Table 3.
Model R2 from linear regression models predicting continuous intrabdominal fat area, mean squared errors from k-fold cross validation, and AUROC and 95% confidence intervals for prediction of high (above 75th percentile) vs. low visceral adiposity category, comparing a novel estimate of visceral adipose tissue area (EVA) to selected existing visceral adiposity surrogates
Men n = 344 |
Women n = 278 |
||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
R2 | AIC | MSEa | 95% Cl | AUROCb | 95% Cl | p-value | R2 | AIC | MSEa | 95% Cl | AUROCb | 95% Cl | p-value | ||
EVAc | 0.61 | 3421 | 1244 | 1243 - 1246 | 0.90 | 0.86 - 0.93 | — | 0.72 | 2554 | 582 | 581 - 583 | 0.94 | 0.92 - 0.96 | — | |
EVA without mid-thigh circumferenced | 0.59 | 3433 | 1267 | 1265 - 1268 | 0.88 | 0.84 - 0.92 | 0.013 | 0.72 | 2558 | 589 | 588 - 590 | 0.94 | 0.92 - 0.97 | 0.771 | |
Després estimatee | 0.50 | 3501 | 1544 | 1543 - 1545 | 0.85 | 0.80 - 0.89 | 0.004 | — | — | — | — — | — | — | — | |
WHtR | 0.48 | 3515 | 1613 | 1611 - 1614 | 0.86 | 0.82 - 0.90 | 0.091 | 0.58 | 2664 | 852 | 852 - 853 | 0.88 | 0.84 - 0.92 | <0.0001 | |
WC, cm | 0.48 | 3513 | 1603 | 1602 - 1605 | 0.84 | 0.80 - 0.88 | 0.009 | 0.56 | 2678 | 898 | 897 - 898 | 0.88 | 0.84 - 0.92 | 0.003 | |
DAAT indexf | 0.46 | 3529 | 1680 | 1678 - 1681 | 0.82 | 0.77 - 0.87 | 0.001 | 0.58 | 2665 | 857 | 856 - 858 | 0.88 | 0.84 - 0.92 | 0.0003 | |
BMI, kg/m2 | 0.36 | 3584 | 1968 | 1966 - 1970 | 0.82 | 0.76 - 0.87 | 0.003 | 0.40 | 2762 | 1215 | 1214 - 1216 | 0.84 | 0.79 - 0.89 | <0.0001 | |
LAPg | 0.17 | 3674 | 2607 | 2602 - 2612 | 0.81 | 0.75 - 0.86 | 0.0002 | 0.22 | 2834 | 1793 | 1785 - 17801 | 0.86 | 0.81 - 0.90 | <0.0001 | |
VAIh | 0.08 | 3710 | 2888 | 2882 - 2893 | 0.73 | 0.68 - 0.80 | <0.0001 | 0.14 | 2861 | 1734 | 1733 - 1736 | 0.78 | 0.72 - 0.84 | <0.0001 |
Abbreviations: AIC (Akaike information criterion), AUROC (area under the receiver-operating characteristics curve), CI (confidence interval), EVA (estimate of visceral adiposity), WHtR (waist-to-height ratio), WC (waist circumference), DAAT index (deep abdominal adipose tissue index), BMI (body-mass index), LAP (lipid accumulation product), VAI (visceral adiposity index).
For k-fold cross validation, data were partitioned into 5 training sets, repeated 500 times
The 75th percentile of visceral adiposity was 140 cm2 for men and 100 cm2 for women; p-value compared to AUROC for VAE with fasting insulin
EVA (men) = [0.80 × age (years)] + [3.06 × BMI (kg/m2)] + [3.96 × WC (cm)] − [0.54 × HDL-cholesterol (mg/dL)] + [0.10 × fasting glucose (mg/dL)] − [2.92 × mid-thigh circumference (cm)] − 205.91;
EVA (women) = [1.07 × age (years)] + [3.73 × BMI (kg/m2)] + [1.96 × WC (cm)] − [0.40 × HDL-cholesterol (mg/dL)] + [0.01 × LDL-cholesterol (mg/dL)] + [0.14 × fasting glucose (md/dL)] − [1.29 × mid-thigh circimference (cm)] − 160.02
without mid-thigh circumference: EVA-C (men) = [1.28 × age (years)] + [4.12 × WC (cm)] − [0.53 × HDL-cholesterol (mg/dL)] + [0.14 × fasting glucose (mg/dL)] − 319.50;
EVA-C (women) = [1.26 × age (years)] + [1.89 × BMI (kg/m2)] + [2.16 × WC (cm)] − [0.43 × HDL-cholesterol (mg/dL)] + [0.11 × LDL-cholesterol (mg/dL)] + [0.18 × fasting glucose (md/dL)] − 207.22
Després estimate: calculated using coefficients derived by Després et al. (1991) in 110 men: IAFA = −225.39 + 2.125 × age(years) +2.843 × WC(cm); it was derived in a male cohort, so we chose not to calculate values for women
Deep abdominal adipose tissue (DAAT) index: calculated using coefficients derived by Brundavani et al. (2006). Men = −382.9 + [1.09 × weight -(kg)] + [6.04 × WC-(cm)] + (−2.29 × BMI), women = −278 + [−0.86 × weight -(kg)] + [5.19 × WC-(cm)]
Lipid accumulation product (LAP): men [(WC (cm)-65) × TG (mmol)], women [(WC (cm)-58) × TG (mmol)], in the manner of Kahn H. et al. (2005)
Visceral adiposity index (VAI): calculated using coefficents derived by Amato et al. (2010): VAI = (WC/(39.68+(1.88*BMI)))*(triglycerides/1.03)*(1.31/HDL) for men, and (WC/(36.58+(1.89*BMI)))*(triglycerides/0.81)*(1.52/HDL) for women, with both triglycerides and HDL specified in mmol/L