Evaluation of the anthropometric indicators of obesity as a predictive capacity of cardiovascular risk

Machuca Sánchez I.R.V.; Enrique Talavera J.; Torres Malca J.R.; Vera Ponce V.J.; De La Cruz Vargas J.A. · Revista Cubana de Investigaciones Biomedicas (2023)

Resumen

Introduction: There is an association between obesity and the increased risk of developing cardiovascular disease in the long term; however, within the scales created to estimate this risk, such as the Framingham scale, it is not included as one of its variables. Objective: To evaluate the anthropometric indicators of obesity for predictive capacity of cardiovascular risk (CVR) in a sample of Peruvian inhabitants. Methods: Study of diagnostic tests. Secondary baseline analysis of the PERU MIGRANT study. CVR was measured according to the Framingham Scale by D'Agostino (SFA). Six obesity indices were evaluated: abdominal circumference, body mass index, body shape index (BSI), body roundness index (BRI), conicity index, waist-height ratio, and waist-hip ratio (WHR). The discriminative capacity of the models was tested using areas under curves (AUC) with their 95 % confidence interval (95 % CI). Results: The prevalence of low CVR was 60.70 %. In males, the highest AUC was reported by IRC: 0.755, cut-off value = 4.78; sensitivity = 59.0% and specificity = 76.4 %. In women, the highest AUC was obtained by RCC: 0.694; cut-off value = 0.91, sensitivity = 73.3 % and specificity = 61.0. Conclusions: The IRC and the RCC were the anthropometric parameters with greater predictive capacity for the masculine and feminine sex, respectively. However, given their low values, it is likely that these obesity indices are not sufficient to predict CVR as does the SFA.

Instituciones: Universidad Ricardo Palma; Universidad Tecnológica del Perú