Agreement in cardiovascular risk rating based on anthropometric parameters

To investigate the agreement in evaluation of risk of developing cardiovascular diseases based on anthropometric parameters in young adults. The study included 406 students, measuring weight, height, and waist and neck circumferences. Waist-to-height ratio and the conicity index. The kappa coefficie...

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Bibliographic Details
Published in:	Einstein (São Paulo, Brazil) Vol. 13; no. 3; pp. 376 - 380
Main Authors:	Dantas, Endilly Maria da Silva, Pinto, Cristiane Jordânia, Freitas, Rodrigo Pegado de Abreu, Medeiros, Anna Cecília Queiroz de
Format:	Journal Article
Language:	English
Published:	Brazil Instituto de Ensino e Pesquisa Albert Einstein 01-07-2015 Instituto Israelita de Ensino e Pesquisa Albert Einstein
Subjects:	Adolescent Anthropometry Body Composition Body Mass Index Body Weight Body weights and measures Brazil - epidemiology Cardiovascular diseases Cardiovascular Diseases - epidemiology Cardiovascular Diseases - etiology Cross-Sectional Studies Female Humans Male MEDICINE, GENERAL & INTERNAL Obesity, Abdominal Original Prevalence Risk Assessment Risk Factors Sex Sex Factors Waist Circumference Waist-Height Ratio Young Adult Brazil Body weights and measures Doenças cardiovasculares Anthropometry Risk assessment Sex Medição de risco Antropometria Pesos e medidas corporais Cardiovascular diseases Sexo
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Summary:	To investigate the agreement in evaluation of risk of developing cardiovascular diseases based on anthropometric parameters in young adults. The study included 406 students, measuring weight, height, and waist and neck circumferences. Waist-to-height ratio and the conicity index. The kappa coefficient was used to assess agreement in risk classification for cardiovascular diseases. The positive and negative specific agreement values were calculated as well. The Pearson chi-square (χ2) test was used to assess associations between categorical variables (p<0.05). The majority of the parameters assessed (44%) showed slight (k=0.21 to 0.40) and/or poor agreement (k<0.20), with low values of negative specific agreement. The best agreement was observed between waist circumference and waist-to-height ratio both for the general population (k=0.88) and between sexes (k=0.93 to 0.86). There was a significant association (p<0.001) between the risk of cardiovascular diseases and females when using waist circumference and conicity index, and with males when using neck circumference. This resulted in a wide variation in the prevalence of cardiovascular disease risk (5.5%-36.5%), depending on the parameter and the sex that was assessed. The results indicate variability in agreement in assessing risk for cardiovascular diseases, based on anthropometric parameters, and which also seems to be influenced by sex. Further studies in the Brazilian population are required to better understand this issue.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Conflict of interest: none.
ISSN:	1679-4508 2317-6385 2317-6385 1679-4508
DOI:	10.1590/S1679-45082015AO3349