Atención Primaria (May 2024)
Wakabayashi & Daimon cardiometabolic index as an indicator to assess risk in adults. A systematic review
Abstract
Objective: To analyze the Wakabayashi & Daimon (2015) equation, as a predictive indicator of cardiometabolic diseases and its comparison with other indices. Design: A systematic review was carried out between January and March 2023, according to the PRISMA statement. Data source: Scopus, Web of Science, and PubMed databases were reviewed using “cardiometabolic index” (CMI) as the search term. Study selection: The following inclusion criteria were determined: studies in adults with cardiometabolic diseases using the Wakabayashi & Daimon (2015) CMI formula in different populations; studies that validate or compare the equation or that demonstrate the effects of the intervention. Data extraction: Of the 11 selected articles, the characteristics of the population, type of study, indicators for the validation of the CMI, the reported statistics and the conclusions that were recorded in a comparative table were obtained. Results and conclusions: Odds ratio, hazard ratio, sensitivity, and specificity were used to assess associations, risk, effectiveness, and validity of the tests, indicating favorable relationships between the factors analyzed and the results obtained. Validation and probabilistic analysis of the CMI were performed against diverse diseases such as obesity [Man >60y = AUC = 0.90 (0.75–1.00) (p = 0.01), Se = 100, Sp = 81.8, YI = 0.82 and OR 4.66 and Women >60y = AUC = 0.95 (0.88–1.00), p = 0.001, Se = 90.0, Sp = 100, YI = 0.90 and OR = 36.27]; cardiovascular diseases [AUC = 0.617, Se = 0.675, Sp = 0.509; HR = 1.48 (1.33, 1.65), p = 60 años = AUC = 0,90 [0,75-1,00], [p = 0,01], Se = 100, Sp = 81,8, YI = 0,82 y OR 4,66; y mujeres >60 años = AUC = 0,95 [0,88-1,00], p = 0,001, Se = 90,0, Sp = 100, YI = 0,90 y OR = 36,27); enfermedades cardiovasculares (AUC = 0,617, Se = 0,675, Sp = 0,509; HR = 1,48 [1,33, 1,65] p ≤ 0,001), entre otros. En conclusión, el ICM es un nuevo índice de utilidad que identifica ampliamente la presencia de riesgo para conducir a enfermedades cardiometabólicas en adultos.
