Criteria for central obesity in a brazilian population: impact on the metabolic syndrome

Detalhes bibliográficos
Autor(a) principal: Barbosa, Paulo José Bastos
Data de Publicação: 2006
Outros Autores: Lessa, Ínes, Almeida Filho, Naomar Monteiro de, Magalhães, Lucélia Batista N. Cunha, Araujo, Maria Jenny Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/6238
Resumo: p.366-373
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spelling Barbosa, Paulo José BastosLessa, ÍnesAlmeida Filho, Naomar Monteiro deMagalhães, Lucélia Batista N. CunhaAraujo, Maria Jenny SilvaBarbosa, Paulo José BastosLessa, ÍnesAlmeida Filho, Naomar Monteiro deMagalhães, Lucélia Batista N. CunhaAraujo, Maria Jenny Silva2012-06-27T12:30:01Z2012-06-27T12:30:01Z20060066-782Xhttp://www.repositorio.ufba.br/ri/handle/ri/6238v. 87, n. 4p.366-373Objective: To identify and propose the optimal waist circumference cut-off points (WCp) for the diagnosis of central obesity (CO) in a Brazilian population, so as to compare these cut-off points with those recommended by the ATPIII (WC-ATPIII), and to estimate the difference in prevalence rates of metabolic syndrome (MS) using the two criteria. Methods: Cross-sectional study conducted in a population subgroup of 1439 adults in the city of Salvador, Brazil. ROC curves of WC were plotted to identify diabetes mellitus (DM) and obesity. ROC curve sensitivity and specificity values ≥60% and the closest to each other were used to define WCp. The prevalence of MS was estimated using WCp and WC-ATPIII. Results: Eight hundred and twenty nine women comprised 57.7% of the sample. The WCp selected were 84cm for women and 88cm for men. These cut-off points detected DM with a 68.7% and 70% sensitivity, and a 66.2% and 68.3% specificity, respectively. For obesity, sensitivity and specificity were 79.8% and 77.6% in women and 64.3% and 71.6% in men, respectively. Using WC-ATPIII, 88cm (for women) and 102cm (for men), the sensitivity was 53.3% and 26.5%, respectively, to diagnose DM. For obesity, sensitivity was 66.5% (for women) and 28.6% (for men). The prevalence of MS using WCp was 23.7%, 95%CI (21.6 – 25.9), whereas using WC-ATPIII it was 19.0%, 95%CI (17.1- 20.9), 1.2 times higher using WCp. Conclusion: WC-ATPIII were inappropriate and underestimated the prevalence of MS in the population studied, particularly among men. We suggest that the WC cut-off points > 84cm for women and > 88cm for men should be tested in other Brazilian populations.Submitted by Texeira Ana (atanateixeira@gmail.com) on 2012-06-27T12:30:01Z No. of bitstreams: 1 Barbosa, Paulo José Bastos.pdf: 437322 bytes, checksum: 339b61bb5602189899a6c9a5e63773ef (MD5)Made available in DSpace on 2012-06-27T12:30:01Z (GMT). No. of bitstreams: 1 Barbosa, Paulo José Bastos.pdf: 437322 bytes, checksum: 339b61bb5602189899a6c9a5e63773ef (MD5) Previous issue date: 2006-10Rio de JaneiroArquivos Brasileiros de Cardiologiahttp://dx.doi.org/10.1590/S0066-782X2006001700003reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBACentral obesityWaist circumferenceMetabolic syndromeBrazilian populationCriteria for central obesity in a brazilian population: impact on the metabolic syndromeArq. Bras. Cardiol.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINALBarbosa, Paulo José Bastos.pdfBarbosa, Paulo José Bastos.pdfapplication/pdf437322https://repositorio.ufba.br/bitstream/ri/6238/1/Barbosa%2c%20Paulo%20Jos%c3%a9%20Bastos.pdf339b61bb5602189899a6c9a5e63773efMD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/6238/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXTBarbosa, Paulo José Bastos.pdf.txtBarbosa, Paulo José Bastos.pdf.txtExtracted texttext/plain36650https://repositorio.ufba.br/bitstream/ri/6238/3/Barbosa%2c%20Paulo%20Jos%c3%a9%20Bastos.pdf.txt7ca003015150c3b62a19e183e60637a1MD53ri/62382022-10-03 11:33:41.104oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-10-03T14:33:41Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
dc.title.alternative.pt_BR.fl_str_mv Arq. Bras. Cardiol.
title Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
spellingShingle Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
Barbosa, Paulo José Bastos
Central obesity
Waist circumference
Metabolic syndrome
Brazilian population
title_short Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
title_full Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
title_fullStr Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
title_full_unstemmed Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
title_sort Criteria for central obesity in a brazilian population: impact on the metabolic syndrome
author Barbosa, Paulo José Bastos
author_facet Barbosa, Paulo José Bastos
Lessa, Ínes
Almeida Filho, Naomar Monteiro de
Magalhães, Lucélia Batista N. Cunha
Araujo, Maria Jenny Silva
author_role author
author2 Lessa, Ínes
Almeida Filho, Naomar Monteiro de
Magalhães, Lucélia Batista N. Cunha
Araujo, Maria Jenny Silva
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Barbosa, Paulo José Bastos
Lessa, Ínes
Almeida Filho, Naomar Monteiro de
Magalhães, Lucélia Batista N. Cunha
Araujo, Maria Jenny Silva
Barbosa, Paulo José Bastos
Lessa, Ínes
Almeida Filho, Naomar Monteiro de
Magalhães, Lucélia Batista N. Cunha
Araujo, Maria Jenny Silva
dc.subject.por.fl_str_mv Central obesity
Waist circumference
Metabolic syndrome
Brazilian population
topic Central obesity
Waist circumference
Metabolic syndrome
Brazilian population
description p.366-373
publishDate 2006
dc.date.issued.fl_str_mv 2006
dc.date.accessioned.fl_str_mv 2012-06-27T12:30:01Z
dc.date.available.fl_str_mv 2012-06-27T12:30:01Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/6238
dc.identifier.issn.none.fl_str_mv 0066-782X
dc.identifier.number.pt_BR.fl_str_mv v. 87, n. 4
identifier_str_mv 0066-782X
v. 87, n. 4
url http://www.repositorio.ufba.br/ri/handle/ri/6238
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Arquivos Brasileiros de Cardiologia
publisher.none.fl_str_mv Arquivos Brasileiros de Cardiologia
dc.source.pt_BR.fl_str_mv http://dx.doi.org/10.1590/S0066-782X2006001700003
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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