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Validation of Surrogate Anthropometric Indices in Older Adults: What Is the Best Indicator of High Cardiometabolic Risk Factor Clustering?

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  • Additional Information
    • Source:
      Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE
    • Publication Information:
      Original Publication: Basel, Switzerland : MDPI Publishing
    • Subject Terms:
      Anthropometry*; Metabolic Syndrome/*diagnosis ; Metabolic Syndrome/*epidemiology ; Obesity/*diagnosis ; Obesity/*epidemiology; Age Factors ; Aged ; Body Mass Index ; Colombia ; Cross-Sectional Studies ; Female ; Humans ; Male ; Metabolic Syndrome/physiopathology ; Middle Aged ; Obesity/physiopathology ; Predictive Value of Tests ; Prevalence ; Reproducibility of Results ; Risk Assessment ; Risk Factors ; Sex Factors ; Waist-Height Ratio
    • Abstract:
      The present study evaluated the ability of five obesity-related parameters, including a body shape index (ABSI), conicity index (CI), body roundness index (BRI), body mass index (BMI), and waist-to-height ratio (WtHR) for predicting increased cardiometabolic risk in a population of elderly Colombians. A cross-sectional study was conducted on 1502 participants (60.3% women, mean age 70 ± 7.6 years) and subjects' weight, height, waist circumference, serum lipid indices, blood pressure, and fasting plasma glucose were measured. A cardiometabolic risk index (CMRI) was calculated using the participants' systolic and diastolic blood pressure, triglycerides, high-density lipoprotein and fasting glucose levels, and waist circumference. Following the International Diabetes Federation definition, metabolic syndrome was defined as having three or more metabolic abnormalities. All surrogate anthropometric indices correlated significantly with CMRI ( p < 0.01). Receiver operating characteristic curve analysis of how well the anthropometric indices identified high cardiometabolic risk showed that WtHR and BRI were the most accurate indices. The best WtHR and BRI cut-off points in men were 0.56 (area under curve, AUC 0.77) and 4.71 (AUC 0.77), respectively. For women, the WtHR and BRI cut-off points were 0.63 (AUC 0.77) and 6.20 (AUC 0.77), respectively. In conclusion, BRI and WtHR have a moderate discriminating power for detecting high cardiometabolic risk in older Colombian adults, supporting the idea that both anthropometric indices are useful screening tools for use in the elderly.
    • Comments:
      Erratum in: Nutrients. 2019 Oct 10;11(10):. (PMID: 31658785)
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    • Grant Information:
      ID 2013, no. 764 Departamento Administrativo de Ciencia, Tecnología e Innovación
    • Contributed Indexing:
      Keywords: anthropometric indices; cardiometabolic risk; diagnosis criteria; elderly; metabolic syndrome
    • Publication Date:
      Date Created: 20190727 Date Completed: 20200120 Latest Revision: 20200225
    • Publication Date:
      20240105
    • Accession Number:
      PMC6723899
    • Accession Number:
      10.3390/nu11081701
    • Accession Number:
      31344803