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A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study

Identificadores del recurso

Gomez-Marcos MA, Gomez-Sanchez L, Patino-Alonso MC, Recio-Rodriguez JI, Gomez-Sanchez M, Rigo Carratala F, et al. A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study. Medicine (Baltimore). 2018 Nov;97(47):e13299.

0025-7974

http://hdl.handle.net/20.500.13003/17274

10.1097/MD.0000000000013299

1536-5964

30461641

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2-s2.0-85056803177

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Procedència

(Docusalut. Repositorio institucional del sistema sanitario público de las Islas Baleares)

Fitxa

Títol:: A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study
Tema:: Area Under Curve; Cardiovascular Diseases; Anthropometry; Aged; European Continental Ancestry Group; Spain; Adult; Risk Assessment; Humans; Pulse Wave Analysis; Middle Aged; Cross-Sectional Studies; Longitudinal Studies; Male; Carotid Intima-Media Thickness; Female; Risk Factors; Regression Analysis; Ultrasonography; Ankle Brachial Index; Análisis de la Onda del Pulso; Ultrasonografía; Femenino; Grupo de Ascendencia Continental Europea; Masculino; Estudios Transversales; Factores de Riesgo; Índice Tobillo Braquial; Estudios Longitudinales; Humanos; Persona de Mediana Edad; Anciano; Antropometría; Medición de Riesgo; Grosor Intima-Media Carotídeo; Enfermedades Cardiovasculares; Adulto; Análisis de Regresión; España; Área Bajo la Curva; a body shape index; brachial ankle pulse wave velocity; cardio ankle vascular index; carotid intima media thickness; intermediate cardiovascular risk
Descripció:: A body shape index (ABSI) has been introduced as a marker of the relationship between body composition and all-cause mortality. However, until now, the relationships between ABSI and vascular structure and function have not been evaluated. The aim of this study was to investigate the association of ABSI with vascular structure and function in Spanish adults with intermediate cardiovascular risk. This cross-sectional study analyzed the data of 2354 subjects [age, 35-74 years (median, 62.0 years [range, 56.0-67.0 years]), 61.9% men] enrolled into the MediAte Risk management (MARK) study. ABSI was calculated by using the following formula: ABSI=waist circumference (m)/[body mass index(2/3) x height (m)(1/2))]. Vascular function was assessed by measuring cardio-ankle vascular index (CAVI) with the VaSera device and brachial ankle pulse wave velocity (baPWV) by using a validated equation. Vascular structure was assessed by measuring carotid intima-media thickness (IMT) by ultrasonography. Median value of ABSI was 0.083 (range, 0.081-0.090), mean CAVI was (8.5 +/- 1.2), and median IMT was 0.727 (range, 0.672-0.799). The values of ABSI and CAVI were higher in men. After adjusting for confounders, ABSI was positively associated with CAVI, baPWV, and average mean IMT. Thus, for each unit increase in ABSI, CAVI increased by 0.16 units, baPWV by 0.25m/s, and IMT by 0.033mm. In the logistic regression analysis, the odds ratio of ABSI was>1 for high CAVI >= 9, baPWV >= 15m/s, and IMT >= 0.90mm in the overall subject group, and in the sex-and age-specific (>62 years, <= 62 years) subgroups, after adjusting for confounders. The area under the receiver-operating characteristic curve of the ABSI was 0.631 (95% confidence interval [CI], 0.608-0.654) for CAVI >= 9, and 0.617 (95% CI, 0.593-0.641) for high baPWV >= 15m/s. ABSI showed a positive association with vascular structure and function, independent of other confounders that might influenceweight and fat mass distribution in Spanish subjects at intermediate cardiovascular risk.; This work was supported by grants from the Spanish Ministry of Science and Innovation (MICINN), the Carlos III Health Institute/European Regional Development Fund (ERDF) (MICINN, ISCIII/FEDER) (Red RedIAPP RD06/0018, Research Groups: RD16/0007/0003, RD16/0007/0004, RD16/0007/0008), the Health Research Fund (PI10/01088, PI10/02077, PI10/02043; PI13/01930), and the Regional Health Management of Castile and Leon (GRS 635/A/11; GRS 906/B/14).
Idioma:: English
Relació:: https://dx.doi.org/10.1097/MD.0000000000013299
Autor/Productor:: Gomez-Marcos, Manuel A.; Gomez-Sanchez, Leticia; Carmen Patino-Alonso, Maria; Recio-Rodriguez, Jose I.; Gomez-Sanchez, Marta; Rigo, Fernando; Marti, Ruth; Agudo-Conde, Cristina; Ramos, Rafel; Rodriguez-Sanchez, Emiliano; Maderuelo-Fernandez, Jose A.; Garcia-Ortiz, Luis; MARK Grp
Editor:: Lippincott Williams & Wilkins
Drets:: Attribution-NonCommercial 4.0 International; http://creativecommons.org/licenses/by-nc/4.0/; open access
Data:: 2021-08-26T06:55:08Z; 2018-11
Tipo de recurso:: research article

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1. <dc:title>A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study</dc:title>
2. <dc:creator>Gomez-Marcos, Manuel A.</dc:creator>
3. <dc:creator>Gomez-Sanchez, Leticia</dc:creator>
4. <dc:creator>Carmen Patino-Alonso, Maria</dc:creator>
5. <dc:creator>Recio-Rodriguez, Jose I.</dc:creator>
6. <dc:creator>Gomez-Sanchez, Marta</dc:creator>
7. <dc:creator>Rigo, Fernando</dc:creator>
8. <dc:creator>Marti, Ruth</dc:creator>
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13. <dc:creator>Garcia-Ortiz, Luis</dc:creator>
14. <dc:creator>MARK Grp</dc:creator>
15. <dc:subject>Area Under Curve</dc:subject>
16. <dc:subject>Cardiovascular Diseases</dc:subject>
17. <dc:subject>Anthropometry</dc:subject>
18. <dc:subject>Aged</dc:subject>
19. <dc:subject>European Continental Ancestry Group</dc:subject>
20. <dc:subject>Spain</dc:subject>
21. <dc:subject>Adult</dc:subject>
22. <dc:subject>Risk Assessment</dc:subject>
23. <dc:subject>Humans</dc:subject>
24. <dc:subject>Pulse Wave Analysis</dc:subject>
25. <dc:subject>Middle Aged</dc:subject>
26. <dc:subject>Cross-Sectional Studies</dc:subject>
27. <dc:subject>Longitudinal Studies</dc:subject>
28. <dc:subject>Male</dc:subject>
29. <dc:subject>Carotid Intima-Media Thickness</dc:subject>
30. <dc:subject>Female</dc:subject>
31. <dc:subject>Risk Factors</dc:subject>
32. <dc:subject>Regression Analysis</dc:subject>
33. <dc:subject>Ultrasonography</dc:subject>
34. <dc:subject>Ankle Brachial Index</dc:subject>
35. <dc:subject>Análisis de la Onda del Pulso</dc:subject>
36. <dc:subject>Ultrasonografía</dc:subject>
37. <dc:subject>Femenino</dc:subject>
38. <dc:subject>Grupo de Ascendencia Continental Europea</dc:subject>
39. <dc:subject>Masculino</dc:subject>
40. <dc:subject>Estudios Transversales</dc:subject>
41. <dc:subject>Factores de Riesgo</dc:subject>
42. <dc:subject>Índice Tobillo Braquial</dc:subject>
43. <dc:subject>Estudios Longitudinales</dc:subject>
44. <dc:subject>Humanos</dc:subject>
45. <dc:subject>Persona de Mediana Edad</dc:subject>
46. <dc:subject>Anciano</dc:subject>
47. <dc:subject>Antropometría</dc:subject>
48. <dc:subject>Medición de Riesgo</dc:subject>
49. <dc:subject>Grosor Intima-Media Carotídeo</dc:subject>
50. <dc:subject>Enfermedades Cardiovasculares</dc:subject>
51. <dc:subject>Adulto</dc:subject>
52. <dc:subject>Análisis de Regresión</dc:subject>
53. <dc:subject>España</dc:subject>
54. <dc:subject>Área Bajo la Curva</dc:subject>
55. <dc:subject>a body shape index</dc:subject>
56. <dc:subject>brachial ankle pulse wave velocity</dc:subject>
57. <dc:subject>cardio ankle vascular index</dc:subject>
58. <dc:subject>carotid intima media thickness</dc:subject>
59. <dc:subject>intermediate cardiovascular risk</dc:subject>
60. <dc:description>A body shape index (ABSI) has been introduced as a marker of the relationship between body composition and all-cause mortality. However, until now, the relationships between ABSI and vascular structure and function have not been evaluated. The aim of this study was to investigate the association of ABSI with vascular structure and function in Spanish adults with intermediate cardiovascular risk. This cross-sectional study analyzed the data of 2354 subjects [age, 35-74 years (median, 62.0 years [range, 56.0-67.0 years]), 61.9% men] enrolled into the MediAte Risk management (MARK) study. ABSI was calculated by using the following formula: ABSI=waist circumference (m)/[body mass index(2/3) x height (m)(1/2))]. Vascular function was assessed by measuring cardio-ankle vascular index (CAVI) with the VaSera device and brachial ankle pulse wave velocity (baPWV) by using a validated equation. Vascular structure was assessed by measuring carotid intima-media thickness (IMT) by ultrasonography. Median value of ABSI was 0.083 (range, 0.081-0.090), mean CAVI was (8.5 +/- 1.2), and median IMT was 0.727 (range, 0.672-0.799). The values of ABSI and CAVI were higher in men. After adjusting for confounders, ABSI was positively associated with CAVI, baPWV, and average mean IMT. Thus, for each unit increase in ABSI, CAVI increased by 0.16 units, baPWV by 0.25m/s, and IMT by 0.033mm. In the logistic regression analysis, the odds ratio of ABSI was>1 for high CAVI >= 9, baPWV >= 15m/s, and IMT >= 0.90mm in the overall subject group, and in the sex-and age-specific (>62 years, <= 62 years) subgroups, after adjusting for confounders. The area under the receiver-operating characteristic curve of the ABSI was 0.631 (95% confidence interval [CI], 0.608-0.654) for CAVI >= 9, and 0.617 (95% CI, 0.593-0.641) for high baPWV >= 15m/s. ABSI showed a positive association with vascular structure and function, independent of other confounders that might influenceweight and fat mass distribution in Spanish subjects at intermediate cardiovascular risk.</dc:description>
61. <dc:description>This work was supported by grants from the Spanish Ministry of Science and Innovation (MICINN), the Carlos III Health Institute/European Regional Development Fund (ERDF) (MICINN, ISCIII/FEDER) (Red RedIAPP RD06/0018, Research Groups: RD16/0007/0003, RD16/0007/0004, RD16/0007/0008), the Health Research Fund (PI10/01088, PI10/02077, PI10/02043; PI13/01930), and the Regional Health Management of Castile and Leon (GRS 635/A/11; GRS 906/B/14).</dc:description>
62. <dc:date>2021-08-26T06:55:08Z</dc:date>
63. <dc:date>2021-08-26T06:55:08Z</dc:date>
64. <dc:date>2018-11</dc:date>
65. <dc:type>research article</dc:type>
66. <dc:identifier>Gomez-Marcos MA, Gomez-Sanchez L, Patino-Alonso MC, Recio-Rodriguez JI, Gomez-Sanchez M, Rigo Carratala F, et al. A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study. Medicine (Baltimore). 2018 Nov;97(47):e13299.</dc:identifier>
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  15. <dc:description>A body shape index (ABSI) has been introduced as a marker of the relationship between body composition and all-cause mortality. However, until now, the relationships between ABSI and vascular structure and function have not been evaluated. The aim of this study was to investigate the association of ABSI with vascular structure and function in Spanish adults with intermediate cardiovascular risk. This cross-sectional study analyzed the data of 2354 subjects [age, 35-74 years (median, 62.0 years [range, 56.0-67.0 years]), 61.9% men] enrolled into the MediAte Risk management (MARK) study. ABSI was calculated by using the following formula: ABSI=waist circumference (m)/[body mass index(2/3) x height (m)(1/2))]. Vascular function was assessed by measuring cardio-ankle vascular index (CAVI) with the VaSera device and brachial ankle pulse wave velocity (baPWV) by using a validated equation. Vascular structure was assessed by measuring carotid intima-media thickness (IMT) by ultrasonography. Median value of ABSI was 0.083 (range, 0.081-0.090), mean CAVI was (8.5 +/- 1.2), and median IMT was 0.727 (range, 0.672-0.799). The values of ABSI and CAVI were higher in men. After adjusting for confounders, ABSI was positively associated with CAVI, baPWV, and average mean IMT. Thus, for each unit increase in ABSI, CAVI increased by 0.16 units, baPWV by 0.25m/s, and IMT by 0.033mm. In the logistic regression analysis, the odds ratio of ABSI was>1 for high CAVI >= 9, baPWV >= 15m/s, and IMT >= 0.90mm in the overall subject group, and in the sex-and age-specific (>62 years, <= 62 years) subgroups, after adjusting for confounders. The area under the receiver-operating characteristic curve of the ABSI was 0.631 (95% confidence interval [CI], 0.608-0.654) for CAVI >= 9, and 0.617 (95% CI, 0.593-0.641) for high baPWV >= 15m/s. ABSI showed a positive association with vascular structure and function, independent of other confounders that might influenceweight and fat mass distribution in Spanish subjects at intermediate cardiovascular risk.</dc:description>
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