ArticlePloS one2017
Body shape index: Sex-specific differences in predictive power for all-cause mortality in the Japanese population.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.
- Central fatness and risk of all cause mortality: systematic review and dose-response meta-analysis of 72 prospective cohort studies.BMJ (Clinical research ed.) · 2020Pooled it
- Trial
- A body shape index trajectories and cognitive function among older hypertensive patients: a national cohort study.Archives of public health = Archives belges de sante publique · 2026Article
- Associations of changes in waist-to-height ratio with all-cause mortality among Chinese older adults: a national cohort study.Frontiers in nutrition · 2026Article
- Inverted L-shape association between a body shape index and peak expiratory flow among middle-aged and older adults: findings from the China Health and Retirement Longitudinal Study (CHARLS).Lipids in health and disease · 2025Article
- The combined impact of BMI and ABSI on all-cause mortality among American adults with diabetes.Diabetology & metabolic syndrome · 2025Article
- A Body Shape Index as a Simple Anthropometric Marker for the Risk of Cardiovascular Events.Current cardiology reports · 2025Review
- Body shape index: an index for early target organ damage in hypertension.American journal of translational research · 2025Article
- Strengths and Limitations of BMI in the Diagnosis of Obesity: What is the Path Forward?Current obesity reports · 2024Review
- Article
- Comparative analysis of body mass index and obesity-related anthropometric indices for mortality prediction: a study of the Namwon and Dong-gu cohort in Korea.Epidemiology and health · 2024Article
- A Body Shape Index and Aortic Disease-Related Mortality in Japanese General Population.Journal of atherosclerosis and thrombosis · 2023Article
- Perceived urban environment attributes and obesity indices in adults: an 8-Nation study from Latin America.Scientific reports · 2022Article
- The Use of Different Anthropometric Indices to Assess the Body Composition of Young Women in Relation to the Incidence of Obesity, Sarcopenia and the Premature Mortality Risk.International journal of environmental research and public health · 2022Observational
- Association of a Body Shape Index as a Novel Anthropometric Indicator with Subclinical Atherosclerosis.Journal of atherosclerosis and thrombosis · 2022Article
- Enhanced prediction of renal function decline by replacing waist circumference with "A Body Shape Index (ABSI)" in diagnosing metabolic syndrome: a retrospective cohort study in Japan.International journal of obesity (2005) · 2022Article
- Association of Sarcopenia and A Body Shape Index With Overall and Cause-Specific Mortality.Frontiers in endocrinology · 2022Observational
- Article
- A body shape index is associated with endothelial dysfunction in both men and women.Scientific reports · 2021Article
- A Body Shape Index (ABSI), hip index, and risk of cancer in the UK Biobank cohort.Cancer medicine · 2021Article
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Authors and funding
13 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile body mass index (BMI) is the most widely used anthropometric measure, its association with all-cause mortality is generally J-shaped or U-shaped. A body shape index (ABSI) is a recently formulated anthropometric measure that shows linear relationship to all-cause mortality, especially in Caucasian cohorts. We aimed to address the relationship between ABSI and all-cause mortality in Asians and to assess the influence of sex difference and of chronic kidney disease (CKD) on this relationship.
methodsThis was a longitudinal cohort study assessing the association of ABSI, BMI, waist circumference (WC), and waist-to-height ratio (WHtR) with all-cause mortality in a Japanese nationwide Specific Health Checkup database. The study enrolled 160,625 participants followed-up between 2008 and 2012. We calculated the all-cause mortality risk associated with a 1-standard deviation increase (+1SD) in ABSI, BMI, WC, or WHtR in cohorts stratified by sex and the presence of CKD.
resultsDuring the 4-year follow up, 1.3% of participants died. In men, ABSI (+1SD) significantly increased the risk for all-cause mortality after adjusting for other known risk factors including CKD; hazard ratio (HR) and 95% confidence intervals (CI) of non-CKD cohort, 1.30 (1.18 to 1.43), p<0.01; HR and 95%CI of CKD cohort, 1.16 (1.01 to 1.34), p = 0.04. In women, ABSI (+1SD) did not show significant association with all-cause mortality, especially in the CKD cohort; HR and 95% CI of non-CKD cohort, 1.07 (0.99 to 1.17), p = 0.09; HR and 95%CI of CKD cohort, 0.98 (0.84 to 1.14), p = 0.78. Conversely, BMI (+1SD) was associated with significantly lower risk in men, although minimal association was found in women. WC and WHtR showed little association with all-cause mortality. On stratification per ABSI quartiles, mortality risk increased linearly and significantly with ABSI in men, but not in women with CKD. Both BMI and WC showed significant but U-shaped association with mortality in the non-CKD cohort and in men with CKD. WHtR also showed significant U-shaped association with mortality in men.
conclusionsIn the Japanese population, ABSI showed significant and linear correlation with mortality risk in men but not in women, especially in the presence of CKD.
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