scholarly journals Are the body shape index, the body roundness index and waist‐to‐hip ratio better than BMI to predict recurrent pregnancy loss?

Author(s):  
Tunay Kiremitli ◽  
Sevil Kiremitli ◽  
Pasa Ulug ◽  
Kemal Dinc ◽  
Kemine Uzel ◽  
...  
Author(s):  
Julián F. Calderón-García ◽  
Raúl Roncero-Martín ◽  
Sergio Rico-Martín ◽  
Jorge M. De Nicolás-Jiménez ◽  
Fidel López-Espuela ◽  
...  

Introduction: The body roundness index (BRI) and a body shape index (ABSI) are novel anthropometric indices established to determine both the amount visceral adipose tissue and body fat. Objective: to investigate whether BRI and ABSI are better predictors of hypertension than body mass index (BMI), waist circumference (WC) or waist-to-height ratio (WHtR). Methods: A systematic search was conducted in the Scopus, PubMed and Web of Science databases up until 31 December 2020. Results: The estimated pooled area under curve [AUC (95% CI)] for BRI [0.67 (0.65–0.70)] for the prediction of hypertension were superior to that of ABSI (0.58 (0.56–0.60)), similar to that of BMI [0.67 (0.64–0.69)], and lower than those WC [0.68 (0.66–0.70)] and WHtR [0.68 (0.66–0.71)]. Nevertheless, the difference of BRI compared to WC and WHtR in the context of predicting hypertension was non-significant. ABSI was significantly lower (p < 0.05) than BRI, BMI, WC and WHtR. Similar findings were observed with the summary receiver operating characteristic curve (AUC-SROC). There were no significant differences between subgroups according to type of population or diagnostic criteria of hypertension. The diagnostic odds ratio (dORs) proved that increased BRI and ABSI were related with an elevated hypertension risk. Conclusions: BRI and ABSI have discriminatory power for hypertension in adult women and men from different populations. Although, WHtR and WC provided the best performance when assessing hypertension, no significant differences were found for BRI. Finally, BRI was significantly better predictor of hypertension than ABSI.


Author(s):  
Neha Agrawal ◽  
Navdeep Ghuman ◽  
Pratibha Singh ◽  
Priyanka Kathuria

The pregnancy is an immunocompromised state. Thus, autoimmune diseases may affect pregnancy and get worsen during pregnancy. Here authors discuss a rare autoimmune thrombophilia disorder, protein C and S deficiency which may cause recurrent pregnancy losses by affecting haemostatic mechanisms in the body. This patient with recurrent pregnancy loss when evaluated extensively was found to have combined inherited protein C and S deficiency. It was successfully managed with thromboprophylaxis therapy, which resulted in the delivery of healthy baby. Long term anticoagulant prophylaxis should be considered weighing the risk of bleeding to thrombotic recurrence in such cases. In conclusion, combined protein C and S deficiency and that too presenting as recurrent pregnancy loss is very rare. Thrombophilia screening should be considered in cases of recurrent pregnancy losses. Adequate and appropriate thromboprophylaxis is an important part of the management of pregnant women with inherited thrombophilia.


Author(s):  
Indrani Mukhopadhyay ◽  
V. Pruthviraj ◽  
Rao P. S. ◽  
Manash Biswas

Background: Recurrent pregnancy loss (RPL) affects about 5% of women. High levels of homocysteine, termed hyperhomocysteinemia, have been implicated in a number of pathologic processes in the venous and arterial vascular systems. Hyperhomocysteinemia in pregnant women has been associated with deep venous thrombosis, recurrent miscarriage, abruption placentae, preeclampsia, neural tube defects, and fetal growth restriction. This study aims at determining association between hyperhomocysteinemia and recurrent pregnancy loss and also association of folic acid (vitamin B 9) and vitamin B 12 with hyperhomocysteinemia (HHCY), in reducing its levels in the body and thus preventing obstetric complications.Methods: A prospective study of pregnant mothers booked at our hospital over a period of two years with history of unexplained RPL were included in the study and their serum homocysteine levels were assessed. Hyperhomocysteinemia (>12 micromol/l) patients were treated with folic acid and vitamin B12 supplements and homocysteine levels were assessed again, post treatment.Results: Out of the 100 patients who were assessed, 32% of RPL patients had hyperhomocysteinemia. Folic acid and VitB12 supplementation reduced homocysteine levels and this was found to be statistically significant.Conclusions: Hyperhomocysteinemia is associated with RPL. Vitamin supplementation to those with hyperhomocysteinemia, decreases homocysteine levels.


Objective: This paper aims at optimal metrology for defining healthy weights in humans using weight-height ratios. Study Design: Normal appearing Caucasian males and females of any age and height were stochastically selected individually and grouped into cohorts of gender, different heights and ages, in order to apply rigorous statistical analyses, using the least squares method of Gauss. Methods: 246 Caucasian males and 258 Caucasian females of “normal” appearance represent an unbiased stochastically selected cohort sufficiently large to analyse statistically individual and cohort values for Body-MassIndex, kg/m2 , and Body-Shape-Index, kg/m3 , relating to gender, height, and age. Results: For Caucasians taller than ~1.2m the BMI is largely inferior to the BSI. In adults, the single average normal weight BSI value is 12.54 for males and 12.36 for females, with standard deviations of 1.67 and 1.95, respectively. For children smaller than ~1.2m the BMI is superior showing at normal weight an average value of ~16.0 for males and ~15.2 for females, with standard deviations of 1.70 for males and 1.66 for females. The difference between BMI and BSI applicability lies in the proportionality of body shapes changing with growth from childhood to adults. Conclusions: The BMI is the choice for weight control only of children of <1.2m. In individuals taller than 1.7m, a single BMI value introduces serious errors and should not be used. The BSI provides a stable value with height >1.2m and should replace the BMI. - BSI and BMI cut-off values are given for severe underweight, overweight and obesity for males and females for clinical guidance and use in public health.


BMJ ◽  
2020 ◽  
pp. m3324 ◽  
Author(s):  
Ahmad Jayedi ◽  
Sepideh Soltani ◽  
Mahdieh Sadat Zargar ◽  
Tauseef Ahmad Khan ◽  
Sakineh Shab-Bidar

AbstractObjectiveTo quantify the association of indices of central obesity, including waist circumference, hip circumference, thigh circumference, waist-to-hip ratio, waist-to-height ratio, waist-to-thigh ratio, body adiposity index, and A body shape index, with the risk of all cause mortality in the general population, and to clarify the shape of the dose-response relations.DesignSystematic review and meta-analysis.Data sourcesPubMed and Scopus from inception to July 2019, and the reference lists of all related articles and reviews.Eligibility criteria for selecting studiesProspective cohort studies reporting the risk estimates of all cause mortality across at least three categories of indices of central fatness. Studies that reported continuous estimation of the associations were also included.Data synthesisA random effects dose-response meta-analysis was conducted to assess linear trend estimations. A one stage linear mixed effects meta-analysis was used for estimating dose-response curves.ResultsOf 98 745 studies screened, 1950 full texts were fully reviewed for eligibility. The final analyses consisted of 72 prospective cohort studies with 2 528 297 participants. The summary hazard ratios were as follows: waist circumference (10 cm, 3.94 inch increase): 1.11 (95% confidence interval 1.08 to 1.13, I2=88%, n=50); hip circumference (10 cm, 3.94 inch increase): 0.90 (0.81 to 0.99, I2=95%, n=9); thigh circumference (5 cm, 1.97 inch increase): 0.82 (0.75 to 0.89, I2=54%, n=3); waist-to-hip ratio (0.1 unit increase): 1.20 (1.15 to 1.25, I2=90%, n=31); waist-to-height ratio (0.1 unit increase): 1.24 (1.12 to 1.36, I2=94%, n=11); waist-to-thigh ratio (0.1 unit increase): 1.21 (1.03 to 1.39, I2=97%, n=2); body adiposity index (10% increase): 1.17 (1.00 to 1.33, I2=75%, n=4); and A body shape index (0.005 unit increase): 1.15 (1.10 to 1.20, I2=87%, n=9). Positive associations persisted after accounting for body mass index. A nearly J shaped association was found between waist circumference and waist-to-height ratio and the risk of all cause mortality in men and women. A positive monotonic association was observed for waist-to-hip ratio and A body shape index. The association was U shaped for body adiposity index.ConclusionsIndices of central fatness including waist circumference, waist-to-hip ratio, waist-to-height ratio, waist-to-thigh ratio, body adiposity index, and A body shape index, independent of overall adiposity, were positively and significantly associated with a higher all cause mortality risk. Larger hip circumference and thigh circumference were associated with a lower risk. The results suggest that measures of central adiposity could be used with body mass index as a supplementary approach to determine the risk of premature death.


2017 ◽  
Vol 35 ◽  
pp. e243-e244
Author(s):  
L. Gomez-Sanchez ◽  
L. Garcia-Ortiz ◽  
M.C. Patino-Alonso ◽  
J.I. Recio-Rodriguez ◽  
F. Rigo ◽  
...  

2006 ◽  
Vol 273 (1600) ◽  
pp. 2427-2432 ◽  
Author(s):  
H. Martin Schaefer ◽  
Nina Stobbe

Natural selection shapes the evolution of anti-predator defences, such as camouflage. It is currently contentious whether crypsis and disruptive coloration are alternative mechanisms of camouflage or whether they are interrelated anti-predator defences. Disruptively coloured prey is characterized by highly contrasting patterns to conceal the body shape, whereas cryptic prey minimizes the contrasts to background. Determining bird predation of artificial moths, we found that moths which were dissimilar from the background but sported disruptive patterns on the edge of their wings survived better in heterogeneous habitats than did moths with the same patterns inside of the wings and better than cryptic moths. Despite lower contrasts to background, crypsis did not provide fitness benefits over disruptive coloration on the body outline. We conclude that disruptive coloration on the edge camouflages its bearer independent of background matching. We suggest that this result is explainable because disruptive coloration is effective by exploiting predators' cognitive mechanisms of prey recognition and not their sensory mechanisms of signal detection. Relative to disruptive patterns on the body outline, disruptive markings on the body interior are less effective. Camouflage owing to disruptive coloration on the body interior is background-specific and is as effective as crypsis in heterogeneous habitats. Hence, we hypothesize that two proximate mechanisms explain the diversity of visual anti-predator defences. First, disruptive coloration on the body outline provides camouflage independent of the background. Second, background matching and disruptive coloration on the body interior provide camouflage, but their protection is background-specific.


2020 ◽  
Vol 73 (2) ◽  
pp. 302-305
Author(s):  
Nataliya M. Poberezhna ◽  
Serhii T. Omelchuk ◽  
Serhii A. Pavlovskyi ◽  
Maryna O. Pavlovska

The aim of the study was to identify certain health features among healthy people that can serve as a risk factor and lead to the further development of metabolic syndrome. Materials and methods: A total of 79 men, completely health, were interviewed during 2019 at the Center for Health and Longevity Technology (Kyiv) to assess their health and further correction recommendations for identified abnormalities and available changes. The mean age of men was (37.18 ± 0.89) years. Non-invasive methods were used in the study: determination of anthropometric parameters – height, body weight, waist circumference, abdomen, index of ratio of waist-to-waist circumference, body mass index, body shape index. The constituent compositions of the body were performed with an InBody 220 apparatus with impedance analysis. The metabolic profile was evaluated using FITMATE, a portable metabological device. The cardiovascular profile was determined in the CARDIOLAB + HRV system. The obtained digital data were processed by the method of variational statistics using Microsoft Excel 7.0. Results: It was found that in 44 (54.4%) of the surveyed men, the waist circumference exceeded 94 cm. The largest number of such persons was found among men aged 31-40 years – (29.11% of the surveyed in this group) and persons aged 41-50 years – 21.52%. Fat distribution (waist circumference / hip circumference) averaged (0.83 ± 0.02). The difference in the body shape index between the group of young persons and groups of older men was established. The predisposition to metabolic disorders is established in 49,37% of cases. Determination of metabolic profile revealed a deviation toward an increase in actual metabolism in 15 people and 15 – in the direction of reducing it. Conclusions: Thus, the results of a thorough examination of healthy men showed that they may have health changes that characterize the early signs of disease risk, and their presence can be detected by simple non-invasive research methods. The doctor’s task is to assign an in-depth study of the risk factors for the development of a particularly common in our time prevalence of a complex multicomponent metabolic syndrome, which includes the symptoms of the defeat of many body systems, in particular, the endocrine, cardiovascular, urinary and other in order to preserve human health and to recognize it as early as possible, prevent it and avoid complications.


2021 ◽  
Vol 4 (35) ◽  
pp. 392-401
Author(s):  
Joene Vitória Rocha Santos ◽  
Bruna Yhang da Costa Silva

Introduction: Women with polycystic ovary syndrome have several hormonal and metabolic changes in common, among which peripheral insulin resistance stands out, which manifests itself more frequently in those with overweight or obesity. The objective of this study was to evaluate the nutritional status of patients with polycystic ovary syndrome and to correlate the most recent anthropometric indexes proposed with traditional ones. Methods: The research had a quantitative, transversal and analytical approach. The participants were 40 women, aged 20 to 59 years, from the city of Jaguaruana - Ceará. A questionnaire was applied in order to obtain information about cultural and socioeconomic history, clinical history, history of the current disease and revision of the body systems pertinent to the disease. The body mass index (BMI), waist circumference (WC), waist-hip ratio (WHR), body adiposity index (ABSI), body shape index and body shape index, which is an indicator of premature mortality and excess abdominal adiposity and body roundness index (BRI), which is a great predictor of the percentage of body fat and visceral adipose tissue. Results: When assessing BMI, it was seen that eutrophy was the predominant category (40%). However, 55% of the participants had some degree of excess weight (pre-obesity or obesity). Most participants were not at risk for cardiovascular disease in relation to the diagnoses of WC and WHR. As for the new indices, it was inferred that the predominant body shape in the sample is slightly rounded. Conclusions: It was found that the participants within the largest ABSI tertiles were also shown to have higher WHR values. As for the BRI, a directly proportional relationship was observed among the averages of its tertiles and those of the traditional indices/measures. The association between traditional and the most recently proposed anthropometric indices/measures allows for a better and more complete interpretation of nutritional status, especially if performed in a serial manner


2018 ◽  
Vol 11 (2) ◽  
pp. 113
Author(s):  
Anastasia Prastiwi Switeng Siwi Siwi ◽  
Triska Susila Nindya

Dissatisfaction with body shape are common among young women. Therefore, they always trying to get their ideal body shape. One of the effort to get ideal body shape is applying vegetarian diet. This study aimed to analyze the association between  body image and body mass index ( BMI) and waist to hip ratio (WHR) among   young women vegetarian. The study was a cross sectional with quantitative approach among 32   young women vegetarian in Surabaya. The  body image perception was obtained using a questionnaire. The nutritional status was obtained from weight and height measurement, and WHR was obtained by measuring waist and hip circumference. This study showed that as many as 23 respondents (71.9%) had a positive perception of  body image, as many as 22 respondents (68.7%) had WHR <0.8 cm, and a total of 19 respondents (59.3%) had a normal  BMI. There was an association between  body image and  BMI (p=0.014), but there was no association between b ody image and WHR (p=0.653). This study conclude that b ody image is associated to  BMI but not WHR


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