Evidence map›Paper›PMID 39753988›Full record

ArticleEating and weight disorders : EWD2025

Evaluating the weight-adjusted waist index as a predictive tool for sarcopenia and mortality risk.

Qingzheng Shen, Tianjing Zhou, Xiaodong Chen, Hafiz Muhammad Umar, Xinxin Yang, Xian Shen

Abstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2025. 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

The trial behind it

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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

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Qingzheng Shen *Department of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Nanbaixiang Street, Wenzhou, 325035, Zhejiang, China.
Tianjing Zhou *Department of Dermatology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Xiaodong ChenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Nanbaixiang Street, Wenzhou, 325035, Zhejiang, China.
Hafiz Muhammad UmarDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Nanbaixiang Street, Wenzhou, 325035, Zhejiang, China.
Xinxin YangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Nanbaixiang Street, Wenzhou, 325035, Zhejiang, China. yxx1064756293@163.com.
Xian ShenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Wenzhou Medical University, Nanbaixiang Street, Wenzhou, 325035, Zhejiang, China. Shenxian1120@126.com.

Funding

Education Ministry's University-Industry Collaborative Education Program 231004408310243National Natural Science Foundation of China 3240050306Wenzhou Municipal Science and Technology Bureau Y20220188
6 · The paper itself

Abstract

purposeThe weight-adjusted waist index (WWI) is a novel anthropometric measure. WWI is linked to reduced muscle mass and strength; however, its efficacy for assessing sarcopenia and predicting adverse outcomes has yet to be validated. This study compared and examined the relationship between sarcopenia and WWI across different diagnostic criteria and aimed to evaluate its potential as a predictor of sarcopenia and all-cause mortality.

methodsThis study used data from 2946 NHANES (1999-2002) participants to analyze the relationship between weight-adjusted waist index (WWI) and sarcopenia (diagnosed using five different established criteria). Multivariable logistic regression, ROC analysis, Kaplan-Meier curves, and Cox regression were used to assess the association between WWI and sarcopenia and mortality.

resultsWWI was inversely correlated with walking speed, muscle strength, and muscle mass. It served as a significant predictor of sarcopenia, particularly in men, with an area under the ROC curve (AUC) of 0.86 for men according to FNIH criteria. Furthermore, a higher mortality rate from all causes was linked to a higher WWI. The mortality rate among patients with sarcopenia, as predicted by the WWI and FNIH criteria, was higher than that of patients diagnosed by a single criterion.

conclusionsWWI proves to be a valuable tool in predicting sarcopenia and mortality risk, particularly when using the FNIH criteria. However, its performance varied significantly across different criteria and populations. Further research is needed to define the specific clinical contexts where WWI may be a useful supplementary tool. Level of Evidence Level III, evidence obtained from a cohort analytic study.

Indexed as

SarcopeniaAdultAgedBody Mass IndexBody WeightFemaleHumansMaleMiddle AgedMortalityMuscle StrengthNutrition SurveysRisk FactorsWaist CircumferenceAll-cause mortalityCross-sectional studyNHANESObesitySarcopeniaWWI

Identifiers

PMID39753988
PMCPMC11698839

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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.