Abstract

REMON POPA, Idelmis; GONZALEZ SOTOLONGO, Carolina  and  ARPA GAMEZ, Ángel. Estimated cutoff abdominal circumference of metabolic syndrome diagnosis criterion. Rev Cub Med Mil [online]. 2013, vol.42, n.1, pp.29-38. ISSN 0138-6557.

Introduction: waist circumference is an atherogenic risk factor and a criterion for metabolic syndrome diagnosis. Various international organizations have recommended that the cutoff point of this circumference to define that the abovementioned syndrome would be contextually determined in each country. However, in Cuba, there are no studies aiming this end. Objective: to estimate the cutoff point of waist circumference for the diagnosis of this syndrome in a population group. Methods: an observational, cross-sectional study was conducted in 703 patients at the Holguin Granma region. Variables defining the metabolic syndrome according to the modified criteria of Adult Treatment Panel III were taken. The curves of Receiver Operator Characteristics (ROC) were obtained for each sex at different values of the circumference to discriminate those subjects with two or more diagnostic criteria in this syndrome. The cutoff point was chosen according to Youden rate. Results: the cutoff abdominal circumference obtained was 97 cm in men and 85 cm in women, with 55% sensitivity and 91% specificity in men, and 87 and 72% respectively in women. Conclusions: in our context, the cutoff point of abdominal circumference to be used for diagnosing of metabolic syndrome is 97 cm in men and 85 cm in women.

Keywords : metabolic syndrome; abdominal circumference; cutoff.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )