Ratio of Trunk to Leg Volume as a New Body Shape Metric for Diabetes and Mortality
- Publication Date
- July 10, 2013
- Journal
- PLOS ONE
- Authors
- Joseph P. Wilson, Alka M. Kanaya, Bo Fan & John A. Shepherd
- Volume
- 8
- Issue
- 7
- Pages
- e68716
- DOI
- https://dx.plos.org/10.1371/journal.pone.0068716
- Publisher URL
- http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0068716
- PubMed
- http://www.ncbi.nlm.nih.gov/pubmed/23874736
- PubMed Central
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3707853
- Europe PMC
- http://europepmc.org/abstract/MED/23874736
- Web of Science
- 000321765300063
- Scopus
- 84880017599
- Mendeley
- http://www.mendeley.com/research/ratio-trunk-leg-volume-new-body-shape-metric-diabetes-mortality
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Mendeley | Further Information
{"title"=>"Ratio of Trunk to Leg Volume as a New Body Shape Metric for Diabetes and Mortality", "type"=>"journal", "authors"=>[{"first_name"=>"Joseph P.", "last_name"=>"Wilson", "scopus_author_id"=>"25954974600"}, {"first_name"=>"Alka M.", "last_name"=>"Kanaya", "scopus_author_id"=>"35421187100"}, {"first_name"=>"Bo", "last_name"=>"Fan", "scopus_author_id"=>"15739324900"}, {"first_name"=>"John A.", "last_name"=>"Shepherd", "scopus_author_id"=>"55236369100"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84880017599", "pui"=>"369294501", "doi"=>"10.1371/journal.pone.0068716", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "sgr"=>"84880017599", "pmid"=>"23874736"}, "id"=>"cf347f96-1de5-320c-9899-1d56e75ddaca", "abstract"=>"BACKGROUND: Body shape is a known risk factor for diabetes and mortality, but the methods estimating body shape, BMI and waist circumference are crude. We determined whether a novel body shape measure, trunk to leg volume ratio, was independently associated with diabetes and mortality.\\n\\nMETHODS: Data from the National Health and Nutritional Examination Survey 1999-2004, a study representative of the US population, were used to generate dual-energy X-ray absorptiometry-derived trunk to leg volume ratio and determine its associations to diabetes, metabolic covariates, and mortality by BMI category, gender, and race/ethnicity group.\\n\\nRESULTS: The prevalence of pre-diabetes and diabetes increased with age, BMI, triglycerides, blood pressure, and decreased HDL level. After adjusting for covariates, the corresponding fourth to first quartile trunk to leg volume ratio odds ratios (OR) were 6.8 (95% confidence interval [CI], 4.9-9.6) for diabetes, 3.9 (95% CI, 3.0-5.2) for high triglycerides, 1.8 (95% CI, 1.6-2.1) for high blood pressure, 3.0 (95% CI, 2.4-3.8) for low HDL, 3.6 (95% CI, 2.8-4.7) for metabolic syndrome, and 1.76 (95% CI, 1.20-2.60) for mortality. Additionally, trunk to leg volume ratio was the strongest independent measure associated with diabetes (P<0.001), even after adjusting for BMI and waist circumference. Even among those with normal BMI, those in the highest quartile of trunk to leg volume ratio had a higher likelihood of death (5.5%) than those in the lowest quartile (0.2%). Overall, trunk to leg volume ratio is driven by competing mechanisms of changing adiposity and lean mass.\\n\\nCONCLUSIONS: A high ratio of trunk to leg volume showed a strong association to diabetes and mortality that was independent of total and regional fat distributions. This novel body shape measure provides additional information regarding central adiposity and appendicular wasting to better stratify individuals at risk for diabetes and mortality, even among those with normal BMI.", "link"=>"http://www.mendeley.com/research/ratio-trunk-leg-volume-new-body-shape-metric-diabetes-mortality", "reader_count"=>24, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Other"=>4, "Student > Master"=>3, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Librarian"=>2, "Researcher"=>6, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>1, "Other"=>4, "Student > Master"=>3, "Student > Bachelor"=>3, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Engineering"=>2, "Biochemistry, Genetics and Molecular Biology"=>2, "Nursing and Health Professions"=>1, "Medicine and Dentistry"=>5, "Agricultural and Biological Sciences"=>5, "Sports and Recreations"=>3, "Social Sciences"=>1, "Earth and Planetary Sciences"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Social Sciences"=>{"Social Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>3}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>1}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"United Kingdom"=>1, "Australia"=>1, "Peru"=>1}, "group_count"=>0}CrossRef
- http://doi.org/10.1371/journal.pone.0175857
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- http://doi.org/10.1155/2016/8094275
- http://doi.org/10.1371/journal.pone.0174180
- http://doi.org/10.1001/jamaoncol.2018.5327
Scopus | Further Information
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- {"id"=>"355236366524755968", "text"=>"Grand tronc + petites jambes = fort risque de diabète ? http://t.co/mGTMglmWkl via @PLOSONE #science", "created_at"=>"2013-07-11T08:05:24Z", "user"=>"G_Frasca", "user_name"=>"Guillaume Frasca", "user_profile_image"=>"http://a0.twimg.com/profile_images/1484160100/photo_normal.jpg"}
- {"id"=>"355289063474995201", "text"=>"Excited to see my paper in @Plosone! Ratio of Trunk to Leg Volume as a New Body Shape Metric for Diabetes... http://t.co/eoXurqRUjV", "created_at"=>"2013-07-11T11:34:48Z", "user"=>"josephpwilson", "user_name"=>"Joseph Wilson, PhD", "user_profile_image"=>"http://a0.twimg.com/profile_images/2210103349/joey_coffee_hour_normal.jpg"}
- {"id"=>"355380435045457920", "text"=>"Congrats! MT @josephpwilson Excited to see my paper in @Plosone! Ratio of Trunk to Leg Volume. New Body Shape Metric http://t.co/5jipEi4zuX", "created_at"=>"2013-07-11T17:37:53Z", "user"=>"PLOSONE", "user_name"=>"PLOS ONE", "user_profile_image"=>"http://a0.twimg.com/profile_images/2429958559/mzjl6as5u2m09r2erof6_normal.jpeg"}
- {"id"=>"355390209053048833", "text"=>"A high ratio of trunk to leg volume shows a strong association to #diabetes http://t.co/po11j139IQ", "created_at"=>"2013-07-11T18:16:43Z", "user"=>"ochrehoof", "user_name"=>"ochre hoof", "user_profile_image"=>"http://a0.twimg.com/profile_images/3678317611/c45d7329be2da4925d2c1cd5513a4061_normal.jpeg"}
- {"id"=>"355698277192179712", "text"=>"Check out this great research using segmented body volume as diabetes and mortality risk indicators: http://t.co/aFpjbNPtk4", "created_at"=>"2013-07-12T14:40:52Z", "user"=>"MyFit3D", "user_name"=>"Fit3D", "user_profile_image"=>"http://a0.twimg.com/profile_images/3289292906/74fedf519bb7ce7d90cb7a3250d937b8_normal.png"}
- {"id"=>"356758087228600322", "text"=>"#PLOSONE: Ratio of Trunk to Leg Volume as a New Body Shape Metric for Diabetes and Mortality http://t.co/jxN5WHmVLF", "created_at"=>"2013-07-15T12:52:10Z", "user"=>"LebedevMikhailA", "user_name"=>"Mikhail Lebedev", "user_profile_image"=>"http://a0.twimg.com/profile_images/3341944231/14881a820e99c37cda379ef3558f1d14_normal.jpeg"}
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PMC Usage Stats | Further Information
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Relative Metric
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