{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T20:15:40Z","timestamp":1780776940072,"version":"3.54.1"},"reference-count":40,"publisher":"Elsevier BV","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2022YFC3600600"],"award-info":[{"award-number":["2022YFC3600600"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Diabetes & Metabolic Syndrome: Clinical Research & Reviews"],"published-print":{"date-parts":[[2025,9]]},"DOI":"10.1016\/j.dsx.2025.103313","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T22:39:48Z","timestamp":1760827188000},"page":"103313","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Association of body roundness index with stroke and mortality among people with normal body mass index"],"prefix":"10.1016","volume":"19","author":[{"given":"Yuan","family":"Shen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruobing","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Xia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuohua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shouling","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4351-2877","authenticated-orcid":false,"given":"Anxin","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10","key":"10.1016\/j.dsx.2025.103313_bib1","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/S1474-4422(24)00369-7","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the global burden of disease study 2021","volume":"23","year":"2024","journal-title":"Lancet Neurol"},{"issue":"8","key":"10.1016\/j.dsx.2025.103313_bib2","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.1161\/STROKEAHA.123.046180","article-title":"Global burden of stroke attributable to low physical activity\/high body mass index among people aged 55 years and older","volume":"55","author":"Li","year":"2024","journal-title":"Stroke"},{"issue":"9","key":"10.1016\/j.dsx.2025.103313_bib3","first-page":"1586","article-title":"[association of body mass index and waist circumference with risk of ischemic stroke in adults in China: a prospective cohort study]","volume":"42","author":"Cong","year":"2021","journal-title":"Zhonghua Liuxingbingxue Zazhi"},{"issue":"5","key":"10.1016\/j.dsx.2025.103313_bib4","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1136\/bjsports-2024-108748","article-title":"Cardiorespiratory fitness, body mass index and mortality: a systematic review and meta-analysis","volume":"59","author":"Weeldreyer","year":"2025","journal-title":"Br J Sports Med"},{"issue":"7","key":"10.1016\/j.dsx.2025.103313_bib5","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1161\/CIRCRESAHA.121.318093","article-title":"Obesity, adipose tissue and vascular dysfunction","volume":"128","author":"Koenen","year":"2021","journal-title":"Circ Res"},{"issue":"11","key":"10.1016\/j.dsx.2025.103313_bib6","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1002\/oby.20408","article-title":"Relationships between body roundness with body fat and visceral adipose tissue emerging from a new geometrical model","volume":"21","author":"Thomas","year":"2013","journal-title":"Obesity"},{"issue":"19","key":"10.1016\/j.dsx.2025.103313_bib7","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.124.034768","article-title":"Body roundness index trajectories and the incidence of cardiovascular disease: evidence from the China health and retirement longitudinal study","volume":"13","author":"Yang","year":"2024","journal-title":"J Am Heart Assoc"},{"issue":"3","key":"10.1016\/j.dsx.2025.103313_bib8","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1093\/ajcn\/nqab412","article-title":"Associations of longitudinal trajectories in body roundness index with mortality and cardiovascular outcomes: a cohort study","volume":"115","author":"Wu","year":"2022","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.dsx.2025.103313_bib9","article-title":"Associations of trajectories in body roundness index with incident cardiovascular disease: a prospective cohort study in rural China","volume":"11","author":"Zhang","year":"2024","journal-title":"Front Nutr"},{"issue":"23","key":"10.1016\/j.dsx.2025.103313_bib10","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1016\/j.jacc.2020.04.038","article-title":"Association of age of onset of hypertension with cardiovascular diseases and mortality","volume":"75","author":"Wang","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.dsx.2025.103313_bib11","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.123.029633","article-title":"Association of normal serum uric acid level and cardiovascular disease in people without risk factors for cardiac diseases in China","volume":"12","author":"Tian","year":"2023","journal-title":"J Am Heart Assoc"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib12","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12933-022-01577-7","article-title":"Triglyceride-glucose index trajectory and stroke incidence in patients with hypertension: a prospective cohort study","volume":"21","author":"Huang","year":"2022","journal-title":"Cardiovasc Diabetol"},{"issue":"10","key":"10.1016\/j.dsx.2025.103313_bib13","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1161\/01.STR.20.10.1407","article-title":"Recommendations on stroke prevention, diagnosis, and therapy. Report of the WHO task force on stroke and other cerebrovascular disorders","volume":"20","year":"1989","journal-title":"Stroke"},{"issue":"4","key":"10.1016\/j.dsx.2025.103313_bib14","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1053\/j.ajkd.2023.08.016","article-title":"Association of stroke with metabolic dysfunction-associated fatty liver disease with and without CKD","volume":"83","author":"Li","year":"2024","journal-title":"Am J Kidney Dis"},{"issue":"9","key":"10.1016\/j.dsx.2025.103313_bib15","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2023.34836","article-title":"Surrogate adiposity markers and mortality","volume":"6","author":"Khan","year":"2023","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib16","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1038\/ejcn.2009.139","article-title":"Body fat distribution and noncommunicable diseases in populations: overview of the 2008 WHO expert consultation on waist circumference and waist-hip ratio","volume":"64","author":"Nishida","year":"2010","journal-title":"Eur J Clin Nutr"},{"issue":"2","key":"10.1016\/j.dsx.2025.103313_bib17","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1038\/nri2921","article-title":"Adipokines in inflammation and metabolic disease","volume":"11","author":"Ouchi","year":"2011","journal-title":"Nat Rev Immunol"},{"key":"10.1016\/j.dsx.2025.103313_bib18","article-title":"Adipose tissue in obesity-related inflammation and insulin resistance: cells, cytokines, and chemokines","volume":"2013","author":"Makki","year":"2013","journal-title":"ISRN Inflamm"},{"key":"10.1016\/j.dsx.2025.103313_bib19","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s13098-016-0156-2","article-title":"Visceral adiposity syndrome","volume":"8","author":"Lopes","year":"2016","journal-title":"Diabetol Metab Syndr"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib20","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1152\/physrev.00017.2012","article-title":"Hypoxia and adipose tissue function and dysfunction in obesity","volume":"93","author":"Trayhurn","year":"2013","journal-title":"Physiol Rev"},{"issue":"5","key":"10.1016\/j.dsx.2025.103313_bib21","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1016\/j.numecd.2015.01.002","article-title":"Abdominal obesity is associated with arterial stiffness in middle-aged adults","volume":"25","author":"Strasser","year":"2015","journal-title":"Nutr Metabol Cardiovasc Dis"},{"key":"10.1016\/j.dsx.2025.103313_bib22","article-title":"Body roundness index and waist-hip ratio result in better cardiovascular disease risk stratification: results from a large Chinese cross-sectional study","volume":"9","author":"Li","year":"2022","journal-title":"Front Nutr"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib23","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s12872-021-01905-x","article-title":"Body roundness index is a superior indicator to associate with the cardio-metabolic risk: evidence from a cross-sectional study with 17,000 eastern-china adults","volume":"21","author":"Xu","year":"2021","journal-title":"BMC Cardiovasc Disord"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib24","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-020-71302-5","article-title":"A body shape index (ABSI) achieves better mortality risk stratification than alternative indices of abdominal obesity: results from a large European cohort","volume":"10","author":"Christakoudi","year":"2020","journal-title":"Sci Rep"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib25","first-page":"33","article-title":"Anthropometric indices predicting incident hypertension in an Iranian population: the Isfahan cohort study","volume":"22","author":"Sadeghi","year":"2019","journal-title":"Anatol J Cardiol"},{"issue":"4","key":"10.1016\/j.dsx.2025.103313_bib26","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1016\/j.ajcnut.2025.08.010","article-title":"Anthropometric indices for predicting incident cardiovascular disease: a 13-year follow-up study in a Japanese population","volume":"122","author":"Ichikawa","year":"2025","journal-title":"Am J Clin Nutr"},{"issue":"7","key":"10.1016\/j.dsx.2025.103313_bib27","doi-asserted-by":"crossref","DOI":"10.1111\/obr.13023","article-title":"Effectiveness of body roundness index in predicting metabolic syndrome: a systematic review and meta-analysis","volume":"21","author":"Rico-Mart\u00edn","year":"2020","journal-title":"Obes Rev"},{"key":"10.1016\/j.dsx.2025.103313_bib28","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1186\/s12889-015-2150-2","article-title":"A body shape index and body roundness index: two new body indices to identify diabetes mellitus among rural populations in northeast China","volume":"15","author":"Chang","year":"2015","journal-title":"BMC Public Health"},{"issue":"9675","key":"10.1016\/j.dsx.2025.103313_bib29","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1016\/S0140-6736(09)60371-8","article-title":"Intracerebral haemorrhage","volume":"373","author":"Qureshi","year":"2009","journal-title":"Lancet"},{"issue":"11","key":"10.1016\/j.dsx.2025.103313_bib30","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1001\/jama.2020.26867","article-title":"Diagnosis and management of transient ischemic attack and acute ischemic stroke: a review","volume":"325","author":"Mendelson","year":"2021","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.dsx.2025.103313_bib31","doi-asserted-by":"crossref","first-page":"e630","DOI":"10.1016\/S2214-109X(18)30216-X","article-title":"Adiposity and risk of ischaemic and haemorrhagic stroke in 0\u00b75 million Chinese men and women: a prospective cohort study","volume":"6","author":"Chen","year":"2018","journal-title":"Lancet Global Health"},{"issue":"12","key":"10.1016\/j.dsx.2025.103313_bib32","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.46613","article-title":"Adiposity, body fat distribution, and risk of major stroke types among adults in the United Kingdom","volume":"5","author":"Pillay","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib33","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1002\/ana.21950","article-title":"Body mass index and risk of stroke among Chinese men and women","volume":"67","author":"Bazzano","year":"2010","journal-title":"Ann Neurol"},{"issue":"2","key":"10.1016\/j.dsx.2025.103313_bib34","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1093\/ajcn\/nqaa331","article-title":"A prospective study of waist circumference trajectories and incident cardiovascular disease in China: the kailuan cohort study","volume":"113","author":"Wang","year":"2021","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.dsx.2025.103313_bib35","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.puhe.2024.06.005","article-title":"Age and sex differences in the impact of common comorbidities on stroke and myocardial infarction: results from the China patient-centered evaluative assessment of cardiac events million persons project","volume":"235","author":"Qiu","year":"2024","journal-title":"Public Health"},{"key":"10.1016\/j.dsx.2025.103313_bib36","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.906844","article-title":"Associations between obesity parameters and the risk of incident atrial fibrillation and ischaemic stroke in the different age groups","volume":"9","author":"Ahn","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"2","key":"10.1016\/j.dsx.2025.103313_bib37","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1042\/CS20190966","article-title":"The role of adipose tissue senescence in obesity- and ageing-related metabolic disorders","volume":"134","author":"Liu","year":"2020","journal-title":"Clin Sci (Lond)"},{"issue":"1","key":"10.1016\/j.dsx.2025.103313_bib38","doi-asserted-by":"crossref","DOI":"10.1080\/0886022X.2025.2555375","article-title":"U-shaped association of body roundness index with all-cause and cardiovascular mortality in individuals with chronic kidney disease","volume":"47","author":"Huang","year":"2025","journal-title":"Ren Fail"},{"issue":"2","key":"10.1016\/j.dsx.2025.103313_bib39","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s00125-022-05811-5","article-title":"Investigating the causal relationships between excess adiposity and cardiometabolic health in men and women","volume":"66","author":"Mutie","year":"2023","journal-title":"Diabetologia"},{"key":"10.1016\/j.dsx.2025.103313_bib40","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.mce.2014.11.029","article-title":"The sexual dimorphism of obesity","volume":"402","author":"Palmer","year":"2015","journal-title":"Mol Cell Endocrinol"}],"container-title":["Diabetes & Metabolic Syndrome: Clinical Research & Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1871402125001304?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1871402125001304?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:36:48Z","timestamp":1780731408000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1871402125001304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":40,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["S1871402125001304"],"URL":"https:\/\/doi.org\/10.1016\/j.dsx.2025.103313","relation":{},"ISSN":["1871-4021"],"issn-type":[{"value":"1871-4021","type":"print"}],"subject":[],"published":{"date-parts":[[2025,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association of body roundness index with stroke and mortality among people with normal body mass index","name":"articletitle","label":"Article Title"},{"value":"Diabetes & Metabolic Syndrome: Clinical Research & Reviews","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.dsx.2025.103313","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Research Trust of DiabetesIndia (DiabetesIndia) and National Diabetes Obesity and Cholesterol Foundation (N-DOC). Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"103313"}}