Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450 |
Resumo: | This study’s objective was to identify the cut-off point for waist-to-height ratio (WHtR) with the best sensitivity, specificity, and accuracy for the elderly Brazilian population, using body mass index (BMI) as the anthropometric reference. A representative sample of the Brazilian population consisted of 5,428 elderly individuals participating in an epidemiological survey. The variables were weight, height, and waist circumference (WC). WHtR was assessed with BMI as the gold standard, using two proposals for classification of the elderly population’s nutritional status. The ideal cut-off point for WHtR simultaneously showing the highest sensitivity and specificity was determined using the receiver operating characteristic (ROC) curve. Sensitivity from 94.9% to 98.4%, specificity from 43% to 55.4%, and values for area under the ROC curve from 0.878 to 0.883 were identified with a cut-off point of 0.55. We recommend use of WHtR in clinical practice due to its simplicity and good power to detect overweight in the elderly. |
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Waist-to-height ratio as an anthropometric marker of overweight in elderly BraziliansRazão cintura-estatura como marcador antropométrico de excesso de peso em idosos brasileirosOverweightAgedBody Mass IndexWaist-Height RatioSobrepesoIdosoÍndice de Massa CorporalRazão Cintura-EstaturaThis study’s objective was to identify the cut-off point for waist-to-height ratio (WHtR) with the best sensitivity, specificity, and accuracy for the elderly Brazilian population, using body mass index (BMI) as the anthropometric reference. A representative sample of the Brazilian population consisted of 5,428 elderly individuals participating in an epidemiological survey. The variables were weight, height, and waist circumference (WC). WHtR was assessed with BMI as the gold standard, using two proposals for classification of the elderly population’s nutritional status. The ideal cut-off point for WHtR simultaneously showing the highest sensitivity and specificity was determined using the receiver operating characteristic (ROC) curve. Sensitivity from 94.9% to 98.4%, specificity from 43% to 55.4%, and values for area under the ROC curve from 0.878 to 0.883 were identified with a cut-off point of 0.55. We recommend use of WHtR in clinical practice due to its simplicity and good power to detect overweight in the elderly.El objetivo de este estudio fue identificar el punto de corte de la razón cintura-estatura (RCE) con mejor sensibilidad, especificidad y precisión para la población anciana brasileña, utilizando el índice de masa corporal (IMC) como referencia antropométrica. La muestra representativa de la población brasileña estuvo compuesta por 5.428 individuos ancianos, participantes en una encuesta epidemiológica. Las variables evaluadas fueron peso, altura y circunferencia de la cintura (CC). La RCE se evaluó teniendo como patrón-oro el IMC, utilizando dos propuestas de clasificación del estado nutricional para la población anciana. El punto de corte ideal de la RCE, mostrando simultáneamente la más alta sensibilidad y especificidad, fue determinado utilizando la curva ROC (receiver operating characteristic). Sensibilidad entre 94,9% y 98,4%, especificidad variando de 43% a 55,4% y valores del área bajo la curva ROC entre 0,878 y 0,883 fueron identificados para el punto de corte de 0,55. Se recomienda la utilización de la RCE en la práctica clínica por su simplicidad y por el buen poder de detección de exceso de peso en ancianos.O objetivo deste estudo foi identificar o ponto de corte da razão cintura-estatura (RCE) com melhor sensibilidade, especificidade e acurácia para a população idosa brasileira utilizando o índice de massa corporal (IMC) como referência antropométrica. A amostra representativa da população brasileira foi composta por 5.428 indivíduos idosos, participantes de um inquérito epidemiológico. As variáveis avaliadas foram peso, altura e circunferência da cintura (CC). A RCE foi avaliada tendo como padrão-ouro o IMC utilizando duas propostas de classificação do estado nutricional para a população idosa. O ponto de corte ideal da RCE mostrando simultaneamente a mais alta sensibilidade e especificidade foi determinado utilizando a curva ROC (receiver operating characteristic). Sensibilidade entre 94,9% e 98,4%, especificidade variando de 43% a 55,4% e valores da área sob a curva ROC entre 0,878 e 0,883 foram identificados para o ponto de corte de 0,55. Recomenda-se a utilização da RCE na prática clínica por sua simplicidade e pelo bom poder de detecção de excesso de peso em idosos.Reports in Public HealthCadernos de Saúde Pública2017-06-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450Reports in Public Health; Vol. 33 No. 5 (2017): MayCadernos de Saúde Pública; v. 33 n. 5 (2017): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13782https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13783https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13784https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13785Márcia Mara CorrêaElaine TomasiElaine ThuméElizabete Regina Araújo de OliveiraLuiz Augusto Facchiniinfo:eu-repo/semantics/openAccess2024-03-06T15:29:19Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/6450Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:07:23.488465Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians Razão cintura-estatura como marcador antropométrico de excesso de peso em idosos brasileiros |
title |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
spellingShingle |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians Márcia Mara Corrêa Overweight Aged Body Mass Index Waist-Height Ratio Sobrepeso Idoso Índice de Massa Corporal Razão Cintura-Estatura |
title_short |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
title_full |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
title_fullStr |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
title_full_unstemmed |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
title_sort |
Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians |
author |
Márcia Mara Corrêa |
author_facet |
Márcia Mara Corrêa Elaine Tomasi Elaine Thumé Elizabete Regina Araújo de Oliveira Luiz Augusto Facchini |
author_role |
author |
author2 |
Elaine Tomasi Elaine Thumé Elizabete Regina Araújo de Oliveira Luiz Augusto Facchini |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Márcia Mara Corrêa Elaine Tomasi Elaine Thumé Elizabete Regina Araújo de Oliveira Luiz Augusto Facchini |
dc.subject.por.fl_str_mv |
Overweight Aged Body Mass Index Waist-Height Ratio Sobrepeso Idoso Índice de Massa Corporal Razão Cintura-Estatura |
topic |
Overweight Aged Body Mass Index Waist-Height Ratio Sobrepeso Idoso Índice de Massa Corporal Razão Cintura-Estatura |
description |
This study’s objective was to identify the cut-off point for waist-to-height ratio (WHtR) with the best sensitivity, specificity, and accuracy for the elderly Brazilian population, using body mass index (BMI) as the anthropometric reference. A representative sample of the Brazilian population consisted of 5,428 elderly individuals participating in an epidemiological survey. The variables were weight, height, and waist circumference (WC). WHtR was assessed with BMI as the gold standard, using two proposals for classification of the elderly population’s nutritional status. The ideal cut-off point for WHtR simultaneously showing the highest sensitivity and specificity was determined using the receiver operating characteristic (ROC) curve. Sensitivity from 94.9% to 98.4%, specificity from 43% to 55.4%, and values for area under the ROC curve from 0.878 to 0.883 were identified with a cut-off point of 0.55. We recommend use of WHtR in clinical practice due to its simplicity and good power to detect overweight in the elderly. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-12 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13782 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13783 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13784 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/6450/13785 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html text/html application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 33 No. 5 (2017): May Cadernos de Saúde Pública; v. 33 n. 5 (2017): Maio 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943384163844096 |