Association of wrist circumference with cardio-metabolic risk factors: a systematic review and meta-analysis.
Cardiovascular diseases
Metabolic syndrome
Wrist circumference
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
12
12
2017
accepted:
18
06
2018
pubmed:
5
7
2018
medline:
18
11
2020
entrez:
5
7
2018
Statut:
ppublish
Résumé
The association of Wrist Circumference (WrC) with cardio-metabolic risk factors is still contradictory. We aimed to systematically review the association of WrC with cardio-metabolic diseases among the general populations. We systematically searched electronic databases such as PubMed/Medline, Web of Sciences, and Scopus without language restriction until March 2017. Observational studies that examined the association of WrC with any cardio-metabolic risk factors were included. Pooled association of WrC with metabolic syndrome (MetS) was estimated using a random-effect model, and heterogeneity among studies was assessed by I A total of 14 papers including cohort study (n = 9), cross-sectional study (n = 4), and case-control study (n = 1) met the criteria and included. The eligible papers have been examined the association of WrC with any cardiovascular disorders (n = 8), metabolic syndrome (n = 4), insulin resistance (IR) (n = 5), diabetes mellitus (n = 2), impaired glucose tolerance (n = 1), cardio-metabolic risk factors (n = 2) and obesity/overweight (n = 1). In the whole population (both adults and pediatric population), high WrC increased the risk of MetS by 33% (Pooled OR = 1.33; 95% CI 1.20, 1.48; I High WrC increased the risk of MetS and other cardio-metabolic risk factors. However, due to limited studies, particularly in children, results should be declared with great caution. Further cohort studies are needed to clarify whether WrC is a suitable anthropometric index to predict cardio-metabolic disorders in adult and children populations in different societies. Level 1, systematic review and meta-analysis.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
The association of Wrist Circumference (WrC) with cardio-metabolic risk factors is still contradictory. We aimed to systematically review the association of WrC with cardio-metabolic diseases among the general populations.
METHODS
METHODS
We systematically searched electronic databases such as PubMed/Medline, Web of Sciences, and Scopus without language restriction until March 2017. Observational studies that examined the association of WrC with any cardio-metabolic risk factors were included. Pooled association of WrC with metabolic syndrome (MetS) was estimated using a random-effect model, and heterogeneity among studies was assessed by I
RESULTS
RESULTS
A total of 14 papers including cohort study (n = 9), cross-sectional study (n = 4), and case-control study (n = 1) met the criteria and included. The eligible papers have been examined the association of WrC with any cardiovascular disorders (n = 8), metabolic syndrome (n = 4), insulin resistance (IR) (n = 5), diabetes mellitus (n = 2), impaired glucose tolerance (n = 1), cardio-metabolic risk factors (n = 2) and obesity/overweight (n = 1). In the whole population (both adults and pediatric population), high WrC increased the risk of MetS by 33% (Pooled OR = 1.33; 95% CI 1.20, 1.48; I
CONCLUSION
CONCLUSIONS
High WrC increased the risk of MetS and other cardio-metabolic risk factors. However, due to limited studies, particularly in children, results should be declared with great caution. Further cohort studies are needed to clarify whether WrC is a suitable anthropometric index to predict cardio-metabolic disorders in adult and children populations in different societies.
LEVEL OF EVIDENCE
METHODS
Level 1, systematic review and meta-analysis.
Identifiants
pubmed: 29971623
doi: 10.1007/s40519-018-0534-x
pii: 10.1007/s40519-018-0534-x
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
151-161Subventions
Organisme : National Institute for Medical Research Development
ID : 958724
Références
Indian Pediatr. 2014 Jul;51(7):555-60
pubmed: 25031134
Anthropol Anz. 2016 Nov 1;73(4):313-321
pubmed: 27604613
J Clin Epidemiol. 2008 Jul;61(7):646-53
pubmed: 18359190
J Am Soc Hypertens. 2014 Nov;8(11):800-7
pubmed: 25455005
J Pak Med Assoc. 2012 Mar;62(3 Suppl 2):S34-6
pubmed: 22768455
BMC Med Res Methodol. 2014 Apr 01;14:45
pubmed: 24690082
Indian Heart J. 2016 Dec;68 Suppl 3:S5-S9
pubmed: 28038723
Nutr Metab Cardiovasc Dis. 2018 Jul;28(7):657-674
pubmed: 29779782
J Clin Endocrinol Metab. 2013 Feb;98(2):777-84
pubmed: 23341488
Emerg Med J. 2003 Jan;20(1):54-60
pubmed: 12533370
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
PLoS One. 2015 Apr 16;10(4):e0122985
pubmed: 25880905
Int J Obes Relat Metab Disord. 2001 Nov;25(11):1689-97
pubmed: 11753592
Am J Hum Biol. 2013 Sep-Oct;25(5):581-5
pubmed: 23897560
BMJ. 2011 Feb 10;342:d549
pubmed: 21310794
Curr Probl Cardiol. 2010 Feb;35(2):72-115
pubmed: 20109979
Nutrition. 2017 Nov - Dec;43-44:32-38
pubmed: 28935142
Eur J Cardiovasc Prev Rehabil. 2007 Apr;14(2):172-8
pubmed: 17446794
Diabet Med. 2017 Feb;34(2):245-252
pubmed: 26996519
Medicine (Baltimore). 2016 Aug;95(35):e4143
pubmed: 27583845
PLoS One. 2014 Jul 16;9(7):e102563
pubmed: 25029368
Nutr Today. 2015 May;50(3):117-128
pubmed: 27340299
J Pediatr Endocrinol Metab. 2016 Sep 1;29(9):1069-76
pubmed: 27390879
J Endocrinol Invest. 2016 Jul;39(7):763-8
pubmed: 26809978
J Pediatr. 2015 Apr;166(4):1085-7
pubmed: 25596104
Circulation. 2011 Apr 26;123(16):1757-62
pubmed: 21482965
Circulation. 2008 Feb 12;117(6):754-61
pubmed: 18212291
World J Diabetes. 2014 Aug 15;5(4):444-70
pubmed: 25126392
Am J Cardiol. 2016 Sep 15;118(6):822-827
pubmed: 27457430
Obes Rev. 2008 Jul;9(4):312-25
pubmed: 17956544
Int J Obes Relat Metab Disord. 2002 Aug;26(8):1060-8
pubmed: 12119571