| Author | Castanheira, Marcelo | |
| Author | Chor, Dóra | |
| Author | Braga, José Uéleres | |
| Author | Cardoso, Letícia de Oliveira | |
| Author | Griep, Rosane Harter | |
| Author | Molina, Maria Del Carmen Bisi | |
| Author | Fonseca, Maria de Jesus Mendes da | |
| Access date | 2018-10-09T17:30:35Z | |
| Available date | 2018-10-09T17:30:35Z | |
| Document date | 2018 | |
| Citation | 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. | pt_BR |
| ISSN | 1368-9800 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/29475 | |
| Language | eng | pt_BR |
| Publisher | Cambridge University Press | pt_BR |
| Rights | open access | |
| Subject in Portuguese | Obesidade Abdominal | pt_BR |
| Subject in Portuguese | Estudos Transversais | pt_BR |
| Subject in Portuguese | Relação cintura-altura | pt_BR |
| Subject in Portuguese | Índices antropométricos | pt_BR |
| Subject in Portuguese | Desfechos cardiometabólicos | pt_BR |
| Title | Predicting cardiometabolic disturbances from waist-to-height ratio: findings from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline | pt_BR |
| Type | Article | |
| DOI | 10.1017/S136898001700338X | |
| Abstract | 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. | pt_BR |
| Affilliation | Universidade Federal do Estado do Rio de Janeiro. Escola de Nutrição. Departamento de Nutrição Fundamental. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil. | pt_BR |
| Affilliation | 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. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ. Brasil. | pt_BR |
| Affilliation | Universidade Federal do Espírito Santo. Centro de Ciências da Saúde. Vitória, ES, Brasil., | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ. Brasil. | pt_BR |
| Subject | Abdominal obesity | pt_BR |
| Subject | Waist-to-height ratio | pt_BR |
| Subject | Anthropometric indices | pt_BR |
| Subject | Cardiometabolic outcomes | pt_BR |
| Subject | Cross-sectional studies | pt_BR |
| e-ISSN | 1475-2727 | |
| Embargo date | 2019-03-01 | |
