Association between body adiposity index and cardiovascular risk factors in teachers

Oliveira, Renata Aparecida Rodrigues de; Moreira, Osvaldo Costa; Mota Júnior, Rômulo José; Marins, João Carlos Bouzas

doi:10.1590/1980-0037.2020v22e59010

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Revista Brasileira de Cineantropometria & Desempenho Humano

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original article • Rev. bras. cineantropom. desempenho hum 22 • 2020 • https://doi.org/10.1590/1980-0037.2020v22e59010 copy

Association between body adiposity index and cardiovascular risk factors in teachers

Associação entre índice de adiposidade corporal e fatores de risco cardiovasculares em professores

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Body adiposity index (BAI) is a relatively recent evaluation method for the diagnosis of overweight and obesity, which takes into account simple measures. The aim of this study was to verify the association between BAI and cardiovascular risk factors in teachers. A cross-sectional study was conducted with 495 teachers from the city of Viçosa-MG. BAI, body mass index (BMI), abdominal circumference (AC), waist-to-hip ratio (WtHR), body fat percentage (%BF), systolic and diastolic blood pressure, fasting glucose, total cholesterol and triglycerides were evaluated. Associations between BAI (independent variable) and other variables (dependent variable) were evaluated through simple linear regression. Of the total participants, 32.12% presented high BAI and higher anthropometric, blood pressure and biochemical values (p<0.05). Higher percentage of high BAI was observed among men and with advancing age. Linear regression analysis showed positive association between BAI and other anthropometric measurements (p<0.001), with glucose (R²=0.024; p=0.001) and total cholesterol (R²=0.028; p<0.001). BAI was positively associated with the other anthropometric measures (BMI, %BF, AC and WtHR), and with the glucose and total cholesterol of evaluated teachers. Higher BAI was observed among men and with advancing age.

Key words
Faculty; Obesity; Risk factors

Variables	Normal BAI	High BAI	P-value
Variables	(n= 336)	(n= 159)	P-value
Age (years)	41.78±10.56	45.23±10.26	0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
Body mass (kg)	65.60±10.78	81.01±13.87	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
Height (m)	1.66±0.09	1.64±0.09	0.176^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
BMI (Kg/m²)	23.86±2.81	30.02±4.11	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
WC (cm)	78.44±8.69	92.18±10.43	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
HC (cm)	97.48±6.49	107.40±9.25	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
AC (cm)	85.58±8.77	98.54±10.76	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
WtHR	0.81±0.08	0.86±0.08	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
%BF	26.76±7.01	30.72±8.27	<0.001
BAI	25.96±4.16	33.45±6.56	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
SBP (mmHg)	112.07±12.51	119.53±13.48	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
DBP (mmHg)	73.30±9.62	76.92±9.76	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
Glucose (mg/dL)	86.77±11.55	92.25±22.23	0.002^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
TC (mg/dL)¹	188.98±35.06	190.29±31.65	0.419^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.
Triglycerides (mg/dL)²	121.60±64.52	147.09±70.48	<0.001^* * Mann-Whitney test; Student Student t test; ¹ Data from 327 teachers with normal BAI and 149 with high BAI; ² Data from 326 teachers with normal BAI and 153 with high BAI; BMI: body mass index; WC: waist circumference; HC: hip circumference; AC: abdominal circumference; WtHR: waist-to-hip ratio; % BF: body fat percentage; BAI: body adiposity index; SBP: systolic blood pressure; DBP: diastolic blood pressure; TC: total cholesterol.

Dependent variables	Β	95% CI	R²	P-value
BMI^* * Transformed into logarithm value (base 10).	0.008	0.007; 0.009	0.430	<0.001
%BF	1.033	0.955; 1.110	0.584	<0.001
AC^* * Transformed into logarithm value (base 10).	0.004	0.003; 0.004	0.143	<0.001
WtHR^* * Transformed into logarithm value (base 10).	-0.002	-0.003; -0.001	0.053	<0.001
SBP^* * Transformed into logarithm value (base 10).	0.001	0.000; 0.001	0.006	0.076
DBP^* * Transformed into logarithm value (base 10).	-2.534	-0.001; 0.001	0.000	0.957
Glucose^* * Transformed into logarithm value (base 10).	0.002	0.001; 0.003	0.024	0.001
Total cholesterol ^* * Transformed into logarithm value (base 10).	0.002	0.001; 0.004	0.028	<0.001
Triglycerides^* * Transformed into logarithm value (base 10).	0.001	-0.003; -0.004	0.000	0.672

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[1] Corresponding author Renata Aparecida Rodrigues de Oliveira Av. Marechal Castelo Branco, 1331 – apto. 202. CEP: 36576-042 – Viçosa, MG, Brasil Email: renata.oliveira@ufv.br