ArticleDiabetes research and clinical practice2018
Comparison of adiposity indicators associated with fasting-state insulinemia, triglyceridemia, and related risk biomarkers in a nationally representative, adult population.
Article in Diabetes research and clinical practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 23 citations in OpenAlex.
- Positive and non-linear association of sagittal abdominal diameter-to-height ratio with stress urinary incontinence in US women: evidence from NHANES 2011-2016.Translational andrology and urology · 2026Article
- The novel nutritional metabolic risk index and established triglyceride-glucose indices in type 2 diabetes: modifying role of biological aging assessed by telomere length.Frontiers in nutrition · 2026Article
- Associations of METS-VF and BRI with risk of osteoarthritis in patients with diabetes or prediabetes: evidence from the NHANES 1999-2020.Frontiers in endocrinology · 2025Article
- Association between fruit intake and abdominal adiposity in 1,707 randomly selected U.S. children.Frontiers in nutrition · 2025Article
- The challenges of assessing adiposity in a clinical setting.Nature reviews. Endocrinology · 2024Review
- Infant effortful control predicts BMI trajectories from infancy to adolescence.Pediatric obesity · 2023Article
- Associations between ultra- or minimally processed food intake and three adiposity indicators among US adults: NHANES 2011 to 2016.Obesity (Silver Spring, Md.) · 2022Article
- Association between central obesity indices and iron status indicators among Qatari adults.PloS one · 2021Article
- Examination of different definitions of snacking frequency and associations with weight status among U.S. adults.PloS one · 2020Article
- Alternative waist-to-height ratios associated with risk biomarkers in youth with diabetes: comparative models in the SEARCH for Diabetes in Youth Study.International journal of obesity (2005) · 2019Article
- Factors associated with glycemic control in community-dwelling elderly individuals with type 2 diabetes mellitus in Zhejiang, China: a cross-sectional study.BMC endocrine disorders · 2019Article
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2 authors at 1 institution in 1 country.
Funding
Abstract
aimsWe hypothesized that height-corrected abdominal size (supine sagittal abdominal diameter/height ratio [SADHtR] or waist circumference/height ratio [WHtR]) would associate more strongly than body mass index (BMI, weight/height
methodsAnthropometry, including SAD by caliper, was collected on 4398 adults in the 2011-2014 National Health and Nutrition Examination Survey. For comparison purposes, each adiposity indicator was scaled to its population-based, sex-specific, interquartile range (IQR). For each biomarker we created four outcome groups based on equal-sized populations with ascending values. Multivariable polytomous logistic regression modeled the relationships between the adiposity indicators and each biomarker.
resultsHighest-group insulin was associated with a one-IQR increment of BMI (RR 4.3 [95% CI 3.9-4.9]), but more strongly with a one-IQR increment of SADHtR (RR 5.7 [5.0-6.6]). For highest-group HOMA-IR the RR for BMI (4.2 [3.7-4.6]) was less than that of SADHtR (6.0 [5.1-7.0]). Similarly, RRs for BMI were smaller than those for SADHtR applying to highest-group triglycerides (RR 1.6 vs 2.1), triglycerides/HDL-cholesterol (RR 1.9 vs 2.4) and TyG index (RR 1.7 vs 2.2) (all p < .001). The RRs for WHtR were consistently between those for SADHtR and BMI. The top 25% of insulin resistance among US adults was estimated to lie above adiposity thresholds of 0.140 for SADHtR, 0.606 for WHtR, or 29.6 kg/m
conclusionsRelative abdominal size rather than relative weight may better define adiposity associated with homeostatic insulin resistance. These population-based, cross-sectional findings could improve anthropometric prediction of cardiometabolic risk.
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