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Comparison of anthropometric measures for aggregation of multiple risk factors in adults of Cuenca, Ecuador

Abstract:

Objective. The aim of this study is to compare the pbkp_redictive capacity of different anthropometric indices in multiple risk factors aggregation (MRFA) determination in the adult population from Cuenca city, Ecuador. Materials and Methods. A cross-sectional descriptive study was performed with a random multi-stage sampling in 318 adult subjects who underwent a clinical, anthropometric and laboratory evaluation; being the abdominal circumference, body mass index (BMI) and waist height index (WHtR) evaluated. MRFA was defined as the presence of ≥2 components of the metabolic syndrome (excluding abdominal circumference). ROC curves were plotted to determine the area under the curve (AUC) for each index. Results. Of the 318 individuals, 54.1% (n=172) presented MRFA. According to ROC curves, the highest pbkp_redictive capacity in women was observed with BMI and WHtR (AUC: 0.751 and 0.750, respectively), while in men abdominal circumference and WHtR showed a similar pbkp_redictive power (AUC: 0.762). The multivariate analysis adjusted for sex and age showed that high WHtR (OR: 2.53, 95% CI: 1.12-5.71, p=0.026) was the best pbkp_redictor of MRFA, followed by BMI (OR: 2.15, 95% CI: 1.19-3.88, p=0.010). Conclusions. The pbkp_redictive capacity of the anthropometric indexes is influenced by gender; nevertheless the WHtR is the best pbkp_redictor of MRFA in our population.