Type 2 & other diabetes

Body roundness index as a predictor of all-cause and cardiovascular mortality in patients with diabetes and prediabetes

Diabetes Res Clin PractPublished Population-based cohort study

Authors' conclusion

Our research indicates that among US adults with diabetes or prediabetes, BRI exhibits a U-shaped relationship with all-cause and cardiovascular mortality, with threshold values of 5.54 and 5.21, respectively.

Study context

Population
US adults with diabetes and prediabetes, National Health and Nutrition Examination Survey (NHANES) 2003–2018
Participants
15,848 adults
Exposure
Body roundness index (BRI) and mortality
Outcome
All-cause mortality and cardiovascular mortality
Follow-up
Average 92.9 months
Methodological detailsNHANES 2003–2018, Cox proportional hazards model, restricted cubic splines
  • NHANES 2003–2018
  • Cox proportional hazards model
  • Restricted cubic splines

Main finding

As reported in the abstract

Died
2655 participants (12.73 %)
Cardiovascular deaths
730 (3.44 %)
U-shaped nonlinear association (restricted cubic splines (RCS)) of BRI with all-cause mortality; threshold
5.54
U-shaped nonlinear association (RCS) of BRI with cardiovascular mortality; threshold
5.21
BRI below threshold: all-cause mortality, HR
0.87 (0.81-0.93) (95% CI)
BRI above threshold: all-cause mortality, HR
1.10 (1.06-1.14) (95% CI)
BRI above threshold: cardiovascular mortality, HR
1.13 (1.07-1.20) (95% CI)

Observational data: associations, not effects.

Original publication

Body roundness index as a predictor of all-cause and cardiovascular mortality in patients with diabetes and prediabetes. Diabetes Res Clin Pract. Published 13 December 2024. doi:10.1016/j.diabres.2024.111958

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