title: Sagital abdominal diameter, but not waist circumference is strongly associated with glycemia, triacilglycerols and HDL-C levels in overweight adults.
abstract: OBJECTIVE
  To correlate the sagittal abdominal diameter (SAD) and waist circumference (WC) with metabolic syndrome-associated abnormalities in adults.
  
  
  METHODS
  This cross-sectional study included onehundred twelve adults (M=27, F=85) aging 54.0±11.2 yrs and average body mass index (BMI) of 30.5±9.0 kg/m². The assessment included blood pressure, plasma and anthropometric measurements.
  
  
  RESULTS
  In both men and female, SAD and WC were associated positively with body fat% (r=0.53 vs r=0.55), uric acid (r=0.45 vs r=0.45), us-PCR (r=0.50 vs r=0.44), insulin (r=0.89 vs r=0.75), insulin resistance HOMA-IR (r=0.86 vs r=0.65), LDL-ox (r=0.51 vs r=0.28), GGT (r=0.70 vs r=0.61), and diastolic blood pressure (r=0.35 vs r=0.33), and negatively with insulin sensibility QUICKI (r=-0.89 vs r=-0.82) and total cholesterol/TG ratio (r=-0.40 vs r=-0.22). Glycemia, TG, and HDL-c were associated significantly only with SAD (r=0.31; r = 39, r=-0.43, respectively).
  
  
  CONCLUSIONS
  Though the SAD and WC were associated with numerous metabolic abnormalities, only SAD correlated with dyslipidemia (TG and HDL-c) and hyperglycemia (glycemia).
authors.affiliation: Department of Internal Medicine, Faculdade de Ciências Médicas (FCM), State University of Campinas (UNICAMP), Campinas, SP, Brazil. gupimentel@yahoo.com.br
authors.forename: G D
authors.initials: GD
authors.lastname: Pimentel
authors.forename: F
authors.initials: F
authors.lastname: Moreto
authors.forename: M M
authors.initials: MM
authors.lastname: Takahashi
authors.forename: K C
authors.initials: KC
authors.lastname: Portero-McLellan
authors.forename: R C
authors.initials: RC
authors.lastname: Burini
mesh_terms: D000005:Abdomen / Q000033:anatomy & histology*; D000368:Aged; D000886:Anthropometry; D001774:Blood Chemical Analysis; D001786:Blood Glucose / Q000378:metabolism*; D015992:Body Mass Index; D008076:Cholesterol, HDL / Q000097:blood*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007333:Insulin Resistance / Q000502:physiology; D008297:Male; D008875:Middle Aged; D050177:Overweight / Q000097:blood* / Q000473:pathology*; D014280:Triglycerides / Q000097:blood*; D055105:Waist Circumference / Q000502:physiology*
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL; D014280:Triglycerides