SciELO - Scientific Electronic Library Online

vol.82 número4Usefulness of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio as predictors of severity on Fournier fasciitis of the Hospital General de México "Dr. Eduardo Liceaga"Usefulness of two clinical (CBC and PETHEMA) scores for predicting early death in patients with acute promyelocytic leukemia: A single-center study in Mexico City índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Revista médica del Hospital General de México

versão On-line ISSN 2524-177Xversão impressa ISSN 0185-1063


KAMMAR-GARCIA, Ashuin et al. Risk and diagnosis of the metabolic syndrome in apparently healthy young adults by means of the waist-height. Rev. med. Hosp. Gen. Méx. [online]. 2019, vol.82, n.4, pp.179-186.  Epub 06-Set-2021. ISSN 2524-177X.


Metabolic syndrome (MS) is associated with overweightness and/or obesity, hypertension, hyperglycemia, dyslipidemias, and insulin resistance; timely detection can help to avoid or reduce the risk of cardiovascular diseases or type 2 diabetes mellitus, which the main causes of death from noncommunicable diseases in Mexico.


The objective of the study was to evaluate the waist-to-height ratio (WHtR) as a parameter for risk assessment and diagnosis of MS in a population of apparently healthy young adults.

Materials and Methods:

This was a cross-sectional study. Sample of 337 subjects was recruited. Biochemical and anthropometric parameters were determined for the presence of MS, obtaining WHtR and quartiles were generated to propose a cutoff point with which the risk and diagnostic utility of this ratio were assessed by means of quantitative comparisons, risk analysis, and likelihood analysis.


The WHtR is a very sensitive and specific test for the diagnosis of MS. The areas under the curve were 98% and 83%, respectively, for men and women, for the diagnosis of MS (p < 0.0001). It was found that a WHtR higher than 0.53 increases the risk of MS (odds ratio = 18.62, 95% confidence interval = 1.7-208, p = 0.02). Potential impact measures suggest by controlling the WHtR, 94% of MS cases could be prevented.


The WHtR is useful and accurate for the diagnosis of the MS in apparently healthy young adults.

Palavras-chave : Waist-to-height ratio; Metabolic syndrome; Diagnosis; Risk; Young adults.

        · texto em Inglês     · Inglês ( pdf )