Is predicted body-composition and relative fat mass an alternative to body-mass index and waist circumference for disease risk estimation?

New methods to estimate body-composition have recently been proposed, but their relation to diseases, such as diabetes and coronary heart disease, needs further investigation. The purpose of this study was to investigate the association between proposed prediction of body-composition (PBC); Relative...

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Published in:Diabetes & metabolic syndrome clinical research & reviews 2022-09, Vol.16 (9), p.102590-102590, Article 102590
Main Authors: Cichosz, Simon Lebech, Rasmussen, Nicklas H., Vestergaard, Peter, Hejlesen, Ole
Format: Article
Language:English
Subjects:
Arthritis
Body mass index
Cancer
Coronary heart disease
Diabetes
High blood pressure
Hospitalization
Predicted body composition
Waist circumference
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Summary:New methods to estimate body-composition have recently been proposed, but their relation to diseases, such as diabetes and coronary heart disease, needs further investigation. The purpose of this study was to investigate the association between proposed prediction of body-composition (PBC); Relative Fat Mass (RFM), Body Mass Index (BMI), Waist Circumference (WC) and disease. In a cross-sectional cohort (NHANES) the association between the four body measures and diabetes, high blood pressure, coronary heart disease, cancer, arthritis, and hospitalization were assessed. A total of 13,348 people was included in this study. Receiver operating characteristic (ROC), Area Under Curve (AUC) and statistical testing were used to evaluate the differences. PBC/RFM had significant higher AUC than BMI or WC for diabetes, high blood pressure, hospitalization, and arthritis. PBC had a significant higher AUC than RFM, BMI, WC for Cancer and coronary heart disease. RFM and PBC could be a better indicator to distinguish amongst people with a risk of diseases compared to traditional measures such as BMI and WC. However, future studies need to investigate the longitudinal association between RFM, PBC and the risk of disease development to assess if these measures are better suited for risk-stratification. •Relative Fat Mass (RFM) & Prediction of Body-Composition (PBC) serve as an alternate for estimation of body-composition.•RFM and PBC were associated with various diseases and hospitalization.•RFM and PBC help to predict risk of diseases among individuals.
ISSN:1871-4021
1878-0334
DOI:10.1016/j.dsx.2022.102590