Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.

Visceral obesity is associated with higher occurrence of cardiovascular events. There are few studies about the accuracy of anthropometric clinical indicators, using Computed Tomography (CT) as the gold standard. We aimed to determine the accuracy of anthropometric clinical indicators for discrimina...

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Main Authors: Anna Karla Carneiro Roriz, Luiz Carlos Santana Passos, Carolina Cunha de Oliveira, Michaela Eickemberg, Pricilla de Almeida Moreira, Lílian Ramos Sampaio
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4117503?pdf=render
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author Anna Karla Carneiro Roriz
Luiz Carlos Santana Passos
Carolina Cunha de Oliveira
Michaela Eickemberg
Pricilla de Almeida Moreira
Lílian Ramos Sampaio
author_facet Anna Karla Carneiro Roriz
Luiz Carlos Santana Passos
Carolina Cunha de Oliveira
Michaela Eickemberg
Pricilla de Almeida Moreira
Lílian Ramos Sampaio
author_sort Anna Karla Carneiro Roriz
collection DOAJ
description Visceral obesity is associated with higher occurrence of cardiovascular events. There are few studies about the accuracy of anthropometric clinical indicators, using Computed Tomography (CT) as the gold standard. We aimed to determine the accuracy of anthropometric clinical indicators for discrimination of visceral obesity.Cross-sectional study with 191 adults and elderly of both sexes. Variables: area of visceral adipose tissue (VAT) identified by CT, Waist-to-Height Ratio (WHtR), Conicity index (C index), Lipid Accumulation Product (LAP) and Visceral Adiposity Index (VAI). ROC analyzes.There were a strong correlation between adiposity indicators and VAT area. Higher accuracy of C index and WHtR (AUC≥0.81) than the LAP and the VAI was observed. The higher AUC of LAP and VAI were observed among elderly with areas of 0.88 (CI: 0.766-0.944) and 0.83 (CI: 0.705-0.955) in men and 0.80 (CI: 0.672-0.930) and 0.71 (CI: 0.566-0.856) in women, respectively. The cutoffs of C index were 1.30 in elderly, in both sexes, with sensitivity ≥92%, the LAP ranged from 26.4 to 37.4 in men and from 40.6 to 44.0 in women and the VAI was 1.24 to 1.45 (sens≥76.9%) in men and 1.46 to 1.84 in women.Both the anthropometric indicators, C Index and WHtR, as well as LAP and VAI had high accuracy in visceral obesity discrimination. So, they are effective in cardiovascular risk assessment and in the follow-up for individual and collective clinical practice.
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spelling doaj.art-682ccb20dd79468ebb520c107d4d42672022-12-22T01:52:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-0197e10349910.1371/journal.pone.0103499Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.Anna Karla Carneiro RorizLuiz Carlos Santana PassosCarolina Cunha de OliveiraMichaela EickembergPricilla de Almeida MoreiraLílian Ramos SampaioVisceral obesity is associated with higher occurrence of cardiovascular events. There are few studies about the accuracy of anthropometric clinical indicators, using Computed Tomography (CT) as the gold standard. We aimed to determine the accuracy of anthropometric clinical indicators for discrimination of visceral obesity.Cross-sectional study with 191 adults and elderly of both sexes. Variables: area of visceral adipose tissue (VAT) identified by CT, Waist-to-Height Ratio (WHtR), Conicity index (C index), Lipid Accumulation Product (LAP) and Visceral Adiposity Index (VAI). ROC analyzes.There were a strong correlation between adiposity indicators and VAT area. Higher accuracy of C index and WHtR (AUC≥0.81) than the LAP and the VAI was observed. The higher AUC of LAP and VAI were observed among elderly with areas of 0.88 (CI: 0.766-0.944) and 0.83 (CI: 0.705-0.955) in men and 0.80 (CI: 0.672-0.930) and 0.71 (CI: 0.566-0.856) in women, respectively. The cutoffs of C index were 1.30 in elderly, in both sexes, with sensitivity ≥92%, the LAP ranged from 26.4 to 37.4 in men and from 40.6 to 44.0 in women and the VAI was 1.24 to 1.45 (sens≥76.9%) in men and 1.46 to 1.84 in women.Both the anthropometric indicators, C Index and WHtR, as well as LAP and VAI had high accuracy in visceral obesity discrimination. So, they are effective in cardiovascular risk assessment and in the follow-up for individual and collective clinical practice.http://europepmc.org/articles/PMC4117503?pdf=render
spellingShingle Anna Karla Carneiro Roriz
Luiz Carlos Santana Passos
Carolina Cunha de Oliveira
Michaela Eickemberg
Pricilla de Almeida Moreira
Lílian Ramos Sampaio
Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
PLoS ONE
title Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
title_full Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
title_fullStr Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
title_full_unstemmed Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
title_short Evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly.
title_sort evaluation of the accuracy of anthropometric clinical indicators of visceral fat in adults and elderly
url http://europepmc.org/articles/PMC4117503?pdf=render
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