Ratio of visceral fat area to body fat mass (VBR) is a superior predictor of coronary heart disease

• Published in: Chinese medical journal 2023-10, Vol.136 (19), p.2380-2382
• Main Authors: Zhang, Binbin, He, Jiangshan, Guo, Pei, Wang, Jianxiong, Li, Chunjun, Zhang, Li, Guo, Congfang, Guo, Yirui, Guo, Fenghua, Zhang, Mianzhi, Zhang, Minying
• Format: Article
• Language: English
• Subjects: Alcohol; Body fat; Body mass index; Cardiovascular disease; Correspondence; Ethnicity; Exercise; Family medical history; Gender differences; Heart; Marital status; Metabolism; Mortality; Obesity; Power; Smoking; Women
• ISSN: 2542-5641; 0366-6999; 2542-5641
• DOI: 10.1097/CM9.0000000000002601

To the Editor: Cardiovascular disease (CVD) remains a leading cause of morbidity and mortality globally, with coronary heart disease (CHD) exhibiting the highest mortality rate. A standard questionnaire was used to collect data on participants’ age, sex, ethnicity, highest educational level achieved, marital status, occupation, personal, and family history of CHD, alcohol drinking, tobacco smoking, and physical exercise. VBR demonstrated the largest adjusted OR (aOR; 2.00; 95% confidence interval [CI], 1.69–2.37) for CHD in females, followed in a descending order by VFA (1.80; 95% CI, 1.54–2.10), PBF (1.76; 95% CI, 1.47–2.11), WHR (1.66; 95% CI, 1.41–1.96), BMI (1.46; 95% CI, 1.25–1.70), and BFM (1.42; 95% CI, 1.22–1.65). See PDF] Supplementary Table 2, http://links.lww.com/CM9/B433 and Figure 1 reveal that all adiposity indices possessed significant identifying power for CHD in both men and women (all AUCs >0.5), with VBR generating the largest AUCs in both females and males (0.821 and 0.753, respectively).