4.0 Article

Anthropometric measurements as a potential non-invasive alternative for the diagnosis of metabolic syndrome in adolescents

Journal

ARCHIVES OF ENDOCRINOLOGY METABOLISM
Volume 63, Issue 1, Pages 30-39

Publisher

SBEM-SOC BRASIL ENDOCRINOLOGIA & METABOLOGIA
DOI: 10.20945/2359-3997000000100

Keywords

Adolescents; metabolic syndrome; anthropometric measurements; neck circumference; ROC curve

Funding

  1. Research and Innovation Support Foundation of the State of Santa Catarina (FAPESC), Brazil [14029/2007-5]
  2. University of Joinville Region (Univille), Brazil [1750/2006]
  3. Population Health Intervention Research Unit (PHIRU), School of Public Health, University of Alberta, Canada
  4. National Council for Scientific and Technological Development (CNPq), Brazil [249048/2013-2]
  5. PHIRU

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Objective: To identify which anthropometric measurement would be the best predictor of metabolic syndrome (MetS) in Brazilian adolescents. Subjects and methods: Cross-sectional study conducted on 222 adolescents (15-17 years) from a city in southern Brazil. Anthropometric, physical activity, blood pressure and biochemical parameters were investigated. MetS criteria were transformed into a continuous variable (MetS score). Linear regression analyses were performed to assess the associations of BMI, hip circumference, neck circumference (NC), triceps skinfold, subscapular skinfold and body fat percentage with MetS score. ROC curves were constructed to determine the cutoff for each anthropometric measurement. Results: The prevalence of MetS was 7.2%. Each anthropometric measurement was significantly (p < 0.001) associated with MetS score. After adjusting for potential confounding variables (age, sex, physical activity, and maternal education), the standardized coefficients of NC and body fat percentage appeared to have the strongest association (beta = 0.69 standard deviation) with MetS score. The regression of BMI provided the best model fit (adjusted R-2 = 0.31). BMI predicted MetS with high sensitivity (100.0%) and specificity (86.4%). Conclusions: Our results suggest that BMI and NC are effective screening tools for MetS in adolescents. The early diagnosis of MetS combined with targeted lifestyle interventions in adolescence may help reduce the burden of cardiovascular diseases and diabetes in adulthood.

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