Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank

<h3 dir="ltr">Introduction</h3><p dir="ltr">Metabolic syndrome (MetS) poses a substantial health risk, particularly in Qatar. This study aimed to compare the diagnostic accuracy of various indices for MetS identification in a well-characterized Qatari cohort fro...

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Main Author: Muhammad Ammar Zahid (18123775) (author)
Other Authors: Abrar Abdelrahman (21253360) (author), Hicham Raïq (22045121) (author), Abdelhamid Kerkadi (10724304) (author), Abdelali Agouni (181926) (author)
Published: 2025
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_version_ 1864513536811597824
author Muhammad Ammar Zahid (18123775)
author2 Abrar Abdelrahman (21253360)
Hicham Raïq (22045121)
Abdelhamid Kerkadi (10724304)
Abdelali Agouni (181926)
author2_role author
author
author
author
author_facet Muhammad Ammar Zahid (18123775)
Abrar Abdelrahman (21253360)
Hicham Raïq (22045121)
Abdelhamid Kerkadi (10724304)
Abdelali Agouni (181926)
author_role author
dc.creator.none.fl_str_mv Muhammad Ammar Zahid (18123775)
Abrar Abdelrahman (21253360)
Hicham Raïq (22045121)
Abdelhamid Kerkadi (10724304)
Abdelali Agouni (181926)
dc.date.none.fl_str_mv 2025-12-30T03:00:00Z
dc.identifier.none.fl_str_mv 10.1371/journal.pone.0339340
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Assessing_the_diagnostic_accuracy_of_biochemical_anthropometric_and_combined_indices_for_metabolic_syndrome_prediction_in_a_cohort_from_Qatar_Biobank/31746457
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Metabolic Syndrome
Lipid Accumulation Product (LAP)
Visceral Adiposity Indices
Diagnostic Accuracy
dc.title.none.fl_str_mv Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3 dir="ltr">Introduction</h3><p dir="ltr">Metabolic syndrome (MetS) poses a substantial health risk, particularly in Qatar. This study aimed to compare the diagnostic accuracy of various indices for MetS identification in a well-characterized Qatari cohort from Qatar Biobank (QBB).</p><h3 dir="ltr">Methods</h3><p dir="ltr">This cross-sectional study included 692 adults (≥18 years) from the QBB, categorized into MetS and healthy groups using the International Diabetes Federation (IDF) criteria. We compared the distributions of biochemical, anthropometric, and combined indices between groups. Logistic regression assessed associations with MetS, adjusting for demographics. Receiver Operating Characteristic (ROC) analysis evaluated discriminative performance and identified optimal thresholds. Robustness was tested using a 75/25 train-test split. Stratified analyses examined the influence of age, gender, and nationality.</p><h3 dir="ltr">Results</h3><p dir="ltr">The MetS prevalence was 19.1% among participants. Individuals with MetS displayed significantly higher levels of all indices compared to the healthy group. Triglycerides (adjusted odd ratio (AOR): 4.93), waist circumference (AOR: 3.87), and lipid accumulation product (LAP) (AOR: 14.91) showed the strongest associations within their respective categories. LAP achieved the highest discriminative performance (area under the curve (AUC): 0.896; 95% CI: 0.870–0.923), followed by the visceral adiposity index (VAI) (AUC: 0.877) and TyG × waist circumference (AUC: 0.872). LAP’s optimal threshold was 37.1, with a sensitivity of 0.856 and a specificity of 0.789. Combined indices consistently outperformed individual measures. Discriminative accuracy was comparable across genders and nationalities but higher in individuals under 45 years.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">Combined indices, particularly LAP, demonstrate superior discriminative ability for MetS in this Qatari cohort. Incorporating LAP into routine clinical practice could improve MetS detection and facilitate timely interventions. Further validation in larger, diverse populations is, however, warranted.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: PLOS One<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0339340" target="_blank">https://dx.doi.org/10.1371/journal.pone.0339340</a></p>
eu_rights_str_mv openAccess
id Manara2_37d1eb4c070c6f895c9efc9d63d7ce08
identifier_str_mv 10.1371/journal.pone.0339340
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/31746457
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar BiobankMuhammad Ammar Zahid (18123775)Abrar Abdelrahman (21253360)Hicham Raïq (22045121)Abdelhamid Kerkadi (10724304)Abdelali Agouni (181926)Biomedical and clinical sciencesMedical biochemistry and metabolomicsHealth sciencesEpidemiologyMetabolic SyndromeLipid Accumulation Product (LAP)Visceral Adiposity IndicesDiagnostic Accuracy<h3 dir="ltr">Introduction</h3><p dir="ltr">Metabolic syndrome (MetS) poses a substantial health risk, particularly in Qatar. This study aimed to compare the diagnostic accuracy of various indices for MetS identification in a well-characterized Qatari cohort from Qatar Biobank (QBB).</p><h3 dir="ltr">Methods</h3><p dir="ltr">This cross-sectional study included 692 adults (≥18 years) from the QBB, categorized into MetS and healthy groups using the International Diabetes Federation (IDF) criteria. We compared the distributions of biochemical, anthropometric, and combined indices between groups. Logistic regression assessed associations with MetS, adjusting for demographics. Receiver Operating Characteristic (ROC) analysis evaluated discriminative performance and identified optimal thresholds. Robustness was tested using a 75/25 train-test split. Stratified analyses examined the influence of age, gender, and nationality.</p><h3 dir="ltr">Results</h3><p dir="ltr">The MetS prevalence was 19.1% among participants. Individuals with MetS displayed significantly higher levels of all indices compared to the healthy group. Triglycerides (adjusted odd ratio (AOR): 4.93), waist circumference (AOR: 3.87), and lipid accumulation product (LAP) (AOR: 14.91) showed the strongest associations within their respective categories. LAP achieved the highest discriminative performance (area under the curve (AUC): 0.896; 95% CI: 0.870–0.923), followed by the visceral adiposity index (VAI) (AUC: 0.877) and TyG × waist circumference (AUC: 0.872). LAP’s optimal threshold was 37.1, with a sensitivity of 0.856 and a specificity of 0.789. Combined indices consistently outperformed individual measures. Discriminative accuracy was comparable across genders and nationalities but higher in individuals under 45 years.</p><h3 dir="ltr">Conclusion</h3><p dir="ltr">Combined indices, particularly LAP, demonstrate superior discriminative ability for MetS in this Qatari cohort. Incorporating LAP into routine clinical practice could improve MetS detection and facilitate timely interventions. Further validation in larger, diverse populations is, however, warranted.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: PLOS One<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1371/journal.pone.0339340" target="_blank">https://dx.doi.org/10.1371/journal.pone.0339340</a></p>2025-12-30T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1371/journal.pone.0339340https://figshare.com/articles/journal_contribution/Assessing_the_diagnostic_accuracy_of_biochemical_anthropometric_and_combined_indices_for_metabolic_syndrome_prediction_in_a_cohort_from_Qatar_Biobank/31746457CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/317464572025-12-30T03:00:00Z
spellingShingle Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
Muhammad Ammar Zahid (18123775)
Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Metabolic Syndrome
Lipid Accumulation Product (LAP)
Visceral Adiposity Indices
Diagnostic Accuracy
status_str publishedVersion
title Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
title_full Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
title_fullStr Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
title_full_unstemmed Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
title_short Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
title_sort Assessing the diagnostic accuracy of biochemical, anthropometric, and combined indices for metabolic syndrome prediction in a cohort from Qatar Biobank
topic Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Metabolic Syndrome
Lipid Accumulation Product (LAP)
Visceral Adiposity Indices
Diagnostic Accuracy