Performance of anthropometric indices as screening instruments for self-reported diabetes in the brazilian population: a cross-sectional study

• Autor(a) principal: Souza, Maria Luiza Moreira de
• Data de Publicação: 2024
• Outros Autores: Tonaco, Luis Antonio Batista, Rocha, Fabiana Lucena, Velasquez-Melendez, Gustavo, Mendes, Mariana Felisbino
• Tipo de documento: Artigo
• Idioma: por; eng
• Título da fonte: Reme (Online)
• Texto Completo: https://periodicos.ufmg.br/index.php/reme/article/view/45714
• topic: Diabete Mellitus; Antropometria; Programas de Triagem Diagnóstica; Autorrelato; Estudos Transversais; Diabetes Mellitus; Anthropometry; Diagnostic Screening Programs; Self Report; Cross-Sectional Studies; Diabetes Mellitus; Antropometria; Antropometría; Programas de Detección Diagnóstica; Autoinforme; Estudios Transversales

Objective: to evaluate the diagnostic capacity of the anthropometric indices for selfreported diabetes screening in the Brazilian population. Methods: a cross-sectional study conducted with Brazilians ≥18 years old participating in the National Health Survey who had their anthropometric measures assessed. Individuals who reported a previous diagnosis of the disease or use of insulin/oral hypoglycemic agents were considered diabetic. The anthropometric indices evaluated were the following: Waist Circumference (WC), BMI, Waist-to-Height Ratio (WHR) and Body Shape Index (ABSI). Diagnostic performance according to gender and age was evaluated by means of the Receiver Operator Characteristic (ROC) curve. Results: the cut-off points of each measure presented little variation with age, with BMI in the male gender varying from 26.71 to 29.84; WC from 91.97 to 98.40; WHR from 0.55 to 0.60; and ABSI from 0.23 to 0.14. In turn, in the female gender, BMI ranged from 26.31 to 27.65, WC from 90 to 93.59, WHR from 0.58 to 0.60, and ABSI from 0.12 to 0.13. WHR performed better in both genders and at all ages, except in men over 60 years old. Conclusion: the anthropometric indices with the best performance in the diagnosis of self-reported diabetes were WC and WHR.