Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly

Abstract Objectives: To examine the accuracy of waist circumference to predict two or more metabolic syndrome (MS) components among the elderly and to compare it with the recommendations of the Joint Interim Statement (JIS) for adults. Method: The study was conducted among participants of the base...

Full description

Bibliographic Details
Main Authors: Keila Bacelar Duarte de Morais, Cibele Comini César, Sérgio Viana Peixoto, Maria Fernanda Lima-Costa
Format: Article
Language:English
Published: Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti) 2018-06-01
Series:Revista Brasileira de Geriatria e Gerontologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232018000300367&tlng=en
_version_ 1818753047990370304
author Keila Bacelar Duarte de Morais
Cibele Comini César
Sérgio Viana Peixoto
Maria Fernanda Lima-Costa
author_facet Keila Bacelar Duarte de Morais
Cibele Comini César
Sérgio Viana Peixoto
Maria Fernanda Lima-Costa
author_sort Keila Bacelar Duarte de Morais
collection DOAJ
description Abstract Objectives: To examine the accuracy of waist circumference to predict two or more metabolic syndrome (MS) components among the elderly and to compare it with the recommendations of the Joint Interim Statement (JIS) for adults. Method: The study was conducted among participants of the baseline of the Bambuí (Minas Gerais) Cohort Study. The best waist circumference cut-off point for the outcome was determined by the Younden Index. The accuracy of such cut-off points was assessed by the area under the ROC curve (AUROC) and the sensitivity, specificity and positive and negative predictive values. Results: The prevalence of MS was 63.8% among women and 43.4% among men. Of these, the waist circumference cut-off that best predicted two or more components of MS (≥88 cm) was similar to that recommended by JIS (≥90 cm) (AUROC=0.673 and 0.672, respectively). Among women, the corresponding value was higher (≥92 cm) than recommended by the JIS (≥80 cm) (AUROC=0.605 and 0.560, respectively). Conclusion: The overall accuracy of waist circumference (AUROC) for the outcome was low for both genders, indicating that this measure is not an effective predictor of other components of MS in the study population.
first_indexed 2024-12-18T05:01:09Z
format Article
id doaj.art-90a3cc687a464b17a9191af6c645a248
institution Directory Open Access Journal
issn 1981-2256
language English
last_indexed 2024-12-18T05:01:09Z
publishDate 2018-06-01
publisher Universidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)
record_format Article
series Revista Brasileira de Geriatria e Gerontologia
spelling doaj.art-90a3cc687a464b17a9191af6c645a2482022-12-21T21:20:09ZengUniversidade Estadual do Rio de Janeiro (UERJ) , Universidade Aberta a Terceira Idade (UnAti)Revista Brasileira de Geriatria e Gerontologia1981-22562018-06-0121336737110.1590/1981-22562018021.180058Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderlyKeila Bacelar Duarte de MoraisCibele Comini CésarSérgio Viana PeixotoMaria Fernanda Lima-CostaAbstract Objectives: To examine the accuracy of waist circumference to predict two or more metabolic syndrome (MS) components among the elderly and to compare it with the recommendations of the Joint Interim Statement (JIS) for adults. Method: The study was conducted among participants of the baseline of the Bambuí (Minas Gerais) Cohort Study. The best waist circumference cut-off point for the outcome was determined by the Younden Index. The accuracy of such cut-off points was assessed by the area under the ROC curve (AUROC) and the sensitivity, specificity and positive and negative predictive values. Results: The prevalence of MS was 63.8% among women and 43.4% among men. Of these, the waist circumference cut-off that best predicted two or more components of MS (≥88 cm) was similar to that recommended by JIS (≥90 cm) (AUROC=0.673 and 0.672, respectively). Among women, the corresponding value was higher (≥92 cm) than recommended by the JIS (≥80 cm) (AUROC=0.605 and 0.560, respectively). Conclusion: The overall accuracy of waist circumference (AUROC) for the outcome was low for both genders, indicating that this measure is not an effective predictor of other components of MS in the study population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232018000300367&tlng=enWaist CircumferenceHealth of the ElderlyMetabolic SyndromeAccuracy
spellingShingle Keila Bacelar Duarte de Morais
Cibele Comini César
Sérgio Viana Peixoto
Maria Fernanda Lima-Costa
Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
Revista Brasileira de Geriatria e Gerontologia
Waist Circumference
Health of the Elderly
Metabolic Syndrome
Accuracy
title Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
title_full Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
title_fullStr Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
title_full_unstemmed Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
title_short Accuracy of waist circumference for predicting other components of metabolic syndrome: evidence from the Bambuí cohort study of the elderly
title_sort accuracy of waist circumference for predicting other components of metabolic syndrome evidence from the bambui cohort study of the elderly
topic Waist Circumference
Health of the Elderly
Metabolic Syndrome
Accuracy
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-98232018000300367&tlng=en
work_keys_str_mv AT keilabacelarduartedemorais accuracyofwaistcircumferenceforpredictingothercomponentsofmetabolicsyndromeevidencefromthebambuicohortstudyoftheelderly
AT cibelecominicesar accuracyofwaistcircumferenceforpredictingothercomponentsofmetabolicsyndromeevidencefromthebambuicohortstudyoftheelderly
AT sergiovianapeixoto accuracyofwaistcircumferenceforpredictingothercomponentsofmetabolicsyndromeevidencefromthebambuicohortstudyoftheelderly
AT mariafernandalimacosta accuracyofwaistcircumferenceforpredictingothercomponentsofmetabolicsyndromeevidencefromthebambuicohortstudyoftheelderly