Gomez-Marcos, Manuel AGomez-Sanchez, LeticiaCarmen Patino-Alonso, MariaRecio-Rodriguez, Jose IGomez-Sanchez, MartaReigada Mendez, RebecaMarti, RuthAgudo-Conde, CristinaRamos-Asensio, RafaelRodriguez-Sanchez, EmilianoMaderuelo-Fernandez, Jose AGarcia-Ortiz, LuisMARK Grp2024-09-062024-09-062018-11Gomez-Marcos MA, Gomez-Sanchez L, Patino-Alonso MC, Recio-Rodriguez JI, Gomez-Sanchez M, Rigo Carratala F, et al. A body shape index and vascular structure and function in Spanish adults (MARK study) A cross-sectional study. Medicine (Baltimore). 2018 Nov;97(47):e13299.0025-7974http://hdl.handle.net/20.500.13003/17274https://hdl.handle.net/20.500.12105/22529A body shape index (ABSI) has been introduced as a marker of the relationship between body composition and all-cause mortality. However, until now, the relationships between ABSI and vascular structure and function have not been evaluated. The aim of this study was to investigate the association of ABSI with vascular structure and function in Spanish adults with intermediate cardiovascular risk. This cross-sectional study analyzed the data of 2354 subjects [age, 35-74 years (median, 62.0 years [range, 56.0-67.0 years]), 61.9% men] enrolled into the MediAte Risk management (MARK) study. ABSI was calculated by using the following formula: ABSI=waist circumference (m)/[body mass index(2/3) x height (m)(1/2))]. Vascular function was assessed by measuring cardio-ankle vascular index (CAVI) with the VaSera device and brachial ankle pulse wave velocity (baPWV) by using a validated equation. Vascular structure was assessed by measuring carotid intima-media thickness (IMT) by ultrasonography. Median value of ABSI was 0.083 (range, 0.081-0.090), mean CAVI was (8.5 +/- 1.2), and median IMT was 0.727 (range, 0.672-0.799). The values of ABSI and CAVI were higher in men. After adjusting for confounders, ABSI was positively associated with CAVI, baPWV, and average mean IMT. Thus, for each unit increase in ABSI, CAVI increased by 0.16 units, baPWV by 0.25m/s, and IMT by 0.033mm. In the logistic regression analysis, the odds ratio of ABSI was>1 for high CAVI >= 9, baPWV >= 15m/s, and IMT >= 0.90mm in the overall subject group, and in the sex-and age-specific (>62 years, <= 62 years) subgroups, after adjusting for confounders. The area under the receiver-operating characteristic curve of the ABSI was 0.631 (95% confidence interval [CI], 0.608-0.654) for CAVI >= 9, and 0.617 (95% CI, 0.593-0.641) for high baPWV >= 15m/s. ABSI showed a positive association with vascular structure and function, independent of other confounders that might influenceweight and fat mass distribution in Spanish subjects at intermediate cardiovascular risk.enghttp://creativecommons.org/licenses/by-nc/4.0/A body shape indexBrachial ankle pulse wave velocityCardio ankle vascular indexCarotid intima media thicknessIntermediate cardiovascular riskArea Under CurveCardiovascular DiseasesAnthropometryAgedEuropean Continental Ancestry GroupSpainAdultRisk AssessmentHumansPulse Wave AnalysisMiddle AgedCross-Sectional StudiesLongitudinal StudiesMaleCarotid Intima-Media ThicknessFemaleRisk FactorsRegression AnalysisUltrasonographyAnkle Brachial Indexresearch articleAttribution-NonCommercial 4.0 International304616419747e1329910.1097/MD.00000000000132991536-5964Medicineopen accessAnálisis de la Onda del PulsoUltrasonografíaFemeninoGrupo de Ascendencia Continental EuropeaMasculinoEstudios TransversalesFactores de RiesgoÍndice Tobillo BraquialEstudios LongitudinalesHumanosPersona de Mediana EdadAncianoAntropometríaMedición de RiesgoGrosor Intima-Media CarotídeoEnfermedades CardiovascularesAdultoAnálisis de RegresiónEspañaÁrea Bajo la Curva2-s2.0-85056803177452464700042L627391415