Determination of cutoff values for DEXA-based body composition measurements for determining metabolic and cardiovascular health

Détails

ID Serval
serval:BIB_506D84CA6425
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Determination of cutoff values for DEXA-based body composition measurements for determining metabolic and cardiovascular health
Périodique
BioRessearch
Auteur(s)
Lang  Pierre-Olivier, Trivalle  Christophe, Vogel  Thomas, Proust  Jacques, Papazyan  Jean-Pierre, Dramé  Moustapha
ISSN
2164-7860
ISSN-L
2164-7860
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
4
Numéro
1
Pages
16-25
Langue
anglais
Notes
This Open Access article is distributed under the terms of the Creative Commons License
Résumé
The two components of the body weight (i.e., fat mass and muscle mass) appeared to be of high interest to consider in predicting metabolic health related risks. We aimed to determine cutoff values for fat mass index (FMI) and muscle mass index (MMI), FM/MM, and BMI for metabolic and cardiovascular health. This study was a cross-sectional analysis study conducted in a center of preventive medicine. It included 616 consecutive outpatients: mean age was 56.0±10.0 years (74.6% aged ≥50), and 61.4% were female. Fat and muscle mass were obtained with dual energy X-ray absorptiometry scan analyses. Metabolically unhealthy individuals were defined as people with biological features of dyslipidemia, hyperuricemia, diabetes, and/or hepatitis steatosis. Documented hypertension and/or atherosclerosis of at least one major artery defined individuals with cardiovascular complications. Receiver-operating characteristic curve analysis revealed that the cutoff values for MMI, FMI, and FM/MM were respectively 18.8kg/m2 (sensitivity [Se]=58%; specificity [Sp]=59%), 5.5kg/m2 (Se=61%; Sp=62%), and 0.31 (Se=62%; Sp=62%) in men; and 14.1kg/m2 (Se=52%; Sp=54%), 5.5kg/m2 (Se=65%; Sp=67%), 0.39 (Se=73%; Sp=73%) in women for predicting metabolic health. Values were 19.3kg/m2 (Se=58%; Sp=59%), 7.0kg/m2 (Se=61%; Sp=62%) and 0.49 (Se=62%; Sp=62%) in men; and 15.7kg/m2 (Se=58%; Sp=59%), 6.4kg/m2 (Se=61%; Sp=62%) and 0.35 (Se=62%; Sp=62%) in women for cardiovascular complications. Whatever the outcomes considered, the Youden indexes for BMI values were systematically below 25 kg/m2, except for cardiovascular complications in men, where the threshold for the best Se/Sp was 25.7 kg/m2. These cutoff values for FMI, MMI, and FM/MM could be of practical value for the clinical evaluation of a deficit in MM with or without excess of FM. They complement the classical concept of BMI in a more qualitative manner and extend the analysis of its impact on health outcomes to all BMI categories.
Open Access
Oui
Création de la notice
15/04/2015 8:55
Dernière modification de la notice
08/05/2019 18:31
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