{"id":5220,"date":"2025-10-17T16:18:42","date_gmt":"2025-10-17T14:18:42","guid":{"rendered":"https:\/\/cvja.co.za\/journal\/?p=5220"},"modified":"2026-05-05T15:57:48","modified_gmt":"2026-05-05T13:57:48","slug":"cvja-2025-073","status":"publish","type":"post","link":"https:\/\/cvja.co.za\/journal\/cvja-2025-073\/","title":{"rendered":"Assessing the diagnostic ability of adiposity measures to identify cardiometabolic risk factors and the metabolic syndrome in South African corporate employees"},"content":{"rendered":"    <div id=\"article\">                                                                                                                        \r\n        <div id=\"title-container\">                                                                                                    \r\n        <div id=\"authors-title\">                                                                                                            \r\n        <!--Aurthors under Title-->                                                                                                            \r\n            \r\nPaula R. Pienaar, Jason A. Suter, Lisa K. Micklesfield                                                                                            \r\n        <\/div>        \r\n<\/div>                                                                                                                            \r\n            <div id=\"copyright\">\r\n        <strong>Copyright:<\/strong> Clinics Cardive Publishing (Pty) Ltd. publisher\r\n        of Cardiovascular Journal of Africa.<\/div>\r\n    <div style=\"clear: both;\"><\/div>                                                                                                                                \r\n        <div id=\"article-abstract\">                                                                                                            \r\n            <div id=\"abstract-title\">                                                                                                        \r\n                    Abstract                                                                                                                \r\n                <\/div>                                                                                                                        \r\n                                                                                                                                \r\n            <div id=\"abstract-content\">                                                                                                        \r\n            <!--Content of Abstract Article-->                                                                                                \r\n            <!--<strong>\"Abstract titles\":<\/strong>-->                                                                                        \r\n            <!--<br\/> at the end of each section!!-->                                                                                        \r\n                                                                                                                                            \r\n        <strong>Aim:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nTo assess the diagnostic ability and cut-points of traditional and novel adiposity measures for cardiometabolic disease (CMD) risk, and to determine the associations between these adiposity measures and metabolic syndrome (MetS) among corporate employees.\r\n<br \/>                                                                                                                            \r\n                                                                                                                                                \r\n        <strong>Methods:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nIn this cross-sectional study, health risk assessments were completed on 625 employees (469 men and 156 women, mean age 50 \u00b1 8 years). Adiposity measures included waist circumference (WC), waist-height ratio (WHtR), body roundness index (BRI), a body shape index (ABSI) and lipid accumulation product (LAP). Sex-stratified receiver operator characteristic (ROC) curve analyses assessed the diagnostic performance of adiposity measures for CMD risk. Logistic regression analyses determined the association between adiposity measures and MetS, which was defined according to the International Diabetes Federation (IDF).                                                                                     \r\n                <br \/>        \r\n                \r\n                <strong>Results:<\/strong>                                                                                                    \r\nMetS was prevalent in 30% of the group, and higher in men than women (33.9% vs. 18%). The area under the curve (AUC) for the different CMD risk factors, for WC, WHtR, BRI and LAP, were similar to each other but higher than ABSI, for men and women. WC cut-points for both sexes (men: 96.5-99.5cm; women: 86.5\u201392.5cm) were higher than the internationally accepted IDF guidelines for CMD risk, namely 94cm and 80cm for men and women. WHtR (0.6), BRI (4.5) and ABSI (men: 0.08, women: 0.07) cut-points were similar for the group and LAP, higher in men (45.5\u201353.5) compared to women (22.8-41.5). In men, BRI (OR: 2.5; 95% CI: 1.9-3.3) and in women, LAP (OR: 3.4; 95% CI: 1.4-8.4) were most strongly associated with MetS after accounting for confounders.\r\n                <br \/>\r\n                                                                                                                                                                                                                                                                        \r\n                                                                                                                                                \r\n        <strong>Conclusion:<\/strong>                                                                                                    \r\n                                                                                                                                                    \r\nBRI and LAP may be considered as alternative and complementary adiposity measures for CMD screening in corporate executives with high MetS and obesity prevalence.\r\n<br \/>    \r\n                                                                                                          \r\n\r\n                                                                                                                                                \r\n            <\/div>                                                                                                                            \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                        \r\n                                                                                                                                                \r\n        <div id=\"keywords\">                                                                                                                    \r\n                                                                                                                                            \r\n            <strong>Keywords:<\/strong>                                                                                                        \r\n                                                                                                                                            \r\n            <strong>cardiometabolic disease, metabolic syndrome, adiposity, employees, screening<\/strong>                                                                                                                                                                                                                    \r\n                                                                                                                                                \r\n        <\/div>                                                                                                                                    \r\n                                                                                                                                                \r\n    <div id=\"publish-info\">                                                                                                                    \r\n                                                                                                                                \r\n    <strong>Submitted:<\/strong> May 21, 2025; <!--Month day, year; -->    \r\n    <strong>Accepted:<\/strong> July 3, 2025; <!--Month day, year; -->                                                                            \r\n    <strong>Published:<\/strong> October 17, 2025<!--Month day, year; -->                                                                                                                            <br \/>                                                            \r\n        <em>Cardiovasc J Afr 2025; <b>36<\/b>: 505-514<!--pg no. till pg no. \"eg. 4-7\"--><\/em>\r\n        <br \/><strong>Volume 36, Issue 4<\/strong> <br \/>                                                                            \r\n        <\/div>                                                                                                                            \r\n                                                                                                                                        \r\n    <div id=\"DOI\">                                                                                                                    \r\n            DOI Citation Reference: dx.doi.org\/10.5830\/CVJA-2025-073<!--DOI number-->                                                                \r\n        <\/div>                                                                                                                            \r\n                \r\n                <div id=\"author-affiliation\">                                                                                                \r\n\r\n<strong>Hambisa Health, Sports Science Institute, 1 Boundary Rd, Newlands, Cape Town, South Africa\r\n\r\n<\/strong>    <br \/>                                                                            \r\nPaula R. Pienaar<br \/>\r\nJason A. Suter\r\n\r\n<br \/><br \/>\r\n\r\n<strong>Health through Physical Activity Lifestyle and Sport Research Centre & Division of Exercise Science and Sports Medicine, Department of Human Biology, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa\r\n\r\n<\/strong>    <br \/>                                                                            \r\nJason A. Suter\r\n\r\n<br \/><br \/>\r\n\r\n<strong>SAMRC\/Wits Developmental Pathways for Health Research Unit, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa\r\n\r\n<\/strong>    <br \/>                                                                            \r\nLisa K. Micklesfield\r\n\r\n<br \/><br \/>\r\n                                                                                                                                                                                                                                        \r\n\r\n                [soshsc hide=\"logged\"]\r\n                <strong>You need to be <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/member-login\/\" target=\"_blank\" rel=\"noopener\">logged in to view and download<\/a> the full text PDF version. <a style=\"color: #c80c44;\" href=\"https:\/\/cvja.co.za\/journal\/register\/\" target=\"_blank\" rel=\"noopener\">Register for a free account?<\/a><\/strong> <br \/><br \/>[\/soshsc]\r\n                \r\n                \r\n                \r\n                <\/div>\r\n    \r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>To assess the diagnostic ability and cut-points of traditional and novel adiposity measures for cardiometabolic disease (CMD) risk, and to determine the associations between these adiposity measures and metabolic syndrome (MetS) among corporate employees.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[44,108],"tags":[],"class_list":["post-5220","post","type-post","status-publish","format-standard","hentry","category-cardiovascular-topics","category-volume-36-issue-4"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.0 - 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