Artigo Acesso aberto Produção Nacional

[Predictive ability of anthropometric and body composition indicators in the identification of insulin resistance].

2009; Editora da Universidade de São Paulo; Volume: 53; Issue: 1 Linguagem: Inglês

10.1590/s0004-27302009000100011

ISSN

1677-9487

Autores

Ana Carolina Junqueira Vasques, Lina Enriqueta Frandsen Paez de Lima Rosado, Gilberto Paixão Rosado, Rita de Cássia Lanes Ribeiro, Sylvia do Carmo Castro Franceschini, Bruno Geloneze, Silvia Eloíza Priore, Dirce Ribeiro de Oliveira,

Tópico(s)

Health and Lifestyle Studies

Resumo

To assess the ability of anthropometric and body composition indicators in identifying insulin resistance (IR), determining cut-off points for those showing the best efficacy.138 men were evaluated. Waist perimeter (WP), sagittal abdominal diameter (SAD), conicity index, body mass index (BMI), body fat percent, sagittal index, and the waist-to-height, waist-to-hip and waist-to-thigh ratios were determined. IR was assessed by the HOMA-IR index. Statistical analysis consisted of Spearman correlation coefficient and ROC (receiver operating characteristic) curves, calculating the area under the curve (AUC).SAD (r=0.482, AUC=0.746) and WP (r=0.464, AUC=0.739) showed stronger correlations with the HOMA-IR and greater ability to identify IR (p<0.001), being 89.3 cm and 20.0 cm the best cut-offs, respectively.The anthropometric indicators of central obesity, WP and SAD, have shown greater ability to identify IR in men. We encourage studies in women and elderly people in search of the best cut-off points for the entire population.

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