Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline

Detalhes bibliográficos
Autor(a) principal: Castanheira, Marcelo
Data de Publicação: 2018
Outros Autores: Chor, Dóra, Braga, José Uéleres, Cardoso, Letícia de Oliveira, Griep, Rosane Harter, Molina, Maria Del Carmen Bisi, Fonseca, Maria de Jesus Mendes da
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29475
Resumo: 2019-03-01
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spelling Castanheira, MarceloChor, DóraBraga, José UéleresCardoso, Letícia de OliveiraGriep, Rosane HarterMolina, Maria Del Carmen BisiFonseca, Maria de Jesus Mendes da2018-10-09T17:30:35Z2018-10-09T17:30:35Z2018CASTANHEIRA, Marcelo; et al. Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. Public Health Nutrition, v.21, n.6, p.1028-1035, Jan. 2018.1368-9800https://www.arca.fiocruz.br/handle/icict/2947510.1017/S136898001700338X1475-2727engCambridge University PressObesidade AbdominalEstudos TransversaisRelação cintura-alturaÍndices antropométricosDesfechos cardiometabólicosAbdominal obesityWaist-to-height ratioAnthropometric indicesCardiometabolic outcomesCross-sectional studiesPredicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baselineinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article2019-03-01Universidade Federal do Estado do Rio de Janeiro. Escola de Nutrição. Departamento de Nutrição Fundamental. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil / Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ. Brasil.Universidade Federal do Espírito Santo. Centro de Ciências da Saúde. Vitória, ES, Brasil.,Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil.Objective: To evaluate the performance of waist-to-height ratio (WHtR) in predicting cardiometabolic outcomes and compare cut-off points for Brazilian adults. Design: Cross-sectional study.WHtR areas under the curve (AUC) were compared with those for BMI, waist circumference (WC) and waist-to-hip ratio (WHR). The outcomes of interest were hypertension, diabetes, hypertriacylglycerolaemia and presence of at least two components of metabolic syndrome (≥2 MetS). Cut-offs for WHtR were compared and validity measures were estimated for each point. Setting: Teaching and research institutions in six Brazilian state capitals, 2008–2010. Subjects: Women (n 5026) and men (n 4238) aged 35–54 years who participated in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) at baseline. Results: WHtR age-adjusted AUC ranged from 0·68 to 0·72 in men and 0·69 to 0·75 in women, with smaller AUC for hypertriacylglycerolaemia and the largest for ≥2 MetS. WHtR performed better than BMI for practically all outcomes; better than WHR for hypertension in both sexes; and displayed larger AUC than WC in predicting diabetes mellitus. It also offered better discriminatory power for ≥2 MetS in men; and was better than WC, but not WHR, in women. Optimal cut-off points of WHtR were 0·55 (women) and 0·54 (men), but they presented high falsenegative rate compared with 0·50. Conclusions: We recommend using WHtR (which performed similarly to, or better than, other available indices of adiposity) as an anthropometric index with good discriminatory power for cardiometabolic outcomes in Brazilian adults, indicating the already referenced limit of WHtR≥0·50.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/29475/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALrosane_harter_etal_IOC_2018.pdfrosane_harter_etal_IOC_2018.pdfapplication/pdf152393https://www.arca.fiocruz.br/bitstream/icict/29475/2/rosane_harter_etal_IOC_2018.pdf91bced19f7ea58fb9cd9b889444d086cMD52TEXTrosane_harter_etal_IOC_2018.pdf.txtrosane_harter_etal_IOC_2018.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
title Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
spellingShingle Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
Castanheira, Marcelo
Obesidade Abdominal
Estudos Transversais
Relação cintura-altura
Índices antropométricos
Desfechos cardiometabólicos
Abdominal obesity
Waist-to-height ratio
Anthropometric indices
Cardiometabolic outcomes
Cross-sectional studies
title_short Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
title_full Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
title_fullStr Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
title_full_unstemmed Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
title_sort Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline
author Castanheira, Marcelo
author_facet Castanheira, Marcelo
Chor, Dóra
Braga, José Uéleres
Cardoso, Letícia de Oliveira
Griep, Rosane Harter
Molina, Maria Del Carmen Bisi
Fonseca, Maria de Jesus Mendes da
author_role author
author2 Chor, Dóra
Braga, José Uéleres
Cardoso, Letícia de Oliveira
Griep, Rosane Harter
Molina, Maria Del Carmen Bisi
Fonseca, Maria de Jesus Mendes da
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Castanheira, Marcelo
Chor, Dóra
Braga, José Uéleres
Cardoso, Letícia de Oliveira
Griep, Rosane Harter
Molina, Maria Del Carmen Bisi
Fonseca, Maria de Jesus Mendes da
dc.subject.other.pt_BR.fl_str_mv Obesidade Abdominal
Estudos Transversais
Relação cintura-altura
Índices antropométricos
Desfechos cardiometabólicos
topic Obesidade Abdominal
Estudos Transversais
Relação cintura-altura
Índices antropométricos
Desfechos cardiometabólicos
Abdominal obesity
Waist-to-height ratio
Anthropometric indices
Cardiometabolic outcomes
Cross-sectional studies
dc.subject.en.pt_BR.fl_str_mv Abdominal obesity
Waist-to-height ratio
Anthropometric indices
Cardiometabolic outcomes
Cross-sectional studies
description 2019-03-01
publishDate 2018
dc.date.accessioned.fl_str_mv 2018-10-09T17:30:35Z
dc.date.available.fl_str_mv 2018-10-09T17:30:35Z
dc.date.issued.fl_str_mv 2018
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.citation.fl_str_mv CASTANHEIRA, Marcelo; et al. Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. Public Health Nutrition, v.21, n.6, p.1028-1035, Jan. 2018.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29475
dc.identifier.issn.pt_BR.fl_str_mv 1368-9800
dc.identifier.doi.none.fl_str_mv 10.1017/S136898001700338X
dc.identifier.eissn.none.fl_str_mv 1475-2727
identifier_str_mv CASTANHEIRA, Marcelo; et al. Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. Public Health Nutrition, v.21, n.6, p.1028-1035, Jan. 2018.
1368-9800
10.1017/S136898001700338X
1475-2727
url https://www.arca.fiocruz.br/handle/icict/29475
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 Cambridge University Press
publisher.none.fl_str_mv Cambridge University Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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