A Body Shape Index (ABSI) as a risk factor for all-cause mortality among US adults with type 2 diabetes: evidence from the NHANES 1999–2018

Federation ID. Type 2 diabetes. 2024. Available at: https://idf.org/about-diabetes/types-of-diabetes/type-2/. Accessed 25 Jul 2024.

Zimmet P, Alberti KG, Shaw J. Global and societal implications of the diabetes epidemic. Nature. 2001;414(6865):782–7.

Article  CAS  PubMed  Google Scholar 

Imbeault P, Haman F, Blais JM, et al. Obesity and type 2 diabetes prevalence in adults from two remote first nations communities in northwestern ontario. Canada J Obes. 2011;2011: 267509.

PubMed  Google Scholar 

Neeland IJ, Ayers CR, Rohatgi AK, et al. Associations of visceral and abdominal subcutaneous adipose tissue with markers of cardiac and metabolic risk in obese adults. Obesity (Silver Spring). 2013;21(9):E439–447.

Article  CAS  PubMed  Google Scholar 

Almurdhi MM, Reeves ND, Bowling FL, Boulton AJ, Jeziorska M, Malik RA. Reduced Lower-Limb Muscle Strength and Volume in Patients With Type 2 Diabetes in Relation to Neuropathy, Intramuscular Fat, and Vitamin D Levels. Diabetes Care. 2016;39(3):441–7.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Neeland IJ, Ross R, Després JP, et al. Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement. Lancet Diabetes Endocrinol. 2019;7(9):715–25.

Article  PubMed  Google Scholar 

Kurozumi A, Okada Y, Arao T, Tanaka Y. Excess Visceral Adipose Tissue Worsens the Vascular Endothelial Function in Patients with Type 2 Diabetes Mellitus. Intern Med. 2016;55(21):3091–5.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Yinan S, Strong R, Xiaojing Y. The role of visceral fat pigment in human retinal pigment epithelial cells in a high-glucose environment. Int J Ophthalmol. 2020;20(12):2028–33.

Google Scholar 

Anan F, Masaki T, Yonemochi H, et al. Abdominal visceral fat accumulation is associated with the results of (123)I-metaiodobenzylguanidine myocardial scintigraphy in type 2 diabetic patients. Eur J Nucl Med Mol Imaging. 2007;34(8):1189–97.

Article  PubMed  Google Scholar 

Matsuzawa Y. Pathophysiology and molecular mechanisms of visceral fat syndrome: the Japanese experience. Diabetes Metab Rev. 1997;13(1):3–13.

Article  CAS  PubMed  Google Scholar 

Sluik D, Boeing H, Montonen J, et al. Associations between general and abdominal adiposity and mortality in individuals with diabetes mellitus. Am J Epidemiol. 2011;174(1):22–34.

Article  PubMed  Google Scholar 

Lee SW, Son JY, Kim JM, Hwang SS, Han JS, Heo NJ. Body fat distribution is more predictive of all-cause mortality than overall adiposity. Diabetes Obes Metab. 2018;20(1):141–7.

Article  CAS  PubMed  Google Scholar 

Pou KM, Massaro JM, Hoffmann U, et al. Visceral and subcutaneous adipose tissue volumes are cross-sectionally related to markers of inflammation and oxidative stress: the Framingham Heart Study. Circulation. 2007;116(11):1234–41.

Article  CAS  PubMed  Google Scholar 

Huang H, Zheng X, Wen X, Zhong J, Zhou Y, Xu L. Visceral fat correlates with insulin secretion and sensitivity independent of BMI and subcutaneous fat in Chinese with type 2 diabetes. Front Endocrinol (Lausanne). 2023;14:1144834.

Article  PubMed  Google Scholar 

Khan I, Chong M, Le A, et al. Surrogate Adiposity Markers and Mortality. JAMA Netw Open. 2023;6(9): e2334836.

Article  PubMed  PubMed Central  Google Scholar 

Lotfi K, Hassanzadeh Keshteli A, Saneei P, Afshar H, Esmaillzadeh A, Adibi P. A Body Shape Index and Body Roundness Index in Relation to Anxiety, Depression, and Psychological Distress in Adults. Front Nutr. 2022;9: 843155.

Article  PubMed  PubMed Central  Google Scholar 

Marra M, Sammarco R, De Lorenzo A, et al. Assessment of Body Composition in Health and Disease Using Bioelectrical Impedance Analysis (BIA) and Dual Energy X-Ray Absorptiometry (DXA): A Critical Overview. Contrast Media Mol Imaging. 2019;2019:3548284.

Article  PubMed  PubMed Central  Google Scholar 

Krakauer NY, Krakauer JC. A new body shape index predicts mortality hazard independently of body mass index. PLoS ONE. 2012;7(7): e39504.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Dhana K, Kavousi M, Ikram MA, Tiemeier HW, Hofman A, Franco OH. Body shape index in comparison with other anthropometric measures in prediction of total and cause-specific mortality. J Epidemiol Community Health. 2016;70(1):90–6.

Article  PubMed  Google Scholar 

Gomez-Peralta F, Abreu C, Cruz-Bravo M, et al. Relationship between “a body shape index (ABSI)” and body composition in obese patients with type 2 diabetes. Diabetol Metab Syndr. 2018;10:21.

Article  PubMed  PubMed Central  Google Scholar 

Ji M, Zhang S, An R. Effectiveness of A Body Shape Index (ABSI) in predicting chronic diseases and mortality: a systematic review and meta-analysis. Obes Rev. 2018;19(5):737–59.

Article  CAS  PubMed  Google Scholar 

Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES) survey methods and analytical guidelines. https://wwwn.cdc.gov/nchs/nhanes/analyticguidelines.aspx1. October 30, 2021.

Centers for Disease Control and Prevention. NCHS data linked to mortality files. Available at: https://www.cdc.gov/nchs/data_access/data_linkage/mortality.htm. Accessed October 31,2024.

Dong G, Gan M, Xu S, Xie Y, Zhou M, Wu L. The neutrophil-lymphocyte ratio as a risk factor for all-cause and cardiovascular mortality among individuals with diabetes: evidence from the NHANES 2003–2016. Cardiovasc Diabetol. 2023;22(1):267.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Li Y, Xia PF, Geng TT, et al. Trends in Self-Reported Adherence to Healthy Lifestyle Behaviors Among US Adults, 1999 to March 2020. JAMA Netw Open. 2023;6(7): e2323584.

Article  PubMed  PubMed Central  Google Scholar 

Zhang X, Ma N, Lin Q, et al. Body Roundness Index and All-Cause Mortality Among US Adults. JAMA Netw Open. 2024;7(6): e2415051.

Article  PubMed  PubMed Central  Google Scholar 

Kany S, Al-Alusi MA, Rämö JT, et al. Associations of “Weekend Warrior” Physical Activity With Incident Disease and Cardiometabolic Health. Circulation. 2024;150(16):1236–47.

Article  PubMed  Google Scholar 

Preston SH, Stokes A. Obesity paradox: conditioning on disease enhances biases in estimating the mortality risks of obesity. Epidemiology. 2014;25(3):454–61.

Article  PubMed  PubMed Central  Google Scholar 

Tee JYH, Gan WY, Lim PY. Comparisons of body mass index, waist circumference, waist-to-height ratio and a body shape index (ABSI) in predicting high blood pressure among Malaysian adolescents: a cross-sectional study. BMJ Open. 2020;10(1): e032874.

Article  PubMed  PubMed Central  Google Scholar 

Steele RM, Finucane FM, Griffin SJ, Wareham NJ, Ekelund U. Obesity is associated with altered lung function independently of physical activity and fitness. Obesity (Silver Spring). 2009;17(3):578–84.

Article  PubMed  Google Scholar 

Li J, Lv JL, Cao XY, et al. Gut microbiota dysbiosis as an inflammaging condition that regulates obesity-related retinopathy and nephropathy. Front Microbiol. 2022;13:1040846.

Article  PubMed  PubMed Central  Google Scholar 

Bawadi H, Abouwatfa M, Alsaeed S, Kerkadi A, Shi Z. Body shape index is a stronger predictor of diabetes. Nutrients. 2019;11(5):1018.

Article  PubMed  PubMed Central  Google Scholar 

Lu CY, Chen HH, Chi KH, Chen PC. Obesity indices and the risk of total and cardiovascular mortality among people with diabetes: a long-term follow-up study in Taiwan. Cardiovasc Diabetol. 2023;22(1):345.

Article  PubMed  PubMed Central  Google Scholar 

Krakauer NY, Krakauer JC. Dynamic association of mortality hazard with body shape. PLoS ONE. 2014;9(2): e88793.

Article  PubMed 

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