RESUMO
Objective. To estimate anthropometric parameters' (APs) cut-off points and association for metabolic syndrome (MetS). Materials and methods. A cross-sectional study was carried out with a total of 434 adult women from Cartagena de Indias, Colombia, in 2012. APs measured were waist circumference (WC), body mass index (BMI), body adiposity index (BAI), waist-hip ratio (WHR) and waist-height ratio (WHtR). Cut-off points were estimated by a receiver operating characteristic curve (ROC). Logistic regression was applied to estimate possible associations. Results. Cut-off points for WC, BMI, BAI, WHR and WHtR were 85 cm, 28 kg/m(2), 39%, 0.80 and 56, respectively. Only WHtR was associated to MetS (OR=1.11, CI95% [1.07-1.15]). Conclusion. WC cut-off point was higher than those proposed for Latin-American women by the Joint Interim Statement (JIS). WHtR had a low predictive value for MetS.
Assuntos
Pesos e Medidas Corporais , Síndrome Metabólica/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Colômbia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Adulto JovemRESUMO
Objective. To estimate anthropometric parameters' (APs) cut-off points and association for metabolic syndrome (MetS). Materials and methods. A cross-sectional study was carried out with a total of 434 adult women from Cartagena de Indias, Colombia, in 2012. APs measured were waist circumference (WC), body mass index (BMI), body adiposity index (BAI), waist-hip ratio (WHR) and waist-height ratio (WHtR). Cut-off points were estimated by a receiver operating characteristic curve (ROC). Logistic regression was applied to estimate possible associations. Results. Cut-off points for WC, BMI, BAI, WHR and WHtR were 85 cm, 28 kg/m², 39%, 0.80 and 56, respectively. Only WHtR was associated to MetS (OR=1.11, CI95% [1.07-1.15]). Conclusion. WC cut-off point was higher than those proposed for Latin-American women by the Joint Interim Statement (JIS). WHtR had a low predictive value for MetS.
Objetivo. Estimar los puntos de corte y asociación de las medidas antropométricas para obesidad con el síndrome metabólico (SMet). Material y métodos. Se realizó un estudio de corte transversal con 434 mujeres adultas, en Cartagena de Indias, Colombia, durante 20I2. Se midieron la circunferencia abdominal (CA), el índice de masa corporal (IMC), el índice de adiposidad corporal (IAC) y las razones cintura-cadera (RCC) y cintura-talla (RCT). Los puntos de corte fueron determinados mediante la curva ROC. La fuerza de asociación se estimó por regresión logística. Resultados. Los puntos de corte para CA, IMC, IAC, RCC y RCT fueron, respectivamente, 85 cm, 28 kg/m², 39%, 0.80 y 56. De los parámetros evaluados sólo RCT se asoció con SMet (OR= 1.11, IC95% [1.07-1.15]). Conclusión. El punto de corte para circunferencia abdominal fue superior al reportado en América Latina, según el criterio de declaración provisional conjunta (JIS). La asociación de RCT con SMet fue baja.
Assuntos
Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Adulto Jovem , Pesos e Medidas Corporais , Síndrome Metabólica/diagnóstico , Colômbia , Estudos TransversaisRESUMO
BACKGROUND: During last decade the metabolic syndrome has been defined by five different guidelines. Discrepancies in such definitions could influence syndrome predictive ability over cardiovascular diseases. The aim of this study was to determine the degree of agreement between these five guidelines, in population from Cartagena (Colombia). METHODS: A cross sectional study was conducted in adults from urban zone. Sample size was estimated based on 2005 DANE census, which included 670 individuals. The prevalence of metabolic syndrome was determined through the WHO (World Health Organization), AHA/NHLBI (American Heart Association/National Heart Lung and Blood Institute), ATP III (Adult Treatment Panel III), IDF (International Diabetes Federation) and JIS (Joint Interim Statement) guidelines. Frequencies obtained were compared through Cohen's kappa index. RESULTS: According to JIS, IDF, ATPIII, AHA/NHBLI and WHO guidelines, metabolic syndrome prevalence was 36.3% [32.6 - 39.9], 35.1%, 30.3%, 24.2% and 4.9%. Agreement between JIS and IDF was 0.893, while index for these two guidelines with AHA/NHLBI was 0.778 y 0.750, respectively. ATPIII had a lower agreement with JIS and IDF (0.711 and 0.645, respectively), however with AHA/NHLBI agreement was 0.863. WHO presented a agreement with the others guidelines between 0.14 and 0.16. CONCLUSIONS: Significant agreement was found between the four most recent guidelines. Abdominal obesity cut-off points might support differences agreement differences.