Diferentes aferições do diâmetro abdominal sagital e do perímetro da cintura na predição do HOMA-IR

Abstract

The sagittal abdominal diameter and waist perimeter showed to be highly reproducible and the sagittal abdominal diameter (smallest girth) and waist perimeter (midpoint between the iliac crest and the last rib) presented the best performance when predicting HOMA-IR. Further studies in other groups of the Brazilian population must be carried out to allow the use of these indicators of insulin resistance in the population as a whole, following standardized procedures.

Different measurements of waist circumference and sagittal abdominal diameter and their relationship with cardiometabolic risk factors in elderly men

“…Central obesity plays a role on the set of cardiometabolic risk factors (Lim et al ., ). The SAD and WC have been widely studied as a result of the association of these anthropometric measurements with visceral fat accumulation and the presence of cardiometabolic risk factors (Turcato et al ., ; Vasques et al ., ; Pimentel et al ., ; Gharakhanlou et al ., ; Paula et al ., ; Dahlén et al ., ).…”

“…Central obesity plays a role on the set of cardiometabolic risk factors (Lim et al, 2012). The SAD and WC have been widely studied as a result of the association of these anthropometric measurements with visceral fat accumulation and the presence of cardiometabolic risk factors (Turcato et al, 2000;Vasques et al, 2009;Pimentel et al, 2011;Gharakhanlou et al, 2012;Paula et al, 2012;Dahl en et al, 2013). BMI, body mass index; HDL-C, high-density lipoprotein cholesterol; LDL-C, low-density lipoprotein cholesterol; SADH, highest abdominal diameter; SADMP, midpoint between the iliac crests; SADNP, narrowest point between the last rib and the iliac crest; SADU, umbilical level; WCIC, immediately above the iliac crests; WCMP, midpoint between the last rib and the iliac crest; WCNP, narrowest point between the last rib and the iliac crest; WCU, umbilical level.…”

“…The narrowest point between the last rib and the iliac crest, and higher diameter umbilical abdominal sites, are more easily determined. However, in some individuals with pronounced abdominal obesity, the formation of several waists along the abdomen may be observed, making it difficult to locate the narrowest point (Vasques et al, 2009).…”

“…Studies reported a variety of descriptions on the anatomical site adopted for measurement of WC [the midpoint between the last rib and the iliac crest (Wannamethee et al ., ; Pimentel et al ., ; Turcato et al ., ); umbilical level (Paula et al ., ); immediately above the iliac crests (Kullberg et al ., ); and the narrowest point between the last rib and the iliac crest (Turcato et al ., )] and SAD [midpoint between the iliac crests (Pimentel et al ., ; Turcato et al ., ); umbilical level (Öhrvall et al ., ); higher abdominal diameter (Dahlén et al ., ); and the narrowest point between the last rib and the iliac crest (Vasques et al ., )].…”

Predictive capacity of indicators of adiposity in the metabolic syndrome in elderly individuals

“…Thus, narrow waists and wide hips are associated with protection against cardiometabolic diseases. The literature suggests that WHR may be a less valid measure, since this indicator does not detect waist and hip proportional changes [30].…”