Anthropometric predictors for the risk of chronic disease in non-diabetic, non-hypertensive young Mexican women

Public Health Nutrition

Raquel García¹  Jessica C Jones-Smith¹  Lia CH Fernald¹  Lynnette M Neufeld¹ 

关键词: Validation;    Diabetes;    Hypertension;    Body mass index;    Waist circumference;    Abdominal circumference;   

DOI  :  10.1017/S136898000700002X

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectivesTo assess the ability of anthropometric measurements to identify young women at risk of developing diabetes, hypertension and heart disease in the future and to compare cut-off points for common anthropometric measures established with receiver-operating characteristic (ROC) curves with those reported in the literature.DesignCross-sectional study.SubjectsEight hundred and two young Mexican women living in semi-urban poverty.Measurements/methodsThe ability of anthropometric measures of fatness and fat distribution (body mass index (BMI), summed skinfold thickness (SST), waist circumference (WC), waist-to-hip ratio (WHR), conicity index (CI), abdominal volume index (AVI)) to predict risk of future disease (pre-diabetes: fasting blood glucose 100–126 mg dl−1; pre-hypertension: systolic blood pressure 120–139 mmHg and/or diastolic blood pressure 80–89 mmHg; hypertriglyceridaemia: triglycerides ≥150 mg dl−1; or a combination of risk factors) was assessed using ROC curve analysis.ResultsTwenty-three of the 802 women who were interviewed had incomplete data and 50 (6.4%) were eliminated from the analysis due to hypertension and/or diabetes. Mean age of the remaining 729 women was 29.6 ± 5.4 years and mean BMI was 27.7 ± 4.5 kg m−2. There were no significant differences in the area under the ROC curve for BMI, WC, AVI or SST for any of the four outcomes. However, these indices performed significantly better than WHR and CI (P < 0.05). The BMI cut-off points that maximised sensitivity and specificity for the four outcomes were in the range of 27.7–28.4 kg m−2, and for WC were 89.3–91.2 cm. To detect 90% of the cases of any metabolic alteration, the necessary BMI cut-off was 26.1 kg m−2. Younger women (

【 授权许可】

Unknown