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ISSN 1561-3046 (Electronic)

2013, Number 4

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Rev Cub Med Mil 2013; 42 (4)

Waist-to-height ratio as a fat accumulation variable to assess cardiovascular risk

Remón PI, González SOC, Arpa GÁ

Language: Spanish
References: 21
Page: 444-450
PDF size: 56.71 Kb.


ABSTRACT

Introduction: waist-to-height ratio serves to assess central fat accumulation, and could be useful to evaluate cardiovascular risk associated to metabolic syndrome. So far it has not been introduced in Cuba.
Objective: determine the behavior of waist-to-height ratio in a working population.
Methods: cross-sectional observational study of subjects cared for at Holguín Military Hospital. The variables considered were waist circumference, waist-to-height ratio and body mass index, as well as those constituting diagnostic criteria for metabolic syndrome. Variables indicating fat accumulation were correlated with one another and with variables constituting the syndrome. Receiver Operator Characteristic (ROC) curves were obtained for the efficacy of waist-to-height ratio and body mass index to diagnose metabolic syndrome.
Results: an r coefficient of 0.924 was obtained for the correlation between waist-to-height ratio and abdominal circumference, and of 0.729 for body mass index, both with p‹0.05. The ratio correlated significantly with mean arterial pressure, triglycerides and HDL, but not with glycemia. The ROC curve showed that the area for discrimination of metabolic syndrome was larger for the ratio than for body mass index.
Conclusions: waist-to-height ratio, a measurement easy to obtain in primary care, identifies subjects in cardiovascular risk associated with metabolic syndrome.


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