Association between body roundness index and predicted 10-year cardiovascular disease risk among military personnel in Thailand: A cross-sectional study
Kanlaya Jongcherdchootrakul, Jaturon Poovieng, Naphat Wongkliawrian, Nutnaree Thuncharoon, Phutsapong Srisawat, Panadda Hatthachote, Mathirut Mungthin, Ram Rangsin, Boonsub SakboonyaratObjectives
The study evaluated the association between body roundness index (BRI) and predicted 10-year cardiovascular disease (CVD) risk, using the 2019 World Health Organization risk score, and compared the predictive performance of BRI with body mass index (BMI) for assessing CVD risk.
Methods
A cross-sectional study of Royal Thai Army (RTA) personnel aged 40–60 years, using 2022 health examination data, was conducted. Multivariable logistic regression assessed the association between BRI and moderate-to-very-high risk (≥10%) of CVD, estimating the adjusted prevalence ratio (APR) with a 95% confidence interval (CI). Receiver operating characteristic (ROC) analysis compared the predictive performance of BRI and BMI for CVD risk.
Results
A total of 34,610 participants were included. Higher BRI was positively associated with a predicted 10-year moderate-to-very-high risk of CVD, with an APR of 1.17 (95% CI: 1.11–1.23). In BRI quartiles, APR was 1.25 (95% CI: 1.13–1.38), 1.36 (95% CI: 1.23–1.52), and 1.57 (95% CI: 1.39–1.78), respectively, in quartiles 2, 3, and 4 compared with quartile 1 (
Conclusion
An association between a high BRI and increased 10-year CVD risk among RTA personnel was observed. Our study also highlighted that BRI performed better than BMI at predicting 10-year CVD risk.