Association of Wrist Circumference With Cardio-Metabolic Risk Factors: A Systematic Review and Meta-Analysis Publisher Pubmed



Namazi N¹ ; Djalalinia S² ; Mahdavigorabi A³ ; Asayesh H⁴ ; Mansourian M⁵ ; Noroozi M⁶ ; Qorbani M^{7, 8} Show Affiliations
Source: Eating and Weight Disorders Published:2020

Abstract

Background and aims: The association of Wrist Circumference (WrC) with cardio-metabolic risk factors is still contradictory. We aimed to systematically review the association of WrC with cardio-metabolic diseases among the general populations. Methods: We systematically searched electronic databases such as PubMed/Medline, Web of Sciences, and Scopus without language restriction until March 2017. Observational studies that examined the association of WrC with any cardio-metabolic risk factors were included. Pooled association of WrC with metabolic syndrome (MetS) was estimated using a random-effect model, and heterogeneity among studies was assessed by I2 index and Q test. Results: A total of 14 papers including cohort study (n = 9), cross-sectional study (n = 4), and case–control study (n = 1) met the criteria and included. The eligible papers have been examined the association of WrC with any cardiovascular disorders (n = 8), metabolic syndrome (n = 4), insulin resistance (IR) (n = 5), diabetes mellitus (n = 2), impaired glucose tolerance (n = 1), cardio-metabolic risk factors (n = 2) and obesity/overweight (n = 1). In the whole population (both adults and pediatric population), high WrC increased the risk of MetS by 33% (Pooled OR = 1.33; 95% CI 1.20, 1.48; I2 = 60.2%, p = 0.04), while the pooled OR in adult populations was 1.27 (95% CI 1.15–1.41; I2: 32.8%, p = 0.21). Qualitative synthesis showed that associations of WrC with other cardio-metabolic risk factors are conflicting. Conclusion: High WrC increased the risk of MetS and other cardio-metabolic risk factors. However, due to limited studies, particularly in children, results should be declared with great caution. Further cohort studies are needed to clarify whether WrC is a suitable anthropometric index to predict cardio-metabolic disorders in adult and children populations in different societies. Level of evidence: Level 1, systematic review and meta-analysis © 2018, Springer International Publishing AG, part of Springer Nature.