Associations between novel anthropometric indices and the prevalence of gallstones among 6,848 adults: a cross-sectional study

被引:11
作者
Zhang, Jie [1 ,2 ,3 ]
Liang, Depeng [1 ,2 ,3 ]
Xu, Lidong [1 ,2 ,3 ]
Liu, Yanhong [1 ,2 ,3 ]
Jiang, Shan [1 ,2 ,3 ]
Han, Xiaomeng [1 ,2 ,3 ]
Wu, Huili [1 ,2 ,3 ]
Jiang, Yuanyuan [1 ,2 ,3 ]
机构
[1] Zhengzhou Univ, Dept Gastroenterol, Zhengzhou Cent Hosp Affiliated, Zhengzhou, Peoples R China
[2] Henan Prov Med Key Lab Colorectal Canc Diag & Trea, Zhengzhou, Peoples R China
[3] Zhengzhou Key Lab Colorectal Canc Diag Treatment &, Zhengzhou, Peoples R China
来源
FRONTIERS IN NUTRITION | 2024年 / 11卷
关键词
novel anthropometric indices; gallstones; cross-sectional study; abdominal obesity; NHANES (National Health and Nutrition Examination Survey); BODY-MASS INDEX; METABOLIC SYNDROME; RISK-FACTOR; OBESITY; DISEASE; EPIDEMIOLOGY; MEN; BMI;
D O I
10.3389/fnut.2024.1428488
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background Traditional anthropometric measures, including body mass index (BMI), are insufficient for evaluating gallstone risk. This study investigated the association between novel anthropometric indices and gallstone risk among 6,848 participants from the National Health and Nutrition Examination Survey in the United States. Methods Measures calculated included weight (WT), BMI, waist circumference (WC), waist-to-height ratio (WtHR), conicity index (CI), A Body Shape Index (ABSI), Body Roundness Index (BRI), Abdominal Volume Index (AVI), and Weight-adjusted Waist Index (WWI). Logistic regression and smooth curve fitting assessed the relationships between these indices and gallstones, complemented by receiver operating characteristic (ROC) curve analysis to evaluate their discriminative power. Results The results indicated significant differences between study groups, with a positive and independent correlation identified between gallstones and all measures except ABSI. Specifically, per 1 SD increase in WC, WT, BMI, WtHR, and AVI was associated with a 57%, 59%, 52%, 53%, and 53% increased risk of gallstones, respectively. Dose-response analysis confirmed a positive correlation between these indices and gallstone risk. ROC analysis highlighted WtHR and BRI as having superior discriminative abilities (AUC = 0.6703). Further, among participants with a BMI < 30 kg/m2, elevated levels of WT, WtHR, CI, BRI, and WWI significantly increased the risk of gallstones (P < 0.001). Likewise, elevated BMI heightened the risk at low levels of WT, WC, WtHR, BRI, AVI, and CI (P < 0.001). Conclusion This study supports the positive association between various anthropometric indicators and gallstones, recommending that newer anthropometric indices be considered more extensively to enhance gallstone prevention and treatment strategies.
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页数:12
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