The Usefulness of Anthropometric Indices to Identify the Risk of Metabolic Syndrome
1
The Institute of Health Sciences, Medical College, Jan Kochanowski University, ul. Zeromskiego 5, 25-369 Kielce, Poland
2
The Institute of Medical Sciences, Medical College, Jan Kochanowski University, ul. Zeromskiego 5, 25-369 Kielce, Poland
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(11), 2598; https://doi.org/10.3390/nu11112598
Received: 23 September 2019
/
Revised: 22 October 2019
/
Accepted: 22 October 2019
/
Published: 29 October 2019
Despite several papers having been published on the association between adiposity and the risk of metabolic syndrome (MetS), it is still difficult to determine unambiguously which of the indices of nutritional status is the best to identify MetS. The aim of this study was to analyze the ability of six anthropometric indices to identify MetS in the Polish population. The highest odds ratios for the occurrence of MetS, according to International Diabetes Federation (IDF), were noted for the following indices: waist-to-height ratio (WHtR, OR = 24.87) and Clínica Universidad de Navarra-body adiposity estimator (CUN-BAE, OR = 17.47) in men and WHtR (OR = 25.61) and body roundness index (BRI, OR = 16.44) in women. The highest odds ratios for the modified definition of MetS (without waist circumference) were found for the following indices: WHtR (OR = 7.32), BRI (OR = 6.57), and CUN-BAE (OR = 6.12) in women and CUN-BAE (OR = 5.83), WHtR (OR = 5.70), and body mass index (BMI, OR = 5.65) in men (p < 0.001 for all). According to the Receiver Operating Characteristic (ROC) analyses conducted for the identification of MetS, defined in accordance with IDF, the largest areas under the curve (AUCs) in men were observed for WHtR and CUN-BAE indices, whereas in women, they were observed for WHtR and BRI. In the analysis carried out for the identification of MetS (according to modified definition, without waist circumference), the AUCs were larger for WHtR and BRI in women, while in men, they were larger for CUN-BAE, BMI, and WHtR. BMI was also characterized by a relatively strong discriminatory power in identifying individuals with MetS. An optimal cut-off point for MetS, in accordance with the conventional definition, for both sexes was the value of BMI = 27.2 kg/m2. The weakest predictor of the syndrome was the ABSI (a body shape index) indicator. The most useful anthropometric indicator for the identification of MetS, both in men and in women in the Polish population, was WHtR. The optimal cut-off points for WHtR equaled 0.56 in men and 0.54 in women.
View Full-Text
Keywords:
a body shape index (ABSI); body roundness index (BRI); Clínica Universidad de Navarra-body adiposity estimator (CUN-BAE); body mass index (BMI); waist-to-height ratio (WHtR); percent of body fat (%BF); metabolic syndrome
▼
Show Figures
Figure 1
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
- Supplementary File 1:
PDF-Document (PDF, 88 KiB)
MDPI and ACS Style
Suliga, E.; Ciesla, E.; Głuszek-Osuch, M.; Rogula, T.; Głuszek, S.; Kozieł, D. The Usefulness of Anthropometric Indices to Identify the Risk of Metabolic Syndrome. Nutrients 2019, 11, 2598. https://doi.org/10.3390/nu11112598
AMA Style
Suliga E, Ciesla E, Głuszek-Osuch M, Rogula T, Głuszek S, Kozieł D. The Usefulness of Anthropometric Indices to Identify the Risk of Metabolic Syndrome. Nutrients. 2019; 11(11):2598. https://doi.org/10.3390/nu11112598
Chicago/Turabian StyleSuliga, Edyta, Elzbieta Ciesla, Martyna Głuszek-Osuch, Tomasz Rogula, Stanisław Głuszek, and Dorota Kozieł. 2019. "The Usefulness of Anthropometric Indices to Identify the Risk of Metabolic Syndrome" Nutrients 11, no. 11: 2598. https://doi.org/10.3390/nu11112598
Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.
