each anthropometric index for the incidence of CVD, and restricted cubic splines are used to analyse the trend relationship between anthropometric indicators and the incidence of CVD.
After multivariate adjustment, standardised WC, WHR, WHtR, BMI, and ABSI all positively correlated with the incidence of CVD. WC had the highest HR (95% CI) value, 1.64 (1.51-1.78), and AUC (95% CI) value, 0.7743 (0.7537-0.7949). ABSI had the lowest HR (95% CI) value, 1.21(1.10-1.32), and AUC (95% CI) value, 0.7419 (0.7208-0.7630). In the sex-specific sensitivity analysis, the predictive ability of traditional anthropometric indicators for the incidence of CVD is higher than that of ABSI.
In the rural areas of Xinjiang, the traditional anthropometric indicators of WC had better ability to predict the incidence of CVD than ABSI.
身体形态指数（ABSI）已被证明与人群 CVD 发病率有关。然而，该指标的应用产生了不同的结果。
本研究旨在评估 ABSI 在中国新疆农村人群 CVD 发病预测中的适用性，并与腰围（WC）、腰臀比（WHR）、腰围身高比（WHtR）和体重指数（BMI）进行比较。
纳入研究的受试者为 5375 名年龄在 18 岁及以上的人群。我们使用 Cox 比例风险模型评估 WC、WHR、WHtR、BMI 和 ABSI 与 CVD 发病的关系，曲线下面积（AUC）评估每个人体测量指标对 CVD 发病的预测能力，限制性立方样条用于分析人体测量指标与 CVD 发病的趋势关系。
经过多变量调整后，标准化 WC、WHR、WHtR、BMI 和 ABSI 均与 CVD 发病呈正相关。WC 具有最高的 HR（95%CI）值 1.64（1.51-1.78）和 AUC（95%CI）值 0.7743（0.7537-0.7949）。ABSI 具有最低的 HR（95%CI）值 1.21（1.10-1.32）和 AUC（95%CI）值 0.7419（0.7208-0.7630）。在性别特异性敏感性分析中，传统人体测量指标预测 CVD 发病的能力高于 ABSI。
在新疆农村地区，传统人体测量指标 WC 预测 CVD 发病的能力优于 ABSI。
