title: [Central obesity index and cardiovascular risk factors in polycystic ovary syndrome].
abstract: BACKGROUND
  Women with polycystic ovary syndrome (PCOS) present a high prevalence of abdominal obesity, which is associated with an increased cardiovascular risk.
  
  
  OBJECTIVE
  To verify the accuracy of the waist circumference (WC), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and the conicity index (CI) in the detection of cardiovascular risk factors (CVRF) in women with PCOS.
  
  
  METHODS
  The present transversal study allocated 102 women (26.5 +/- 5 years) with a diagnosis of PCOS, according to the Rotterdam criteria. Total cholesterol (TC), triglycerides (TG), LDL-cholesterol (LDL-C), HDL-cholesterol (HDL-C), fasting glucose, glucose after the oral glucose tolerance test (OGTT) and blood pressure (BP) were evaluated in all patients, in addition to the anthropometric variables.
  
  
  RESULTS
  The WHtR was the marker that presented significant positive correlations with the highest number of CVRF (BP, TG and post-OGTT glucose), whereas there was a negative correlation with HDL-C. All the evaluated anthropometric markers were positively correlated with BP, whereas WC and WHR also presented a positive correlation with TG. Regarding the accuracy for the detection of CVRF, the anthropometric markers presented a sensibility > 60%, especially the WHtR, which had a sensibility > 70%.
  
  
  CONCLUSIONS
  The WHtR showed to be the most accurate anthropometric indicator for the prediction of CVRF. In this sense, we propose the inclusion of this easily-measured parameter in the clinical assessment for the screening of women with PCOS and CVRF.
authors.affiliation: Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil.
authors.forename: Eduardo Caldas
authors.initials: EC
authors.lastname: Costa
authors.forename: Elvira Maria Mafaldo
authors.initials: EM
authors.lastname: Soares
authors.forename: Telma Maria Araujo Moura
authors.initials: TM
authors.lastname: Lemos
authors.forename: Técia Maria de Oliveira
authors.initials: TM
authors.lastname: Maranhão
authors.forename: George Dantas
authors.initials: GD
authors.lastname: Azevedo
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D002318:Cardiovascular Diseases / Q000175:diagnosis*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008055:Lipids / Q000097:blood; D056128:Obesity, Abdominal / Q000175:diagnosis*; D011085:Polycystic Ovary Syndrome / Q000150:complications*; D011237:Predictive Value of Tests; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D049629:Waist-Hip Ratio / Q000379:methods / Q000592:standards*; D055815:Young Adult
chemical_list: D008055:Lipids; D014280:Triglycerides