Resumen de Comparative analysis of abdominal obesity anthropometric indices for the diagnosis of physio-metabolic disorders

Ana Alaminos Torres, Noemi López-Ejeda, Isabel Rincón Mancheño, María Dolores Cabañas Armesilla, María Dolores Marrodán Serrano

• indicators of abdominal obesity in order to identify physio-metabolic disorders in Spanish adults. Method: We analyzed 3,122 women and 2,103 men attending diet consultation and registered their height, weight and umbilical perimeter. Body mass index (BMI), body roundness (BRI), body shape (ABSI) and waist to height ratio (WHtR) were estimated. Blood pressure and serum levels of glucose, cholesterol and triglycerides were taken. ROC curves were applied to compare the utility of anthropometric indices in the diagnosis of physio-metabolic disorders. Results: The BRI and the WHtR showed the largest areas under the curve (AUC) for the identification of hypertension, hyperglycemia and hypercholesterolemia in both sexes and for hypertriglyceridemia in men. The ABSI presented AUCs below the BMI for the diagnosis of all components. Conclusions: Due to its diagnostic efficiency and ease of calculation, the waist to height ratio is the most recommended parameter in the prediction of physio-metabolic alterations.