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Replacing the body mass index with the sagittal abdominal diameter (abdominal height)

Replacing the body mass index with the sagittal abdominal diameter (abdominal height) The body mass index (BMI; weight/height2), providing no information about the relative size of any adipose tissue depots, may accordingly misclassify degrees of cardiometabolic risk. However, in supine persons the abdominal height above the exam table (the sagittal abdominal diameter, SAD) is associated preferentially with the accumulation of visceral fat. Since visceral fat is a marker of insulin resistance, type 2 diabetes, coronary heart disease, and hypertension, SAD could contribute to the estimation of generalized cardiometabolic risk. The SAD has been measured inexpensively by a sliding‐beam caliper in small studies and in the US National Health and Nutrition Examination Survey (NHANES). Cross‐sectional models found that the SAD/height ratio (SADHtR) is more strongly associated than the waist circumference/height ratio or BMI with intermediary predictors of cardiometabolic disease. Prospective studies are needed, however, to demonstrate how well SAD or SADHtR might predict major disease outcomes or all‐cause mortality. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Obesity Wiley

Replacing the body mass index with the sagittal abdominal diameter (abdominal height)

Kahn, Henry S.
Obesity , Volume Early View – Sep 25, 2023
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References (10)

Publisher
Wiley
Copyright
© 2023 The Obesity Society
ISSN
1930-7381
eISSN
1930-739X
DOI
10.1002/oby.23889
Publisher site
See Article on Publisher Site

Abstract

The body mass index (BMI; weight/height2), providing no information about the relative size of any adipose tissue depots, may accordingly misclassify degrees of cardiometabolic risk. However, in supine persons the abdominal height above the exam table (the sagittal abdominal diameter, SAD) is associated preferentially with the accumulation of visceral fat. Since visceral fat is a marker of insulin resistance, type 2 diabetes, coronary heart disease, and hypertension, SAD could contribute to the estimation of generalized cardiometabolic risk. The SAD has been measured inexpensively by a sliding‐beam caliper in small studies and in the US National Health and Nutrition Examination Survey (NHANES). Cross‐sectional models found that the SAD/height ratio (SADHtR) is more strongly associated than the waist circumference/height ratio or BMI with intermediary predictors of cardiometabolic disease. Prospective studies are needed, however, to demonstrate how well SAD or SADHtR might predict major disease outcomes or all‐cause mortality.

Journal

Obesity – Wiley

Published: Sep 25, 2023

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