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Review

Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies

by
Julián F. Calderón-García
1,†,
Raúl Roncero-Martín
1,†,
Sergio Rico-Martín
1,*,
Jorge M. De Nicolás-Jiménez
2,
Fidel López-Espuela
1,
Esperanza Santano-Mogena
1,
Pilar Alfageme-García
3 and
Juan F. Sánchez Muñoz-Torrero
4
1
Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura, 10003 Cáceres, Spain
2
Department of Public Health, Centro de Salud Zona Centro de Cáceres, Servicio Extremeño de Salud, 10001 Cáceres, Spain
3
Department of Nursing, Centro Universitario de Plasencia, 10600 Plasencia, Spain
4
Department of Internal Medicine, Hospital Universitario de Cáceres, 10003 Cáceres, Spain
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2021, 18(21), 11607; https://doi.org/10.3390/ijerph182111607
Submission received: 20 September 2021 / Revised: 29 October 2021 / Accepted: 1 November 2021 / Published: 4 November 2021
(This article belongs to the Special Issue The Risk of Obesity, Cardiovascular Disease and Diabetes)
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Abstract

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.
Keywords: body roundness index; a body shape index; hypertension; anthropometric indices; systematic review; meta-analysis body roundness index; a body shape index; hypertension; anthropometric indices; systematic review; meta-analysis

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MDPI and ACS Style

Calderón-García, J.F.; Roncero-Martín, R.; Rico-Martín, S.; De Nicolás-Jiménez, J.M.; López-Espuela, F.; Santano-Mogena, E.; Alfageme-García, P.; Sánchez Muñoz-Torrero, J.F. Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies. Int. J. Environ. Res. Public Health 2021, 18, 11607. https://doi.org/10.3390/ijerph182111607

AMA Style

Calderón-García JF, Roncero-Martín R, Rico-Martín S, De Nicolás-Jiménez JM, López-Espuela F, Santano-Mogena E, Alfageme-García P, Sánchez Muñoz-Torrero JF. Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies. International Journal of Environmental Research and Public Health. 2021; 18(21):11607. https://doi.org/10.3390/ijerph182111607

Chicago/Turabian Style

Calderón-García, Julián F., Raúl Roncero-Martín, Sergio Rico-Martín, Jorge M. De Nicolás-Jiménez, Fidel López-Espuela, Esperanza Santano-Mogena, Pilar Alfageme-García, and Juan F. Sánchez Muñoz-Torrero. 2021. "Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies" International Journal of Environmental Research and Public Health 18, no. 21: 11607. https://doi.org/10.3390/ijerph182111607

APA Style

Calderón-García, J. F., Roncero-Martín, R., Rico-Martín, S., De Nicolás-Jiménez, J. M., López-Espuela, F., Santano-Mogena, E., Alfageme-García, P., & Sánchez Muñoz-Torrero, J. F. (2021). Effectiveness of Body Roundness Index (BRI) and a Body Shape Index (ABSI) in Predicting Hypertension: A Systematic Review and Meta-Analysis of Observational Studies. International Journal of Environmental Research and Public Health, 18(21), 11607. https://doi.org/10.3390/ijerph182111607

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