Obesity

Body roundness index ( body roundness index (BRI) ) and obesity‐related anthropometrics: Relationship to visceral adiposity, insulin sensitivity index and cardiometabolic risk

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

BRI, while strongly correlated with visceral adiposity and ISI, does not outperform simpler measures like WC or percentage body fat. Bioimpedance, being non-invasive, demonstrates utility in assessing visceral adiposity in clinical settings. Ethnic-specific thresholds for BRI and WC may improve precision in obesity-related health assessments.

Study context

Population
Young, healthy, normoglycemic adult males of multiethnic cohorts in Asia; mean ages 28.4 ± 6.0, 27.6 ± 5.1 and 26.0 ± 4.8 years
Participants
101 / 85 / 82
Exposure
BRI vs body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR) and % body fat as measures of visceral adiposity and insulin sensitivity
  • Chinesen = 101
  • Malayn = 85
  • South Asiann = 82
Outcome
Correlation of BRI with MRI-measured VAT, SAT and clamp ISI
Methodological detailsmultiethnic
  • Multiethnic

Main finding

As reported in the abstract

BRI correlation with VAT (r)

0.72

BRI correlation with SAT (r)

0.85

BRI correlation with insulin sensitivity index (ISI) (r)

−0.51

Observational data: associations, not effects.

Further findings

BRI by ethnic group

BRI showed consistent results across ethnic groups; highest VAT correlation in Malays (r)
0.76

Other measures

% body fat by bioimpedance as effective as Magnetic Resonance Imaging (MRI) in predicting adiposity
WHR had the weakest correlation with VAT

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Body roundness index ( BRI ) and obesity‐related anthropometrics: Relationship to visceral adiposity, insulin sensitivity index and cardiometabolic risk. Diabetes Obes Metab. Published 14 July 2025. doi:10.1111/dom.16601

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