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      Relationship between the novel and traditional anthropometric indices and subclinical atherosclerosis evaluated by carotid intima-media thickness (c-IMT)

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          Abstract

          Introduction

          Over the last few years, novel anthropometric indices have been developed as an alternative to body mass index (BMI) and other traditional anthropometric measurements to enhance the estimate of fat proportion and its relationship to a future cardiovascular event. The purpose of this study was to investigate the association of carotid intima-media thickness (c-IMT) estimated by Doppler ultrasound with current anthropometric indices (traditional and novel).

          Methods

          A cross-sectional study was conducted on a total of 789 Spanish patients. Traditional (BMI, WHR, and WHtR) and new (WWI, AVI, ABSI, BRI, BAI, CUN-BAE, and CI) anthropometric indices were determined, and carotid Doppler ultrasound was performed to evaluate c-IMT (≥0.90 mm).

          Results

          Most of the anthropometric indices analyzed were significantly higher among patients with pathological c-IMT, except for BMI, BAI, and CUN-BAE. In multiple linear regression analysis, c-IMT was positively related to ABSI, AVI, BRI, CI, and WWI but not to CUN-BAE, BAI, or traditional anthropometric indices. Similarly, in univariate analysis, all indices were associated with a c-IMT of ≥0.90 mm ( p < 0.05), except BMI, BAI, and CUN-BAE; however, only ABSI (adjusted OR: 1.61; 95% CI: 1.08–2.40; p = 0.017), CI (adjusted OR: 1.73; 95% CI: 1.15–2.60; p = 0.008), and WWI (adjusted OR: 1.74; 95% CI: 1.14–2.64; p = 0.009) were significantly associated in multivariate analysis. Finally, CI, ABSI, and WWI provided the largest AUC, and BMI and CUN-BAE showed the lowest AUC.

          Conclusion

          ABSI, CI, and WWI were positively associated with pathological c-IMT (≥0.90 mm), independent of other confounders.

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          Most cited references66

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          2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk

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            Heart Disease and Stroke Statistics—2022 Update: A Report From the American Heart Association

            Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, diet, and weight) and health factors (cholesterol, blood pressure, and glucose control) that contribute to cardiovascular health. The Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, congenital heart disease, rhythm disorders, subclinical atherosclerosis, coronary heart disease, heart failure, valvular disease, venous disease, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). Methods: The American Heart Association, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current information available in the annual Statistical Update. The 2022 Statistical Update is the product of a full year’s worth of effort by dedicated volunteer clinicians and scientists, committed government professionals, and American Heart Association staff members. This year’s edition includes data on the monitoring and benefits of cardiovascular health in the population and an enhanced focus on social determinants of health, adverse pregnancy outcomes, vascular contributions to brain health, and the global burden of cardiovascular disease and healthy life expectancy. Results: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. Conclusions: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.
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              2021 ESC Guidelines on cardiovascular disease prevention in clinical practice

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                Author and article information

                Contributors
                Journal
                Front Nutr
                Front Nutr
                Front. Nutr.
                Frontiers in Nutrition
                Frontiers Media S.A.
                2296-861X
                30 June 2023
                2023
                : 10
                : 1170450
                Affiliations
                [1] 1Department of Internal Medicine, Hospital Comarcal de la Axarquía , Málaga, Spain
                [2] 2Department of Nursing, Nursing and Occupational Therapy College, University of Extremadura , Cáceres, Spain
                [3] 3Department of Internal Medicine, Hospital San Pedro Alcántara , Cáceres, Spain
                [4] 4Department of Internal Medicine, Hospital Virgen Del Puerto, Plasencia , Cáceres, Spain
                [5] 5Department of Family Medicine, Hospital of Menorca , Minorca, Spain
                [6] 6Department of Nursing, Faculty of Medicine and Health Science, University of Extremadura , Badajoz, Spain
                [7] 7Department of Nursing, University of Évora , Evora, Portugal
                [8] 8Department of Nursing, Comprehensive Health Research Centre (CHRC) , Evora, Portugal
                Author notes

                Edited by: Michael Schmidt, Sovaris Aerospace, LLC, United States

                Reviewed by: Naoko Nakanishi, Kyoto Prefectural University of Medicine, Japan; Ramona Stroescu, Victor Babes University of Medicine and Pharmacy, Romania

                *Correspondence: Sergio Rico-Martín sergiorico@ 123456unex.es

                †These authors have contributed equally to this work

                Article
                10.3389/fnut.2023.1170450
                10348712
                6b2356a9-8cde-4d7f-b6e3-d9bb54334400
                Copyright © 2023 Costo-Muriel, Calderón-García, Rico-Martín, Galán-González, Escudero-Sánchez, Sánchez-Bacaicoa, Rodríguez-Velasco, Santano-Mogena, Fonseca and Muñoz-Torrero.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 14 March 2023
                : 12 June 2023
                Page count
                Figures: 2, Tables: 5, Equations: 0, References: 66, Pages: 10, Words: 7244
                Funding
                This research was funded by FEDER, Programa Interreg VA España-Portugal (POCTEP), Instituto Internacional de Investigação e Inovação em Envelhecimento–Capitaliza. 0786_CAP4ie_4_P.
                Categories
                Nutrition
                Original Research
                Custom metadata
                Clinical Nutrition

                anthropometric indices,carotid intima-media thickness,cardiovascular risk factors,subclinical atherosclerosis,carotid ultrasonography

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