Risk association and diagnostic value of body roundness index for cardiovascular-kidney-metabolic-related outcomes: a systematic review and meta-analysis - Summary - MDSpire

Risk association and diagnostic value of body roundness index for cardiovascular-kidney-metabolic-related outcomes: a systematic review and meta-analysis

  • By

  • Hongjia Fu

  • Hui Liu

  • Yamei Han

  • Tie Wang

  • Jia Yu

  • Wei Liu

  • Zhen Liu

  • Xiuru Hu

  • Zhenyan Shen

  • Yunxia Gao

  • April 14, 2026

  • 0 min

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Objective:

To synthesize evidence on the associations between Body Roundness Index (BRI) and Cardiovascular-Kidney-Metabolic (CKM) outcomes, and to assess BRI's diagnostic performance for metabolic risk factors, ensuring clarity in terminology.

Key Findings:
  • BRI is significantly associated with multiple CKM-related outcomes, with variations by outcome and gender, based on 93 studies.
  • Consistent risk associations for metabolic syndrome were observed across the overall population and gender subgroups.
  • BRI demonstrated good discriminatory ability for metabolic syndrome but limited predictive ability for chronic kidney disease, cardiovascular disease, and mortality.
Interpretation:

BRI shows promise as a complementary tool to conventional indices for identifying and stratifying CKM-related risks, particularly for metabolic abnormalities, without suggesting it replaces them.

Limitations:
  • The predictive ability of BRI for certain CKM outcomes is constrained.
  • Further research is needed to define the long-term predictive value and clinical utility of BRI across diverse populations, considering potential biases in the studies reviewed.
Conclusion:

BRI is associated with CKM-related outcomes and offers favorable risk assessment capabilities, warranting further investigation through high-quality prospective studies to solidify its clinical utility.

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