Evidence map›Paper›PMID 36096754›Full record

ArticleBMC public health2022

Comparison of obesity-related indicators for identifying metabolic syndrome among normal-weight adults in rural Xinjiang, China.

Le-Yao Jian, Shu-Xia Guo, Ru-Lin Ma, Jia He, Dong-Sheng Rui, Yu-Song Ding, Yu Li, Xue-Ying Sun, Yi-Dan Mao, Xin He and 2 more

Abstract read
In one paragraph

Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Le-Yao JianDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Shu-Xia GuoDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Ru-Lin MaDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Jia HeDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Dong-Sheng RuiDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Yu-Song DingDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Yu LiDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Xue-Ying SunDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Yi-Dan MaoDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Xin HeDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Sheng-Yu LiaoDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China.
Heng GuoDepartment of Public Health, Shihezi University School of Medicine, North 2th Road, Shihezi, Xinjiang, 832003, China. guoheng@shzu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to compare the ability of certain obesity-related indicators to identify metabolic syndrome (MetS) among normal-weight adults in rural Xinjiang.

methodsA total of 4315 subjects were recruited in rural Xinjiang. The questionnaire, biochemical and anthropometric data were collected from them. Binary logistic regression was used to analyze the association between the z-score of each index and MetS. The area under the receiver-operating characteristic (ROC) curves were used to compare the diagnostic ability of each index. According to the cut-off value of each index, nomogram models were established and their diagnostic ability were evaluated.

resultsAfter adjusting for confounding factors, each indicator in different genders was correlated with MetS. Triglyceride-glucose index (TyG index) showed the strongest association with MetS in both males (OR = 3.749, 95%CI: 3.173-4.429) and females (OR = 3.521,95%CI: 2.990-4.148). Lipid accumulation product (LAP) showed the strongest diagnostic ability in both males (AUC = 0.831, 95%CI: 0.806-0.856) and females (AUC = 0.842, 95%CI: 0.820-0.864), and its optimal cut-off values were 39.700 and 35.065, respectively. The identification ability of the TyG index in different genders (males AUC: 0.817, females AUC: 0.817) was slightly weaker than LAP. Waist-to-height ratio (WHtR) had the similar AUC (males: 0.717, females: 0.747) to conicity index (CI) (males: 0.734, females: 0.749), whereas the identification ability of a body shape index (ABSI) (males AUC: 0.700, females AUC: 0.717) was relatively weak. Compared with the diagnostic ability of a single indicator, the AUC of the male nomogram model was 0.876 (95%CI: 0.856-0.895) and the AUC of the female model was 0.877 (95%CI: 0.856-0.896). The identification ability had been significantly improved.

conclusionLAP and TyG index are effective indicators for identifying MetS among normal-weight adults in rural Xinjiang. Nomogram models including age, CI, LAP, and TyG index can significantly improve diagnostic ability.

Indexed as

Metabolic SyndromeAdultChinaFemaleHumansMaleObesityRural PopulationTriglyceridesWaist-Height RatioTriglyceridesMetabolic syndromeNormal-weightObesity-related indicatorsScreening

Identifiers

PMID36096754
PMCPMC9469584

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.