Anthropometric indexes play a crucial role in identifying obesity. However, as an internationally commonly used indicator of obesity diagnosis, BMI has limitations in distinguishing lean body mass from fat mass. The weight-adjusted waist index (WWI), a novel anthropometric index, assesses adiposity through standardized waist circumference for weight, which presents an excellent capacity to predict the morbidity and mortality risks of various diseases. However, research on WWI is still in the exploratory stage, and there is a lack of unified standards for using this indicator to determine obesity. In addition, its potential application in children and adolescents also urgently needs to be explored. Therefore, this article comprehensively summarizes and compares the distinctive characteristics between WWI and other obesity-related anthropometric indexes. Bibliometric methods are used to analyze the hotspots and trends of WWI-related research, and we focus on discussing the value of WWI in predicting adverse health outcomes, including cardiovascular disease, diabetes, liver and kidney diseases. We aim to promote the application of WWI in a broader field and fully demonstrate its important public health significance and broad application prospects.
人体测量学指标在识别和测量肥胖中发挥重要作用，BMI作为国际常用的肥胖诊断指标，无法区分瘦体重和脂肪量。体重调整腰围指数（WWI）是一种新兴的肥胖测量指标，通过体重标准化的腰围评估肥胖状态，对多种疾病的发病和死亡风险具有良好的预测能力。但目前针对WWI的研究仍处于探索阶段，尚缺乏利用该指标判断肥胖的统一标准，且其在儿童、青少年群体中的应用潜力也有待挖掘。因此，本文全面总结和比较了WWI与其他的肥胖筛查指标和方法的区别，并结合文献计量学方法分析了WWI相关研究的热点和趋势，重点探讨了WWI在预测心血管疾病、糖尿病、肝脏疾病、肾脏疾病等多种不良健康结局中的价值，旨在推动WWI在更广泛领域的应用，充分展现其重要的公共卫生学意义及广阔的应用前景。.