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Percentage of body fat and fat mass index as a screening tool for metabolic syndrome prediction in Colombian university students

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Ramírez-Vélez, Robinson
Correa Bautista, Jorge Enrique
Tordecilla Sanders, María Alejandra
Ojeda-Pardo, Mónica Liliana
Cobo-Mejía, Elisa Andrea
Castellanos-Vega, Rocío Del Pilar
García-Hermoso, Antonio
González-Jiménez, Emilio
Schmidt-RioValle, Jacqueline
González-Ruíz, Katherine

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2017

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MDPI AG

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Abstract
High body fat is related to metabolic syndrome (MetS) in all ethnic groups. Based on the International Diabetes Federation (IDF) definition of MetS, the aim of this study was to explore thresholds of body fat percentage (BF%) and fat mass index (FMI) for the prediction of MetS among Colombian University students. A cross-sectional study was conducted on 1687 volunteers (63.4% women, mean age = 20.6 years). Weight, waist circumference, serum lipids indices, blood pressure, and fasting plasma glucose were measured. Body composition was measured by bioelectrical impedance analysis (BIA) and FMI was calculated. MetS was defined as including more than or equal to three of the metabolic abnormalities according to the IDF definition. Receiver operating curve (ROC) analysis was used to determine optimal cut-off points for BF% and FMI in relation to the area under the curve (AUC), sensitivity, and specificity in both sexes. The overall prevalence of MetS was found to be 7.7%, higher in men than women (11.1% vs. 5.3%; p and lt; 0.001). BF% and FMI were positively correlated to MetS components (p and lt; 0.05). ROC analysis indicated that BF% and FMI can be used with moderate accuracy to identify MetS in university-aged students. BF% and FMI thresholds of 25.55% and 6.97 kg/m2 in men, and 38.95% and 11.86 kg/m2 in women, were found to be indicative of high MetS risk. Based on the IDF criteria, both indexes’ thresholds seem to be good tools to identify university students with unfavorable metabolic profiles. © 2017 by the authors. Licensee MDPI, Basel, Switzerland.
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High density lipoprotein cholesterol , Low density lipoprotein cholesterol , Cholesterol , Triacylglycerol , Abdominal obesity , Adult , Alcohol consumption , Arm circumference , Article , Blood sampling , Body fat , Body mass , Cholesterol blood level , Colombia , Colorimetry , Cross-sectional study , Diastolic blood pressure , Fat mass , Female , Glucose blood level , Human , Hypertriglyceridemia , Major clinical study , Male , Mean arterial pressure , Metabolic syndrome x , Prevalence , Risk factor , Systolic blood pressure , Triacylglycerol blood level , University student , Waist circumference , Adolescent , Blood , Blood pressure , Body composition , Body mass , Lifestyle , Metabolic syndrome x , Obesity , Questionnaire , Student , Young adult , Adiposity , Adolescent , Blood pressure , Body composition , Body mass index , Cholesterol , Cross-sectional studies , Female , Humans , Life style , Male , Metabolic syndrome , Prevalence , Risk factors , Students , Surveys and questionnaires , Triglycerides , Waist circumference , Young adult , Adiposity , Fat mass , Metabolic syndrome , Obesity
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