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Diabetes, Cardiovascular Risks, and Lipoproteins · Journal article
Bratislavské Lekárske Listy/bratislava Medical Journal · August 11, 2026
Early or partial results. Treat as a signal, not a conclusion.
This single-centre cross-sectional study of 107 older adults proposes that anthropometric ratios indexed to age (AnRAge), particularly waist circumference/age (WC/A), correlate more strongly with visceral fat thickness than standard anthropometric measures alone. The authors identify optimal WC/A cut-off values for abdominal obesity by sex but explicitly acknowledge that multicentre validation is required before clinical utility can be established.
Cross-sectional observational study. Older adults (age not specified in abstract); setting and detailed eligibility criteria not reported.. Intervention: Calculation of anthropometric ratios indexed to age (WC/A, HC/A, WHR/A, BMI/A) and ultrasound measurement of visceral fat thickness.. Compared with: Standard anthropometric measurements (WC, HC, WHR, BMI) without age indexing.. n = 107.
WC/A showed highest correlation with visceral fat thickness (r = 0.762; p < 0.001), exceeding standard WC (r = 0.727; p < 0.001) Optimal WC/A cut-off for females ≥1.3750 cm/year (83.3% sensitivity, 81.1% specificity); males ≥1.3116 cm/year (72.7% sensitivity, 65.2% specificity) WC/A significantly associated with visceral obesity in logistic regression (OR: 365165.088; 95% CI 12.191–10938004890.391; p = 0.015)
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The proposed WC/A ratios are novel but remain investigational. Clinicians should not adopt these cut-offs in practice until multicentre validation is completed. Current standard anthropometric measures and visceral imaging remain the reference standard for abdominal obesity assessment in older individuals.
Single-centre cross-sectional study in 107 older adults proposing novel anthropometric ratios (AnRAge) for abdominal obesity assessment; findings are exploratory and require validation in larger, multicentre cohorts before clinical adoption.
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The proposed WC/A ratios are novel but remain investigational. Clinicians should not adopt these cut-offs in practice until multicentre validation is completed. Current standard anthropometric measures and visceral imaging remain the reference standard for abdominal obesity assessment in older individuals.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
To determine which anthropometric measurement most strongly associated with metabolic syndrome (MetS) in older adults and to investigate the value of anthropometric ratios to age (AnRAge) in demonstrating abdominal obesity. The study included 107 patients. Waist circumference/age (WC/A), hip circumference/age (HC/A), waist-to-hip ratio/age (WHR/A), and body mass index/age (BMI/A) were calculated. Visceral fat thickness (VFT) was measured by ultrasonography (USG). The correlation between anthropometric measurements and AnRAge (WC/A, HC/A, WHR/A, BMI/A) with VFT was examined. A positive correlation was found between VFT with systolic blood pressure, fasting blood glucose, triglyceride, waist circumference (WC), hip circumference, waist hip ratio, body mass index, WC/A, HC/A, WHR/A, BMI/A, while a negative correlation was found with HDL cholesterol. Also, the anthropometric measurement with the highest correlation coefficient with VFT was WC ( r =.727; p <.001). Additionally, VFT was shown to have a higher correlation coefficient with AnRAge than with anthropometric measurements, and WC/A was found to have the highest correlation coefficient ( r =.762; p <.001). When the relationship between MetS criteria and other related factors with visceral obesity was examined, only MNA-SF (OR: 2.238 (1.149–4.360), p =.018) and WC/A (OR: 365165.088 (12.191–10938004890.391), p =.015) were found to be significantly associated with visceral obesity. The optimal cut-off value of WC/A to predict abdominal obesity in females was measured as ≥ 1.3750 cm/year (83.3% sensitivity and 81.1% specificity) and in males was measured as ≥ 1.3116 cm/year (72.7% sensitivity and 65.2% specificity). We confirmed the association of visceral obesity with MetS and anthropometric measurements in old patients, and found that MetS was better associated with WC in older adults. Furthermore, the stronger association of AnRAge with abdominal obesity and MetS, rather than anthropometric measurements, was a novel finding. However, to determine whether AnRAge is more valuable in identifying abdominal obesity and MetS, multicenter studies with larger sample sizes are needed.
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