Trabajo Original
Threshold values of sagittal abdominal diameter for the detection of cardio-metabolic risk factors in northeastern mexico: a cross-sectional study
Francisco Javier Guzmán De La Garza, Ana María Salinas-martínez, Eduardo González-guajardo, Magda Gabriela Palmero-hinojosa, Jorge Castro-garza, Juan Carlos Ramírez-zúñiga, Javier Vargas-villarreal, Álvaro Mathiew-quiros, Laura Hermila De La Garzasalinas3
Número de descargas:
8972
Número de visitas:
8059
Citas:
0
Compártelo:
Background: The use of sagittal abdominal diameter (SAD) has been proposed for screening cardio-metabolic risk factors; however, its accuracy can be influenced by the choice of thresholds values.Aim: To determine the SAD threshold values for cardio-metabolic risk factors in Mexican adults; to assess whether parallel and serial SAD testing can improve waist circumference (WC) sensitivity and specificity; and to analyze the effect of considering SAD along with WC and body mass index (BMI) in detecting cardio-metabolic risk.Methods: This cross-sectional study was conducted during 2012-2014 in Northeast Mexico (n = 269). Data on anthropometric, clinical, and biochemical measurements were collected. Sex-adjusted receiver-operating characteristic curves (ROC) were obtained using hypertension, dysglycemia, dyslipidemia and insulin resistance as individual outcomes and metabolic syndrome as a composite outcome. Age-adjusted odds ratios and 95% confidence intervals (CI) were estimated using logistic regression.Results: The threshold value for SAD with acceptable combination of sensitivity and specificity was 24.6 cm in men and 22.5 cm in women. Parallel SAD testing improved WC sensitivity and serial testing improved WC specificity. The co-occurrence of high WC/high SAD increased the risk for insulin resistance by 2.4-fold (95% CI: 1.1-5.3), high BMI/high SAD by 4.3-fold (95% CI: 1.7-11.9) and SAD alone by 2.2-fold (95% CI: 1.2.-4.2).Conclusions: The use of SAD together with traditional obesity indices such as WC and BMI has advantages over using either of these indices alone. SAD may be a powerful screening tool for interventions for high-risk individuals.
Palabras Clave: Sagittal abdominal diameter. Threshold limit values. Risk factor. Cardiovascular disease. Metabolic syndrome.
Artículos Relacionados:
Trabajo Original: Vaspin association with insulin resistance is related to physical activity and body fat in brazilian adolescents - a cross-sectional study
Daniela Pala , Ana Paula Carlos-cândido , Larissa Leandro-da-cruz , Priscila Oliveira-barbosa , Carla Teixeira-silva , Ana Carolina Pinheiro-volp , George Luiz Lins-machado-coelho , Renata Nascimento-de-freitas
Trabajo Original: Relation of trp64arg polymorphism of beta 3 adrenoreceptor gene with metabolic syndrome and insulin resistance in obese women
Daniel de Luis Román , David Primo , Olatz Izaola , Rocio Aller
Trabajo Original: Association between vitamin d levels and cardiovascular risk factors in obese children and adolescents
Ali Gul , Samet Ozer , Resul Yılmaz , Ergun Sonmezgoz , Tuba Kasap , Sahin Takcı , Osman Demir
Trabajo Original: Acantosis nigricansis associated with risk factors related to cardiovascular disease in mexican children with obesity
Hugo Martínez-rojano , María Luisa Pizano-zárate , Bernarda Sánchez-jiménez , Reyna Sámano , Armando López-portillo
Trabajo Original: Association of the rs9939609 gene variant in fto with insulin resistance, cardiovascular risk factor and serum adipokine levels in obese patients
Daniel de Luis Román , Rocio Aller , Olatz Izaola , David Primo , E. Romero
Trabajo Original: Intake of fibers and its association with cardiometabolic risk factors in individuals on a secondary prevention for cardiovascular diseases: a multicenter study
Luciana Pereira Pinto Dias , Simone Raimondi De Souza , Viviane Sahade , Nayra Anielly Cabral Cantanhede , José Albuquerque De Figueiredo Neto , Bernadete Weber
Trabajo Original: Prevalence of anaemia, risk of haemoconcentration and risk factors during the three trimesters of pregnancy
Blanca Ribot , Francisco Ruiz-Díez , Susana Abajo , Gemma March , Francesc Fargas , Victoria Arija
Trabajo Original: Waist-to-height ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia
Edna Magaly Gamboa Delgado , Clara Lucía Domínguez Urrego , Doris Cristina Quintero Lesmes
Trabajo Original: Salt content in bread in spain, 2014
Napoleón Pérez Farinós , Sara Santos Sanz , M.ª Ángeles Dal Re , José Yusta Boyo , Teresa Robledo , José Javier Castrodeza , Jesús Campos Amado , Carmen Villar
Trabajo Original: Prevalence of childhood overweight/obesity in spain 1993-2011 and associated risk factors in 2011 prevalencia de sobrepeso y obesidad infa
María Julia Ajejas Bazán , María Isabel Jiménez-trujillo , Julia Wärnberg , Silvia Domínguez Fernández , Ana López-de-andrés , Napoleón Pérez-farinós
Trabajo Original: Classical and emergent cardiovascular disease risk factors in type 2 diabetics from the vallecas area (dicariva study)
Ángel García-quismondo , Francisco Javier Del Cañizo , Juan Dorado , Francisco J. Sánchez-Muniz
Trabajo Original: Prevalence of metabolic syndrome and its determinants in older mexican non-diabetic adults
Heliodoro Alemán Mateo , Miriam T. López Teros , René Urquídez-romero , Luis Huesca
Trabajo Original: Metabolic syndrome components in young health professionals; latin america metabolic syndrome (latinmets) mexico study
Alejandra Betancourt Núñez , Fabiola Márquez Sandoval , Nancy Babio , Barbara Vizmanos
Trabajo Original: Beneficio del seguimiento de un programa de rehabilitación cardíaca sobre algunos parámetros de la composición corporal
Trabajo Original: Effects of oats on lipid profile, insulin resistance and weight loss
Artículos más populares
Artículo Especial: VII Lección Jesús Culebras. Respuesta inflamatoria sistémica y disfunción/ fracaso multiorgánico tras una agresión: implicaciones metabólicas
Ante cualquier agresión, el organismo pone en marc...
Artículo Especial: VIII Lección Jesús Culebras. Medicina intensiva, nutrición e hiperglucemia: una relación muy estrecha
El paciente crítico presenta una respuesta metaból...
-
Licencia creative commons: Open Access bajo la licencia Creative Commons 4.0 CC BY-NC-SA
https://creativecommons.org/licenses/by-nc-sa/4.0/legalcode
