Todorova S A
MD, PhD, Department of Internal Diseases and General Medicine, Faculty of Medicine Trakia University, 11 Armeiska St., Stara Zagora, 6000, Bulgaria.
Sovrem Tekhnologii Med. 2024;16(5):54-60. doi: 10.17691/stm2024.16.5.06. Epub 2024 Oct 30.
A body shape index (ABSI) is a novel anthropometric measure associated with body obesity. However, the research on the relationship between the new anthropometric risk index and metabolic disorders and cardiovascular alterations in the pediatric population is limited. was to perform a systematic review and meta-analysis of the associations between cardiometabolic risk and ABSI and evaluate its discrimination capacity.
A systematic search and analysis of the available scientific literature were conducted to identify relevant articles published up to March 2024 in Web of Science, Science Direct, Scopus, ResearchGate, and PubMed. All full-text publications reporting an association between cardiometabolic risk and ABSI in children and adolescents were considered eligible and reviewed in detail. The reported results and statements were summarized using meta-analysis methods.
A systematic review of 17 cross-sectional studies involving 31,849 children and adolescents, predominantly from Asian countries, was conducted. Nine studies included fewer than 1,000 subjects, raising questions about the representativeness of the samples and the reliability of the reported results. The data regarding the relationship between ABSI and cardiometabolic risk remain controversial. Even when applying age- and sex-adjusted ABSI, and when compared with other established or newly introduced anthropometric measurements, the discriminatory capacity of ABSI remains uncertain.
The findings to date highlight the variable discriminating capacity of ABSI as a predictor of cardiometabolic risk in children and adolescents.
体型指数（ABSI）是一种与身体肥胖相关的新型人体测量指标。然而，关于这一新的人体测量风险指数与儿科人群代谢紊乱和心血管改变之间关系的研究有限。本研究旨在对心脏代谢风险与ABSI之间的关联进行系统评价和荟萃分析，并评估其鉴别能力。
对现有科学文献进行系统检索和分析，以识别截至2024年3月在Web of Science、Science Direct、Scopus、ResearchGate和PubMed上发表的相关文章。所有报告儿童和青少年心脏代谢风险与ABSI之间关联的全文出版物均被视为合格并进行详细审查。使用荟萃分析方法总结报告的结果和陈述。
对17项横断面研究进行了系统评价，这些研究涉及31849名儿童和青少年，主要来自亚洲国家。9项研究的受试者少于1000名，这对样本的代表性和报告结果的可靠性提出了疑问。关于ABSI与心脏代谢风险之间关系的数据仍存在争议。即使应用年龄和性别调整后的ABSI，并且与其他已建立或新引入的人体测量指标进行比较时，ABSI的鉴别能力仍然不确定。
迄今为止的研究结果凸显了ABSI作为儿童和青少年心脏代谢风险预测指标的鉴别能力存在差异。
