{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:51:19Z","timestamp":1772160679114,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T00:00:00Z","timestamp":1717459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The hypertriglyceridemic waist (HTGW) phenotype is a simple measure to identify individuals at increased risk of metabolic syndrome (MetS) traits. The present study aimed to describe the HTGW prevalence, and its associations with MetS traits, and also determine the diagnostic potential of the mirror indices of HTGW phenotype to predict MetS and its components in community\u2010dwelling adults with overweight or obesity in Southern, Sri Lanka.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In a cross\u2010sectional study, 300 adults with excess body weight (body mass index &gt;23\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) were enrolled and examined for the HTGW phenotype (fasting plasma triglyceride concentration \u22651.695\u2009mmol\/L and waist circumference &gt;90 and &gt;85\u2009cm in males and females, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One in five adults with excess body weight had the HTGW phenotype. Phenotype\u2010positive adults had significantly higher fasting plasma glucose (FPG) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010), low\u2010density lipoprotein cholesterol (HDL\u2010C) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), total cholesterol (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), atherogenic index (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), coronary risk index (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), triglyceride glucose index (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040), bioimpedance visceral fat (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041) and significantly lower HDL\u2010C (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001) and cardioprotective index (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) than those without the HTGW phenotype. Adults with excess body weight and the HTGW phenotype had an increased risk of FPG (odds ratio [OR]\u2009=\u20091.294; 95% confidence interval [CI] 1.051\u20131.594), atherogenic index (OR\u2009=\u20093.138; 95% CI\u2009=\u20091.559\u20136.317) and triglyceride glucose index (OR\u2009=\u20093.027; 95% CI\u2009=\u20091.111\u20138.249). The HTGW phenotype was strongly associated with MetS traits (OR\u2009=\u200916.584; 95% CI\u2009=\u20096.230\u201344.147). The cut\u2010off values for the product of waist circumference\u2009\u00d7\u2009triglyceride, to identify the risk of having MetS and dyslipidemia among adults with excess body weight were 158.66 and 160.15\u2009cm\u2009\u00d7\u2009mmol\/L, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The readily available and inexpensive measures of the HTGW phenotype could serve as a clinically useful marker to identify MetS traits in adults with excess body weight.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13332","type":"journal-article","created":{"date-parts":[[2024,6,4]],"date-time":"2024-06-04T17:31:37Z","timestamp":1717522297000},"page":"1130-1140","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of hypertriglyceridemic waist phenotype with metabolic syndrome traits and its diagnostic potential to predict metabolic syndrome in adults with excess body weight: A community\u2010based cross\u2010sectional study"],"prefix":"10.1111","volume":"37","author":[{"given":"Keddagoda Gamage Piyumi","family":"Wasana","sequence":"first","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayomi Deshani De","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4365-7956","authenticated-orcid":false,"given":"Anoja Priyadarshani","family":"Attanayake","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Faculty of Medicine University of Ruhuna Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thilak Priyantha","family":"Weerarathna","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine University of Ruhuna Galle Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,4]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"World obesity 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