J 2021

Prevalence of adiposity-based chronic disease in middle-aged adults from Czech Republic: The Kardiovize study

GONZALEZ-RIVAS, J. P., J. I. MECHANICK, J. P. HERNANDEZ, M. M. INFANTE-GARCIA, Iuliia PAVLOVSKA et. al.

Základní údaje

Originální název

Prevalence of adiposity-based chronic disease in middle-aged adults from Czech Republic: The Kardiovize study

Autoři

GONZALEZ-RIVAS, J. P. (garant), J. I. MECHANICK, J. P. HERNANDEZ, M. M. INFANTE-GARCIA, Iuliia PAVLOVSKA (804 Ukrajina, domácí), J. R. MEDINA-INOJOSA, Sarka KUNZOVA (203 Česká republika), R. NIETO-MARTINEZ, Jan BROZ (203 Česká republika), L. BUSETTO, G. A. M. NETO, F. LOPEZ-JIMENEZ, Jana URBANOVA (203 Česká republika) a G. B. STOKIN

Vydání

OBESITY SCIENCE & PRACTICE, HOBOKEN, WILEY, 2021, 2055-2238

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30202 Endocrinology and metabolism

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Kód RIV

RIV/00216224:14110/21:00121638

Organizační jednotka

Lékařská fakulta

UT WoS

000647238400001

Klíčová slova anglicky

adiposity; cardiovascular disease; epidemiology; obesity; overweight

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 7. 12. 2021 13:01, Mgr. Tereza Miškechová

Anotace

V originále

Aims/Hypothesis The need for understanding obesity as a chronic disease, its stigmatization, and the lack of actionability related to it demands a new approach. The adiposity-based chronic disease (ABCD) model is based on adiposity amount, distribution, and function, with a three stage complication-centric rather than a body mass index (BMI)-centric approach. The prevalence rates and associated risk factors are presented. Methods In total, 2159 participants were randomly selected from Czechia. ABCD was established as BMI >= 25 kg/m(2) or high body fat percent, or abdominal obesity and then categorized by their adiposity-based complications: Stage 0: none; Stage 1: mild/moderate; Stage 2: severe. Results ABCD prevalence was 62.8%. Stage 0 was 2.3%; Stage 1 was 31.4%; Stage 2 was 29.1%. Comparing with other classifiers, participants in Stage 2 were more likely to have diabetes, hypertension, and metabolic syndrome than those with overweight, obesity, abdominal obesity, and increased fat mass. ABCD showed the highest sensitivity and specificity to detect participants with peripheral artery disease, increased intima media, and vascular disease. Conclusion/Interpretation The ABCD model provides a more sensitive approach that facilitates the early detection and stratification of participants at risk compared to traditional classifiers.