Waist circumference measures: cutoff analyses to detect obesity and cardiometabolic risk factors in a Southeast Brazilian middle-aged men population - a cross-sectional study

Table 4 Prevalence ratio of MetS, and cardiometabolic risk factors in relation with cutoff points for WC _UL calculated using a univariate and multivariate regression analysis according to Poisson

	≥ 88.8 cm WC_UL^a	≥93.4 cm WC_UL^a
Non adjusted^b
High fast glucose^d	1.778 (1.028-3.073)^*	1.519 (0.942-2.450)
Insulin resistance^e	^***	7.833 (2.773-22.128)^**
High total cholesterol^f	1.174 (0.967-1.422)	1.291 (1.083-1.538)^**
Low HDL-C^g	1.316 (1.126-1.538)^**	1.295 (1.085-1.545)^**
High triglycerides^h	2.561 (1.634-4.015)^**	2.554 (1.776-3.673)^**
Atherogenic indexⁱ	2.123 (1.472-3.062)^**	1.844 (1.374-2.477)^**
High systolic blood pressure^j	1.548 (1.088-2.203)^*	1.501 (1.099-2.051)^*
High diastolic blood pressure^k	2.000 (1.354-2.954)^**	1.881 (1.359-2.603)^**
Metabolic Syndrome^l	3.917 (1.917-8.001) ^**	4.401 (2.466-7.855) ^**
After Adjustment^c
High fast glucose^d	1.936 (1.129-3.318)^*	1.632 (1.018-2.615)^*
Insulin resistance^e	^***	6.829 (2.414-19.317)^**
High total cholesterol^f	1.154 (0.952-1.400)	1.271 (1.066-1.515)^**
Low HDL-C^g	1.361 (1.165-1.591)^**	1.327 (1.113-1.582)^**
High tryglicerides^h	2.516 (1.604-3.946)^**	2.500 (1.730-3.611)^**
Atherogenic indexⁱ	1.896 (1.418-2.534)^**	2.217 (1.543-3.186)^**
High systolic blood pressure^j	1.565 (1.100-2.227)^*	1.549 (1.139-2.107)^**
High diastolic blood pressure^k	1.987 (1.346-2.934)^**	1.894 (1.366-2.625)^**
Metabolic Syndrome^l	4.308 (2.130-8.727)^**	4.789 (2.713-8.452)^**

Data are expressed as prevalence ratio (95% confidence interval); MetS: metabolic syndrome; WC_UL: waist circumference at the umbilical line; HDL-C: high density lipoprotein cholesterol.
^atwo smaller cutoff points suggested as of the best sensitivity and specificity relation (see Table 2).
^bnon-adjusted.
^cadjusted for age, work position, physical activity level, smoker and alcohol consumption.
^dglucose > 99 mg/dl.
^ehomeostatic model assessment insulin resistance (HOMA-IR) > 2.7.
^fTotal cholesterol > 200 mg/dl.
^gHDL-C < 40 mg/dl.
^hTriglycerides > 150 mg/d.
ⁱTotal cholesterol/HDL-C > 5.
^jsystolic blood pressure ≥ 140 mmHg.
^kdiastolic blood pressure ≥ 90 mmHg.
^lMetabolic Syndrome prevalence by Alberti et al., [3].
^*p ≤ 0.05; ^**p ≤ 0.01; ^***no data (null prevalence in one group).

ISSN: 1476-511X