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. 2013 Dec 24;2013:862514. doi: 10.1155/2013/862514

Table 4.

Prediction/discrimination of hypertension with degree of obesity as defined by dual-energy X-ray absorptiometry (DXA) bioimpedance analysis (BIA), an anthropometry-based estimate of fat mass percentage (FM% equation) and BMI.

ROC analysesn
Reference method/modela New method/modelb n c Reclassification index, %f IDI, %k Men Women
Casesd Non-casese Netg P nri h Casesi Non-casesj I integr. l P idi m ΔAUCo P p ΔAUC P
Hypertensionq, grade 1 (≥140/90 mmHg)
DXA BIA InBodyr 269 185 5% 0.214 −1% 6% 1.7% 0.017 0.03 0.127 0.06 0.000
BMI 335 258 6% 0.220 2% 3% 1.9% 0.006 0.00 0.977 0.04 0.073
Estimates 335 258 6% 0.208 2% 3% 1.5% 0.019 0.03 0.383 0.07 0.000
BIA InBody BMI 269 185 4% 0.360 1% 3% 0.5% 0.534 −0.03 0.330 −0.03 0.147
Estimate 269 185 3% 0.502 0% 3% 0.1% 0.885 0.00 0.979 0.01 0.606
BMI Estimate 335 258 0% 0.803 0% 0% −0.4% 0.144 0.03 0.021 0.04 0.000

Hypertension, grade 2 (≥160/100 mmHg)
DXA BIA InBody 93 361 −1% 0.848 −4% 3% 1.4% 0.063 0.02 0.396 0.05 0.000
BMI 117 476 −9% 0.128 −8% −1% −1.2% 0.049 −0.09 0.064 −0.03 0.255
Estimate 117 476 −8% 0.154 −7% −1% −1.2% 0.036 −0.01 0.746 0.01 0.626
BIA InBody BMI 93 361 −9% 0.161 −8% −1% −2.5% 0.003 −0.11 0.006 −0.08 0.000
Estimate 93 361 −10% 0.096 −9% −1% −2.8% 0.001 −0.04 0.309 −0.04 0.044
BMI Estimate 117 476 1% 0.682 1% 0% 0.0% 0.870 0.07 0.001 0.04 0.000

Dyslipidaemiat
DXA BIA InBody 111 304 −2% 0.616 −5% 3% −0.1% 0.928 −0.03 0.161 −0.01 0.510
BMI 124 345 6% 0.320 2% 4% 3.5% 0.015 −0.01 0.816 0.02 0.378
Estimate 124 345 4% 0.496 0% 4% 2.7% 0.040 −0.02 0.640 0.01 0.766
BIA InBody BMI 111 304 8% 0.149 6% 2% 3.1% 0.022 0.02 0.568 0.03 0.162
Estimate 111 304 6% 0.240 5% 2% 2.5% 0.044 0.01 0.734 0.02 0.390
BMI Estimate 124 345 −2% 0.237 −2% −1% −0.8% 0.111 −0.01 0.598 −0.01 0.148

aMethod of measurement, based on which participants are classified in categories of obesity.

bDifferent method of estimating obesity, the predictive power of which is compared to reference model/reference method.

cNumber of participants.

dNumber of participants that are positive with regard to respective outcome.

eNumber of participants that are negative with regard to respective outcome.

fPercentage improvement (+) or deterioration (−) in predictive power of new model compared to reference model. Categories of obesity/FM% as independent variable.

gNet reclassification of cases + net reclassification of noncases. A positive number denotes increased predictive power for the new model.

hLikelihood of net reclassification index to be 0, that is, the new model showing no improvement/deterioration over reference model.

iNet reclassification of cases = percentage of cases reclassified by the new model into a higher risk category − percentage of cases reclassified by the new model into a lower risk category

jNet reclassification of non-cases = percentage of non-cases reclassified by the new model into a lower risk category − percentage of non-cases reclassified by the new model into a higher risk category.

kIntegrated discrimination improvement (+) or deterioration (−) of new model compared to reference model. Categories of obesity/FM% as independent variable in an age-adjusted model.

lMean difference in predicted individual probabilities between cases and non-cases for two models. A positive number denotes increased predictive power for the new model.

mLikelihood of net reclassification index to be 0, that is, the new model showing no improvement/deterioration over reference model.

nMeasures of obesity (BMI/FM%) as continuous variable in a logistic regression model predicting respective outcomes.

oDifference in area under curve of receiver operating characteristic compared to reference method.

pProbability of 0-hypothesis (no difference).

qDefinitions of hypertension according to European Societies for Hypertension and Cardiology {Mancia, 2007 #2897}.

rEstimation of FM% with bioimpedance device InBody (720) (Biospace, Korea).

sAnthropometry-based estimate; arithmetic mean of FM% estimations according to prediction methods Deurenberg et al. [12], Gallagher et al. [15], and Larsson et al. [14].

tTriacylglycerols ≥ 1.7 mmol/L or HDL cholesterol ≤ 1.29 mmol/L in men or HDL ≤ 1.03 mmol/L in women.