Association between novel anthropometric indices and overactive bladder: a population-based study

BackgroundAbdominal obesity is recognized as a key risk factor for developing OAB. However, traditional measures of obesity, such as the waist-to-height ratio (WHtR), waist circumference, and body mass index (BMI), may not sufficiently capture fat distribution in the body. This study aims to evaluat...

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Main Authors: Heng Liu, Huqiang Dong, Mingchu Jin, Yu Zhou, Haidong Hao, Yutang Yuan, Hongtao Jia, Min He
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1493792/full
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author Heng Liu
Huqiang Dong
Mingchu Jin
Yu Zhou
Haidong Hao
Yutang Yuan
Hongtao Jia
Min He
author_facet Heng Liu
Huqiang Dong
Mingchu Jin
Yu Zhou
Haidong Hao
Yutang Yuan
Hongtao Jia
Min He
author_sort Heng Liu
collection DOAJ
description BackgroundAbdominal obesity is recognized as a key risk factor for developing OAB. However, traditional measures of obesity, such as the waist-to-height ratio (WHtR), waist circumference, and body mass index (BMI), may not sufficiently capture fat distribution in the body. This study aims to evaluate the relationship between novel anthropometric indices and OAB, providing a more accurate assessment of obesity-related risk factors.MethodsThe National Health and Nutrition Examination Survey (NHANES) data from 2007 to 2018 were utilized, comprising 27,560 participants. To assess the association and discriminative ability of novel anthropometric indices, including the Body Roundness Index (BRI), A Body Shape Index (ABSI), Waist-to-Weight Index (WWI), and Relative Fat Mass (RFM), with OAB, we employed multivariable logistic regression, restricted cubic spline (RCS) analysis, subgroup analysis, and receiver operating characteristic (ROC) curve methods.ResultsMultivariable logistic regression analysis indicated that higher levels of novel anthropometric indices were positively associated with OAB prevalence. One z-score increase in WWI, BRI, RFM, and ABSI was associated with a 16, 31, 57, and 5% higher likelihood of OAB, respectively. RCS analysis revealed a non-linear relationship between RFM and OAB. ROC analysis indicated that WWI (AUC = 0.680) and RFM (AUC = 0.661) provided better diagnostic accuracy than traditional measures such as BMI (AUC = 0.599). Subgroup analyses supported the robustness of these findings.ConclusionNovel anthropometric indices were positively associated with OAB prevalence. WWI and RFM demonstrated significantly better diagnostic value for OAB than BMI and WHtR. Future studies should investigate the potential of combining multiple anthropometric indices to improve predictive accuracy and conduct prospective studies to determine causality.
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spelling doaj-art-2853aac37c664066850b82b838eef9d52025-01-22T05:19:40ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011210.3389/fnut.2025.14937921493792Association between novel anthropometric indices and overactive bladder: a population-based studyHeng Liu0Huqiang Dong1Mingchu Jin2Yu Zhou3Haidong Hao4Yutang Yuan5Hongtao Jia6Min He7Department of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaSchool of Public Health, Ningxia Medical University, Yinchuan, ChinaDepartment of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Urology, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaDepartment of Respiratory and Critical Care Medicine, Renmin Hospital, Hubei University of Medicine, Shiyan, ChinaBackgroundAbdominal obesity is recognized as a key risk factor for developing OAB. However, traditional measures of obesity, such as the waist-to-height ratio (WHtR), waist circumference, and body mass index (BMI), may not sufficiently capture fat distribution in the body. This study aims to evaluate the relationship between novel anthropometric indices and OAB, providing a more accurate assessment of obesity-related risk factors.MethodsThe National Health and Nutrition Examination Survey (NHANES) data from 2007 to 2018 were utilized, comprising 27,560 participants. To assess the association and discriminative ability of novel anthropometric indices, including the Body Roundness Index (BRI), A Body Shape Index (ABSI), Waist-to-Weight Index (WWI), and Relative Fat Mass (RFM), with OAB, we employed multivariable logistic regression, restricted cubic spline (RCS) analysis, subgroup analysis, and receiver operating characteristic (ROC) curve methods.ResultsMultivariable logistic regression analysis indicated that higher levels of novel anthropometric indices were positively associated with OAB prevalence. One z-score increase in WWI, BRI, RFM, and ABSI was associated with a 16, 31, 57, and 5% higher likelihood of OAB, respectively. RCS analysis revealed a non-linear relationship between RFM and OAB. ROC analysis indicated that WWI (AUC = 0.680) and RFM (AUC = 0.661) provided better diagnostic accuracy than traditional measures such as BMI (AUC = 0.599). Subgroup analyses supported the robustness of these findings.ConclusionNovel anthropometric indices were positively associated with OAB prevalence. WWI and RFM demonstrated significantly better diagnostic value for OAB than BMI and WHtR. Future studies should investigate the potential of combining multiple anthropometric indices to improve predictive accuracy and conduct prospective studies to determine causality.https://www.frontiersin.org/articles/10.3389/fnut.2025.1493792/fulloveractive bladderWWIBRIRFMABSINHANES
spellingShingle Heng Liu
Huqiang Dong
Mingchu Jin
Yu Zhou
Haidong Hao
Yutang Yuan
Hongtao Jia
Min He
Association between novel anthropometric indices and overactive bladder: a population-based study
Frontiers in Nutrition
overactive bladder
WWI
BRI
RFM
ABSI
NHANES
title Association between novel anthropometric indices and overactive bladder: a population-based study
title_full Association between novel anthropometric indices and overactive bladder: a population-based study
title_fullStr Association between novel anthropometric indices and overactive bladder: a population-based study
title_full_unstemmed Association between novel anthropometric indices and overactive bladder: a population-based study
title_short Association between novel anthropometric indices and overactive bladder: a population-based study
title_sort association between novel anthropometric indices and overactive bladder a population based study
topic overactive bladder
WWI
BRI
RFM
ABSI
NHANES
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1493792/full
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