The Healthspan Map · Ch3 Baseline: Body composition

Body Roundness Index

What this is linked to

Where Body Roundness Index is linked — 14 sources.In the order the Map holds them: strongest evidence first. That is a statement about the evidence, not about what matters most.
Nutrient or leverDirectionStrengthEvidence typeWhat was foundSource
Body Roundness IndexWatch thisModerateRCT / meta-analysisBody-shape indices capturing central adiposity flag blood-pressure risk that BMI can miss.Non-drug BP management (opens in a new tab)
Body Roundness IndexWatch thisModerateReview / narrativeBody-shape indices capturing central adiposity flag dyslipidemia risk.Lifestyle & lipids (Endotext) (opens in a new tab)
Body Roundness IndexWatch thisModerateCohort / observationalBody Roundness Index and related visceral-fat indices are associated with osteoarthritis; visceral fat secretes pro-inflammatory adipokines that degrade cartilage independent of BMI.Visceral adiposity indices & OA (opens in a new tab)
Body Roundness IndexWatch thisEmergingCohort / observationalBody-shape indices capturing central adiposity are inversely associated with femoral bone density, flagging visceral-fat-driven skeletal fragility that BMI can mask.Body-shape index & BMD (NHANES) (opens in a new tab)
Body Roundness IndexWatch thisModerateReview / narrativeBody-shape indices capturing central adiposity flag metabolic neuropathy risk.Diabetic neuropathy review (opens in a new tab)
Body Roundness IndexWatch thisEmergingCohort / observationalCentral-adiposity indices flag the fat distribution linked to hormonal and ovulatory disruption.Nutritional status & female infertility case-control (PMC11496271) (opens in a new tab)
Body Roundness IndexWatch thisModerateCohort / observationalCentral-adiposity indices flag the fat distribution most relevant to OSA risk.OSA & obesity review (PMC10876414) (opens in a new tab)
Body Roundness IndexWatch thisEmergingCohort / observationalBody-shape measures of central fat flag the metabolic risk associated with tinnitus - emerging.Tinnitus & cardiovascular risk (opens in a new tab)
Body Roundness IndexWatch thisStrongReview / narrativeBody-shape indices reflecting central adiposity track insulin resistance and metabolic-syndrome risk better than weight alone.Diet & T2D prevention (Lancet) (opens in a new tab)
Body Roundness IndexWatch thisModerateReview / narrativeCentral-adiposity measures track systemic inflammation (IL-6/CRP) and immune dysfunction.Central adiposity & CRP (opens in a new tab)
Body Roundness IndexWatch thisModerateCohort / observationalHigher BRI reflects visceral adiposity and cardiometabolic risk."Body Roundness Index Associated With Cardiometabolic Multimorbidity and Mortality: A Multistate Analysis", Obesity 2025 (opens in a new tab)
Body Roundness IndexWatch thisModerateCohort / observationalBRI showed a U-shaped association with all-cause mortality, with elevated cardiovascular risk at high values.BRI and mortality (JAMA Network Open 2024) (opens in a new tab)
Body Roundness IndexWatch thisEmergingCohort / observationalBoth very high and very low BRI were associated with higher all-cause mortality (U-shaped).BRI and all-cause mortality (JAMA Network Open 2024) (opens in a new tab)
Body Roundness IndexWatch thisEmergingCohort / observationalCentral-adiposity indices flag the visceral fat that drives fatty liver and metabolic-kidney risk.Hypocaloric diet & hepatic steatosis (PMC12455765) (opens in a new tab)