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Association of a body shape index and hip index with cardiometabolic risk factors in children and adolescents: the CASPIAN-V study

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An Author Correction to this article was published on 02 April 2021

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Abstract

Objective

This study designed to discover the link between a body shape index (ABSI) and hip index (HI) with cardiometabolic risk factors (CMRFs) in Iranian children and adolescents.

Subjects and methods

In a nationwide cross-sectional survey, 4200 students who were 7–18 years old were chosen via a multistage cluster sampling method in 30 provinces of Iran in 2015. Metabolic syndrome (MetS) was defined in line with the Adult Treatment Panel III criteria. ABSI and HI were defined as waist circumference (m)/ [body mass index 2/3 * height (m)1/2] and hip circumference (cm) *(height/ 166 cm)0.310 *(weight / 73 kg)−0.482 respectively. Association between ABSI and HI with CMRFs as categorical and continuous variables were evaluated using multivariable logistic and linear regression analysis respectively.

Results

Totally, information of 14,002 students and findings of blood samples of 3483 of them were involved in the current study. In the multivariable logistic regression, an association of HI with high triglyceride (TG) (OR: 0.99, 95 % CI: 0.98–0.99) and ABSI with MetS (OR: 11.41, 2.61–49.88) was statistically significant (P < 0.05). Also, both indices were significantly associated with overweight, generalized, and abdominal obesity. In the multivariable linear regression analysis, increasing HI (per one unit) was associated with body mass index z-score (z-BMI) (β: -0.01), waist circumference (WC) (β: 0.15), TG (β: -0.16), and systolic blood pressure (SBP) (β: -0.02). Moreover, in the multivariable linear models, ABSI was significantly associated with z-BMI, WC, SBP, and diastolic blood pressure (P < 0.001).

Conclusions

ABSI and HI as novel body shape indices were significantly associated with some CMRFs. Therefore, these indices can be used as some useful anthropometric risk indices for predicting MetS.

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Acknowledgements

The authors are thankful for all participants and a large team working on this project in different provinces.

Funding

Alborz University of Medical Sciences.

Author information

Authors and Affiliations

  1. Hematology, Oncology and Stem Cell Transplantation Research Center, Research Institute for Oncology, Hematology and Cell Therapy, Tehran University of Medical Sciences, Tehran, Iran

    Amir Kasaeian

  2. Digestive Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran

    Amir Kasaeian

  3. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non- Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

    Zeinab Hemati & Roya Kelishadi

  4. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Ramin Heshmat

  5. Center of Maritime Health and Society, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark

    Fereshteh Baygi

  6. Department of Nutritional Science, School of Nutritional Science and Food Technology, Kermanshah University of Medical Sciences, Kermanshah, Iran

    Javad Heshmati

  7. Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran

    Armita Mahdavi-Gorabi & Mohammad Esmaeili Abdar

  8. Pediatrics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

    Mohammad Esmaeil Motlagh

  9. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Gita Shafiee

  10. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran

    Mostafa Qorban

  11. Department of Epidemiology, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

    Mostafa Qorban

Authors
  1. Amir Kasaeian
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  2. Zeinab Hemati
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  4. Fereshteh Baygi
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  7. Mohammad Esmaeili Abdar
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  8. Mohammad Esmaeil Motlagh
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  11. Roya Kelishadi
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Corresponding authors

Correspondence to Mostafa Qorban or Roya Kelishadi.

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Ethics approval and consent to participate

The present study was approved by the Research and Ethics Council of Alborz University of Medical Sciences. After explaining the objectives and protocols of the study, written informed consent and verbal consent were obtained from all the children and adolescents, respectively.

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There are no conflicts of interest.

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The original online verson of this article was revised. The 4th author names is spelt Baygi.

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Kasaeian, A., Hemati, Z., Heshmat, R. et al. Association of a body shape index and hip index with cardiometabolic risk factors in children and adolescents: the CASPIAN-V study. J Diabetes Metab Disord 20, 285–292 (2021). https://doi.org/10.1007/s40200-021-00743-0

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