Mixed
The A Body Shape Index (ABSI) provides superior mortality risk stratification compared to BMI and other waist indices (WC, WHR) because it is designed to be independent of BMI, allowing for the identification of high-risk individuals within all BMI categories, including underweight and obese groups.
Use the A Body Shape Index (ABSI) instead of just BMI or waist circumference to assess your mortality risk. ABSI accounts for your waist size relative to your height and weight in a way that BMI cannot. If you have a high ABSI, you are at higher risk of death regardless of whether you are underweight, normal weight, or obese. This metric helps identify people who might be missed by BMI alone, allowing for more personalized screening and monitoring.
In conclusion, only a waist index independent of BMI by design, such as ABSI, complements BMI and enables efficient risk stratification, which could facilitate personalisation of screening, treatment and monitoring.
Why this rating
Large prospective cohort (EPIC, n=352,985), long follow-up (16.1 years), adjusted for major confounders, but observational design prevents causal inference.
Source
A Body Shape Index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort
Sofia Christakoudi et al. · Scientific Reports · 2020
DOI 10.1038/s41598-020-71302-5
Related findings · Mixed
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