Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Sep 16;79(3):260-266.
doi: 10.31053/1853.0605.v79.n3.37313.

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

[Article in Spanish]
Martín Gustavo Farinola  1 , Magalí Sganga  2
Affiliations

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

[Article in Spanish]
Martín Gustavo Farinola et al. Rev Fac Cien Med Univ Nac Cordoba. .

Abstract
in English, Spanish

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.

Keywords: anthropometry; blood glucose; arterial pressure; Argentina.

PubMed Disclaimer

Conflict of interest statement

Conflicto de interés:

Ninguno.

Similar articles

See all similar articles

Cited by

References

    1. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Vol. 854. World Health Organ Tech Rep Ser; 1995. pp. 1–452. - PubMed
    1. Piqueras P, Ballester A, Durá-Gil JV, Martinez-Hervas S, Redón J, Real JT. Anthropometric Indicators as a Tool for Diagnosis of Obesity and Other Health Risk Factors: A Literature Review. Front Psychol. 2021 Jul 09;12:631179. doi: 10.3389/fpsyg.2021.631179. - DOI - PMC - PubMed
    1. Głuszek S, Ciesla E, Głuszek-Osuch M, Kozieł D, Kiebzak W, Wypchło Ł, Suliga E. Anthropometric indices and cut-off points in the diagnosis of metabolic disorders. PLoS One. 2020 Jun 22;15(6):e0235121. doi: 10.1371/journal.pone.0235121. - DOI - PMC - PubMed
    1. Diabetes Canada Clinical Practice Guidelines Expert Committee. Punthakee Z, Goldenberg R, Katz P. Definition, Classification and Diagnosis of Diabetes, Prediabetes and Metabolic Syndrome. Can J Diabetes. 2018 Apr;42(Suppl 1):S10–S15. doi: 10.1016/j.jcjd.2017.10.003. - DOI - PubMed
    1. Rosas Guzmán J, González Chávez A, Aschner P, Bastarrachea R. Consenso Latinoamericano de la Asociación Latinoamericana de Diabetes (ALAD). Epidemiología, diagnóstico, control, prevención y tratamiento del síndrome metabólico en adultos. Revista de la ALAD, Asociación Latinoamericana de Diabetes. 2010;18(1):25–44.

LinkOut - more resources