Risk and diagnosis of the metabolic syndrome in apparently healthy young adults by means of the waist-height



Document title: Risk and diagnosis of the metabolic syndrome in apparently healthy young adults by means of the waist-height
Journal: Revista médica del Hospital General de México
Database: PERIÓDICA
System number: 000439507
ISSN: 0185-1063
Authors: 1
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Institutions: 1Benemérita Universidad Autónoma de Puebla, Facultad de Medicina, Puebla. México
Year:
Season: Oct-Dic
Volumen: 82
Number: 4
Pages: 179-186
Country: México
Language: Inglés
Document type: Artículo
Approach: Analítico, descriptivo
English abstract Metabolic syndrome (MS) is associated with overweightness and/or obesity, hypertension, hyperglycemia, dyslipidemias, and insulin resistance; timely detection can help to avoid or reduce the risk of cardiovascular diseases or type 2 diabetes mellitus, which the main causes of death from noncommunicable diseases in Mexico. Objective: The objective of the study was to evaluate the waist-to-height ratio (WHtR) as a parameter for risk assessment and diagnosis of MS in a population of apparently healthy young adults. Materials and Methods: This was a cross-sectional study. Sample of 337 subjects was recruited. Biochemical and anthropometric parameters were determined for the presence of MS, obtaining WHtR and quartiles were generated to propose a cutoff point with which the risk and diagnostic utility of this ratio were assessed by means of quantitative comparisons, risk analysis, and likelihood analysis. Results: The WHtR is a very sensitive and specific test for the diagnosis of MS. The areas under the curve were 98% and 83%, respectively, for men and women, for the diagnosis of MS (p < 0.0001). It was found that a WHtR higher than 0.53 increases the risk of MS (odds ratio = 18.62, 95% confidence interval = 1.7-208, p = 0.02). Potential impact measures suggest by controlling the WHtR, 94% of MS cases could be prevented. Conclusions: The WHtR is useful and accurate for the diagnosis of the MS in apparently healthy young adults
Disciplines: Medicina
Keyword: Metabolismo y nutrición,
Adultos jóvenes,
Cintura-estatura,
Síndrome metabólico,
Factores de riesgo
Keyword: Metabolism and nutrition,
Young adults,
Waist-height,
Metabolic syndrome,
Risk factors
Full text: https://www.hospitalgeneral.mx/frame_esp.php?id=39