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Validity and reliability of the sagittal abdominal diameter as a predictor of visceral abdominal fat.
Sampaio, Lílian R; Simões, Eduardo J; Assis, Ana Marlúcia O; Ramos, Luiz R.
Afiliación
  • Sampaio LR; Departamento Ciência da Nutrição, Escola de Nutrição, Universidade Federal da Bahia, Salvador, BA. lramos@ufba.br
Arq Bras Endocrinol Metabol ; 51(6): 980-6, 2007 Aug.
Article en En | MEDLINE | ID: mdl-17934666
OBJECTIVES: To evaluate the reliability of the sagittal abdominal diameter and its validity as a predictor of visceral abdominal fat, as well as to identify the most appropriate cut-off points to identify the area of visceral fat that is known to represent a risk factor for cardiovascular disease. DESIGN: Validation study. SUBJECTS: 92 healthy volunteers (57 women, 35 men), age: 20-83 y, body mass index: 19.3 to 35.9 kg/m2. MEASUREMENTS: Sagittal abdominal diameter (SAD), weight, height, circumferences (waist, hip, and thigh), sub-scapular skinfold thickness, abdominal diameter index, and waist-hip ratio (WHR). METHOD OF CHOICE: Computed tomography (CT). STATISTIC: Receiver operating characteristic (ROC) curve. RESULTS: The reliability for SAD measurement was very high (Inter-class coefficient = 0.99). Visceral fat as measured by VAF through CT was highly correlated with SAD (women r = 0.80; men r = 0.64, p < 0.001), waist circumference (women r = 0.77; men r = 0.73, p < 0.001), and WHR (women r = 0.72; men r = 0.58, p < 0.001). The ROC curve indicated 19.3 cm and 20.5 cm as the threshold values for abdominal sagittal diameter in women and men (sensitivity 85% and 83%, specificity 77% and 82%, respectively). CONCLUSIONS: There was a high correlation between SAD and VAF. The cut-off values identified for SAD presented a sensitivity and specificity that were considered adequate.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antropometría / Relación Cintura-Cadera / Grasa Intraabdominal / Distribución de la Grasa Corporal / Circunferencia de la Cintura Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Bras Endocrinol Metabol Año: 2007 Tipo del documento: Article Pais de publicación: Brasil
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Antropometría / Relación Cintura-Cadera / Grasa Intraabdominal / Distribución de la Grasa Corporal / Circunferencia de la Cintura Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Arq Bras Endocrinol Metabol Año: 2007 Tipo del documento: Article Pais de publicación: Brasil