Evidence map›Paper›PMID 35943016›Full record

ArticleArchives of Iranian medicine2022

Pictogram Is a Valid Instrument to Classify At-Risk Adult Population Based on Abdominal Obesity: Results from Pars Cohort Study.

Alireza Kamalipour, Amirhossein Roshanshad, Mahdi Nalini, Jafar Hassanzadeh, Reza Malekzadeh, Fatemeh Malekzadeh, Hossein Poustchi, Abdullah Gandomkar, Alireza Salehi, Hossein Molavi Vardanjani

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Article in Archives of Iranian medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Alireza KamalipourMPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0003-2916-9187
Amirhossein RoshanshadMPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-6725-0045
Mahdi NaliniCardiovascular Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Jafar HassanzadehDepartment of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza MalekzadehLiver, Pancreatic, and Biliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh MalekzadehDigestive Disease Research Center, Digestive Research Institute, Shariati Hospital, Tehran University of Medical Science, Tehran, Iran.
Hossein PoustchiLiver, Pancreatic, and Biliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
Abdullah GandomkarNon-Communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Alireza SalehiMPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Hossein Molavi VardanjaniMPH Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.ORCID 0000-0001-7024-8894

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal obesity is associated with increased risk of myocardial infarction and death events. Thus, obtaining data on the status of abdominal obesity is important in risk factor assessment and prevention of non-communicable diseases. This study aimed to evaluate the validity of using pictograms to classify abdominal obesity indices (waist circumference [WC], waist-hip ratio [WHR], and waist-height ratio [WHtR]) into normal and at-risk categories and determine the effects of demographic characteristics on this validity.

methodsThis cross-sectional study used data from Pars Cohort Study (PCS). Participants chose the most similar pictogram scores to their body size at 15, 30 years, and current age. Optimal normal/at-risk cut-off values for pictograms were calculated using sensitivity/specificity plots. Receiver operating characteristic curves were used to evaluate the validity of pictograms. Validity measures were analyzed across different subgroups of demographic characteristics.

resultsA total of 9263 participants (46% males) were included in the study. The estimated area under the curves were 84% for WC, 77% for WHR, and 89% for WHtR in males, and 84% for WC, 73% for WHR, and 90% for WHtR in females. Optimal pictogram cutoffs to classify central obesity for WC, WHR, and WHtR were 4, 4, and 5 in males and 4, 4, and 6 in females, respectively. The majority of demographic characteristics were not associated with the validity of pictograms.

conclusionUsing pictograms to determine normal and at-risk categories of abdominal obesity indices is valid among adult population with a wide range of demographic characteristics. However, the results need to be interpreted with caution in those with a positive history of weight fluctuation.

Indexed as

ObesityObesity, AbdominalAdultBody Mass IndexCohort StudiesCross-Sectional StudiesFemaleHumansMaleRisk FactorsROC CurveWaist CircumferenceWaist-Hip RatioAbdominal obesityPictogramWaist circumferenceWaist-height ratioWaist-hip ratio

Identifiers

PMID35943016
PMCPMC11904271

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