Age-specific waist circumference cutoff-points for abdominal obesity diagnosis: a personalized strategy for a large Venezuelan population.

Autor: Bermudez V; Facultad de Ciencias de la Salud, Universidad Simón Bolívar, Barranquilla, Colombia., Salazar J; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Martínez MS; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Olivar LC; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Nava M; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Rojas M; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Ortega Á; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Añez R; Departamento de Endocrinología y Nutrición, Hospital General Universitario Gregorio Marañón, Madrid, Spain., Toledo A; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela., Rojas J; Pulmonary and Critical Care Medicine Department, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115 USA., Chacín M; Facultad de Ciencias de la Salud, Universidad Simón Bolívar, Barranquilla, Colombia., Rodríguez JE; Facultad de Ingenierías, Universidad Simón Bolívar, Cúcuta, Colombia., D'Marco L; Hospital Clínico de Valencia, INCLIVA, Servicio de Nefrología, Valencia, Spain., Cano C; Endocrine and Metabolic Disease Research Center. School of Medicine, University of Zulia, Maracaibo, 4004 Venezuela.
Jazyk: angličtina
Zdroj: Journal of diabetes and metabolic disorders [J Diabetes Metab Disord] 2021 Jan 16; Vol. 20 (1), pp. 217-227. Date of Electronic Publication: 2021 Jan 16 (Print Publication: 2021).
DOI: 10.1007/s40200-021-00735-0
Abstrakt: Background: Evidence shows that the ageing process is a determining factor in fat distribution, composition, and functionality. The goal of this research was to determine cut-off points for waist circumference according to age in the adult population from Maracaibo city, Venezuela.
Methodology: The Metabolic Syndrome Prevalence Study is a descriptive, cross-sectional study with multi-stage randomized sampling. In this post-hoc analysis 1902 individuals ≥18 years and from both sexes were evaluated. Waist circumference ROC curves were built for each age group and sex, using metabolic phenotypes for classification.
Results: 52.2% ( n  = 992) were women, and the mean age was 38.7 ± 2. Cut-off points obtained for the <30 years age group were: 91 cm for women (Sensitivity: 96,8%, Specificity: 97,7%) and 94 cm for men (Sensitivity:100%, Specificity: 99,2%); for 30-49 years: women 94 cm (Sensitivity: 93.7%, Specificity: 97.1%) and men 95 cm (Sensitivity: 97.3%, Specificity: 100%); for ≥50 years: women 94 cm (Sensitivity: 91.8%, Specificity: 86.7%) and men 101 cm (Sensitivity: 100%, Specificity: 100%).
Conclusion: The use of specific cut-off points according to age groups is proposed to determine abdominal obesity in Maracaibo city due to the underestimation seen in young people and the overestimation observed in older people when using a unique cut-off point.
Competing Interests: Conflict of interestAuthors declare that they do not have any conflict of interest.
(© Springer Nature Switzerland AG 2021.)
Databáze: MEDLINE
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