title: [Waist measure and waist-to-hip ratio and identification of clinical conditions of cardiovascular risk: multicentric study in type 2 diabetes mellitus patients].
abstract: Abdominal obesity is associated with cardiovascular disease. This study aims to compare two measures of abdominal obesity [waist and wais-to-hip ratio (WHR)] in patients with DM2 to identify cardiovascular risk factors: ischemic cardiopathy, hypertension, dislipidemia, obesity and diabetic nephropathy. A multicentric study was performed in 820 patients with type 2 DM. Waist circumference strongly correlated with body mass index (BMI), for men (r= 0.814; P< 0.05) and women (r= 0.770; P< 0.05). On the other hand, WRH was weakly correlated (r= 0.263, P< 0.05 for men; r= 0.092, P< 0.05 for women). Only waist circumference correlated with systolic pressure (r= 0.211, P< 0.05 for men; r= 0,224, P< 0.05 for women). ROC curve analysis demonstrated the superiority of waist circumference measurement compared to WHR regarding obesity and hypertension for men and women, and dyslipidemia for men. In conclusion, waist circumference is better correlated with cardiovascular risk factor than WRH.
authors.affiliation: Programa de Pós-graduação em Ciências Médicas: Endocrinologia e Metabologia, Serviço de Endocrinologia, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, RS.
authors.forename: Paula Xavier
authors.initials: PX
authors.lastname: Picon
authors.forename: Cristiane Bauerman
authors.initials: CB
authors.lastname: Leitão
authors.forename: Fernando
authors.initials: F
authors.lastname: Gerchman
authors.forename: Mirela Jobim de
authors.initials: MJ
authors.lastname: Azevedo
authors.forename: Sandra Pinho
authors.initials: SP
authors.lastname: Silveiro
authors.forename: Jorge Luiz
authors.initials: JL
authors.lastname: Gross
authors.forename: Luís Henrique
authors.initials: LH
authors.lastname: Canani
mesh_terms: D050153:Abdominal Fat; D001823:Body Composition; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000209:etiology*; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology*; D050171:Dyslipidemias / Q000175:diagnosis; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications* / Q000175:diagnosis; D012307:Risk Factors; D012727:Sex Characteristics; D049629:Waist-Hip Ratio