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Waist circumference and abdominal volume index are the strongest anthropometric discriminators of metabolic syndrome in Spanish adolescents
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Perona, Javier S.
Rio?Valle, Jacqueline Schmidt
Ramírez-Vélez, Robinson
Correa?Rodríguez, María
Fernández?Aparicio, Ángel
González?Jiménez, Emilio
Fecha
2019
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Blackwell Publishing Ltd
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Abstract
Background: Waist circumference has been suggested as predictor for metabolic syndrome (MetS) in adolescents but it has not been compared with newly proposed anthropometric indexes. This study aimed to disclose the capacity of ten classic and novel anthropometric indexes to discriminate by the presence of MetS in this young population. Materials and methods: A cross-sectional study was performed on 981 adolescents (13.2 ± 1.2 years) randomly recruited from eighteen schools in south-east Spain. Body fat percentage (BF%), abdominal volume index (AVI), body roundness index (BRI), body mass index (BMI), body adiposity index (BAI), body adiposity index for paediatrics (BAIp), conicity index (C-Index), waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and body shape index (ABSI) were measured and calculated. Receiver-operator curves (ROC) were created to determine the discriminatory capacity of these anthropometric parameters for MetS. Results: The prevalence of MetS was 7.0% for boys and 6.1% in girls. Participants with MetS had significantly higher levels of blood pressure and plasma levels of lipids, glucose and insulin. All anthropometric indexes were elevated in MetS individuals compared to the non-MetS group. AVI and WC showed the highest AUC values (0.83 for boys and 0.86 for girls). In contrast, according to ROC analyses, no anthropometric index was capable of discriminating the components of MetS (hypertension, hypertriglyceridemia, hyperglycaemia and low-HDL levels), except for abdominal obesity. Conclusion: We suggest the use of WC and AVI, with the cut-off points presented herein, for the discrimination between adolescents with or without MetS. © 2018 Stichting European Society for Clinical Investigation Journal Foundation
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Glucose , Hemoglobin a1c , High density lipoprotein , High density lipoprotein cholesterol , Insulin , Lipid , Low density lipoprotein , Low density lipoprotein cholesterol , Triacylglycerol , Abdominal obesity , Adolescent , Anthropometric parameters , Anthropometry , Article , Blood pressure , Blood pressure measurement , Body fat , Body mass , Cholesterol blood level , Cross-sectional study , Female , Glucose blood level , Human , Hyperglycemia , Hypertension , Hypertriglyceridemia , Insulin blood level , Lipid blood level , Major clinical study , Male , Metabolic syndrome x , Obesity , Pediatrics , Priority journal , Sensitivity and specificity , Social status , Spain , Triacylglycerol blood level , Waist circumference , Waist hip ratio , Waist to height ratio , Abdomen , Anatomy and histology , Area under the curve , Early diagnosis , Ethnology , Metabolic syndrome x , Waist circumference , Abdomen , Adiposity , Adolescent , Anthropometry , Area under curve , Cross-sectional studies , Early diagnosis , Female , Humans , Male , Metabolic syndrome , Spain , Waist circumference , Adolescents , Anthropometric indexes , Metabolic syndrome , Obesity
