Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR

Introduction: High waist circumference (WC), waist-to-height ratio (WHtR), and body mass index (BMI) are associated with increased cardiometabolic risk. The objective was to identify anthropometric cut-off points that allow discriminating subjects at increased risk of presenting high blood pressure...

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Autores principales: Farinola, Martín Gustavo, Sganga, Magalí
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022
Materias:
anthropometry
blood glucose
arterial pressure
Argentina
antropometría
glucemia
presión arterial
antropometria
glicemia
pressão arterial
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/37313
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-37313
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic anthropometry
blood glucose
arterial pressure
Argentina
antropometría
glucemia
presión arterial
Argentina
antropometria
glicemia
pressão arterial
Argentina
spellingShingle anthropometry
blood glucose
arterial pressure
Argentina
antropometría
glucemia
presión arterial
Argentina
antropometria
glicemia
pressão arterial
Argentina
Farinola, Martín Gustavo
Sganga, Magalí
Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
topic_facet anthropometry
blood glucose
arterial pressure
Argentina
antropometría
glucemia
presión arterial
Argentina
antropometria
glicemia
pressão arterial
Argentina
author Farinola, Martín Gustavo
Sganga, Magalí
author_facet Farinola, Martín Gustavo
Sganga, Magalí
author_sort Farinola, Martín Gustavo
title Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
title_short Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
title_full Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
title_fullStr Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
title_full_unstemmed Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR
title_sort cut-off points of anthropometric markers for hypertension and hyperglycemia in argentine adults: a cross-sectional study from the 4th enfr
description Introduction: High waist circumference (WC), waist-to-height ratio (WHtR), and body mass index (BMI) are associated with increased cardiometabolic risk. The objective was to identify anthropometric cut-off points that allow discriminating subjects at increased risk of presenting high blood pressure and glycemia in Argentine adults. Methods: The results of the 4th Argentine ENFR were used. Subjects aged 18 to 65 years who had blood pressure, blood glucose, and anthropometry directly measured were included (n=4254 and 1683 subjects of both sexes for high blood pressure and blood glucose, respectively). The area under the ROC curve was calculated. The optimal cut-off point was the one with the smallest difference between sensitivity and specificity. Adjusted odds ratios (aOR) were calculated for each point. Results: In men, the cut-off points for high blood pressure were WC=91.5 cm (aOR= 3.55; 95% CI=2.97-4.24), WHtR=0.541 (aOR=3.12; 95% CI =2.61-3.73) and BMI=27.0 kg/m2 (aOR=3.04; CI95%=2.55-3.63); and for high blood glucose WC=94.5 cm (aOR=2.46; 95% CI=1.64-3.70), WHtR =0.559 (aOR=2.35; 95% CI=1.55-3.55) and BMI=28.6 kg/m2 (aOR= 3.23; CI95%=2.14-4.88). In women, for high blood pressure, WC=88.5 cm (aOR=3.57; 95% CI=2.84-4.41), WHtR=0.542 (aOR=3.45; 95% CI=2.79- 4.27) and BMI=26.7 kg/m2 (aOR=3.25; CI95%=2.64-4.02); and for high blood glucose WC=93.5 cm (aOR=4.28; 95% CI=2.72-6.75), WHtR =0.573 (aOR=3.61; 95% CI=2.31-5.66) and BMI=27.8 kg/m2 (aOR= 3.14; CI95%=2.03-4.87). Conclusion: Argentine adults who have WC measured on the skin and are above the cut-off points identified here, have a significantly higher risk of presenting high blood pressure and hiperglycemia.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2022
url https://revistas.unc.edu.ar/index.php/med/article/view/37313
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spelling I10-R327-article-373132022-10-18T17:02:11Z Cut-off points of anthropometric markers for hypertension and hyperglycemia in Argentine adults: a cross-sectional study from the 4th ENFR Puntos de corte de indicadores antropométricos para hipertensión e hiperglucemia en adultos argentinos: un estudio transversal a partir de la 4ta ENFR Pontos de corte de indicadores antropométricos para hipertensão e hiperglicemia em adultos argentinos: um estudo transversal a partir de 4ª ENFR Farinola, Martín Gustavo Sganga, Magalí anthropometry blood glucose arterial pressure Argentina antropometría glucemia presión arterial Argentina antropometria glicemia pressão arterial Argentina Introduction: High waist circumference (WC), waist-to-height ratio (WHtR), and body mass index (BMI) are associated with increased cardiometabolic risk. The objective was to identify anthropometric cut-off points that allow discriminating subjects at increased risk of presenting high blood pressure and glycemia in Argentine adults. Methods: The results of the 4th Argentine ENFR were used. Subjects aged 18 to 65 years who had blood pressure, blood glucose, and anthropometry directly measured were included (n=4254 and 1683 subjects of both sexes for high blood pressure and blood glucose, respectively). The area under the ROC curve was calculated. The optimal cut-off point was the one with the smallest difference between sensitivity and specificity. Adjusted odds ratios (aOR) were calculated for each point. Results: In men, the cut-off points for high blood pressure were WC=91.5 cm (aOR= 3.55; 95% CI=2.97-4.24), WHtR=0.541 (aOR=3.12; 95% CI =2.61-3.73) and BMI=27.0 kg/m2 (aOR=3.04; CI95%=2.55-3.63); and for high blood glucose WC=94.5 cm (aOR=2.46; 95% CI=1.64-3.70), WHtR =0.559 (aOR=2.35; 95% CI=1.55-3.55) and BMI=28.6 kg/m2 (aOR= 3.23; CI95%=2.14-4.88). In women, for high blood pressure, WC=88.5 cm (aOR=3.57; 95% CI=2.84-4.41), WHtR=0.542 (aOR=3.45; 95% CI=2.79- 4.27) and BMI=26.7 kg/m2 (aOR=3.25; CI95%=2.64-4.02); and for high blood glucose WC=93.5 cm (aOR=4.28; 95% CI=2.72-6.75), WHtR =0.573 (aOR=3.61; 95% CI=2.31-5.66) and BMI=27.8 kg/m2 (aOR= 3.14; CI95%=2.03-4.87). Conclusion: Argentine adults who have WC measured on the skin and are above the cut-off points identified here, have a significantly higher risk of presenting high blood pressure and hiperglycemia. Introducción: Circunferencia de cintura (CC), índice cintura/talla (ICT) e índice de masa corporal (IMC) elevados se relacionan con mayor riesgo cardiometabólico. El objetivo fue identificar puntos de corte antropométricos que permitan discriminar a sujetos en riesgo aumentado de presentar tensión arterial y glucemia elevadas en adultos argentinos. Métodos: Se utilizaron los resultados de la 4ta ENFR argentina. Se incluyeron sujetos de 18 a 65 años a quienes se les haya medido directamente tensión arterial, glucemia y antropometría (n=4.254 y 1.683 sujetos de ambos sexos para tensión arterial y glucemia elevadas respectivamente). Se calculó el área bajo la curva ROC. El punto de corte óptimo fue el que presentó menor diferencia entre sensibilidad y especificidad. Se calcularon odds ratios ajustados (ORa) para cada punto. Resultados: En varones los puntos de corte para tensión arterial elevada fueron CC=91,5 cm (ORa=3,55; IC95%=2,97-4,24), ICT=0,541 (ORa=3,12; IC95%=2,61-3,73) e IMC=27,0 kg/m2 (ORa=3,04; IC95%=2,55-3,63); y para glucemia elevada CC=94,5 cm (ORa=2,46; IC95%=1,64-3,70), ICT=0,559 (ORa=2,35; IC95%=1,55-3,55) e IMC=28,6 kg/m2 (ORa= 3,23; IC95%=2,14-4,88). En mujeres, para tensión arterial elevada fueron CC=88,5 cm (ORa=3,57; IC95%=2,84-4,41), ICT=0,542 (ORa=3,45; IC95%=2,79-4,27) e IMC=26,7 kg/m2 (ORa=3,25; IC95%=2,64-4,02); y para glucemia elevada CC=93,5 cm (ORa=4,28; IC95%=2,72-6,75), ICT=0,573 (ORa=3,61; IC95%=2,31-5,66) e IMC=27,8 kg/m2 (ORa=3,14; IC95%=2,03-4,87). Conclusión: Los adultos argentinos a quienes se les mida CC sobre la piel y se encuentren por encima de los puntos de corte aquí identificados, cuentan con un riesgo significativamente mayor de presentar tensión arterial y glucemia elevadas. Introdução: Circunferência da cintura (CC), relação cintura/estatura (RCE), índice de massa corporal (IMC) elevados estão associados ao aumento do risco cardiometabólico. O objetivo foi identificar pontos de corte antropométricos que permitam discriminar indivíduos com risco aumentado de apresentar hipertensão arterial e glicemia em adultos argentinos. Métodos: Foram utilizados os resultados da 4ª ENFR Argentina. Indivíduos de 18 a 65 anos que tiveram pressão arterial, glicemia e antropometria medidas diretamente foram incluídos (n=4254 e 1683 indivíduos de ambos os sexos para hipertensão e glicemia, respectivamente). A área sob a curva ROC foi calculada. O melhor ponto de corte foi aquele com a menor diferença entre sensibilidade e especificidade. O odds ratio ajustado (ORa) foi calculado para cada ponto. Resultados: Nos homens, os pontos de corte para pressão arterial elevada foram CC=91,5 cm (ORa = 3,55; IC 95%=2,97-4,24), RCE=0,541 (ORa =3,12; IC 95%=2,61-3,73) e IMC=27,0 kg/m2 (ORa =3,04; IC95%=2,55-3,63); e para glicemia alta CC=94,5 cm (ORa=2,46; IC 95%=1,64-3,70), ICT=0,559 (ORa =2,35; IC 95%=1,55-3,55) e IMC=28,6 kg/m2 (ORa= 3,23; IC95%=2,14-4,88). Nas mulheres, para pressão arterial elevada, CC=88,5 cm (ORa =3,57; 95% CI=2,84-4,41), RCE=0,542 (ORa =3,45; 95% CI=2,79-4,27) e IMC=26,7 kg/m2 (ORa =3,25; IC95%=2,64-4,02); e para glicemia elevada CC=93,5 cm (ORa =4,28; 95% CI=2,72-6,75), ICT=0,573 (ORa =3,61; 95% CI=2,31-5,66) e IMC=27,8 kg/m2 (ORa = 3,14 ; IC95%=2,03-4,87). Conclusão: Adultos argentinos que possuem CC medida na pele e que estão acima dos pontos de corte aqui identificados, têm risco significativamente maior de apresentar hipertensão e hiperglicemia. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-09-16 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/37313 10.31053/1853.0605.v79.n3.37313 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 79 No. 3 (2022); 260-266 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 79 Núm. 3 (2022); 260-266 Revista da Faculdade de Ciências Médicas de Córdoba; v. 79 n. 3 (2022); 260-266 1853-0605 0014-6722 10.31053/1853.0605.v79.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/37313/38754 https://revistas.unc.edu.ar/index.php/med/article/view/37313/38761 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0

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