Diagnostic Accuracy of Waist-to-Height Ratio, Waist Circumference, and Body Mass Index in Identifying Metabolic Syndrome and Its Components in Older Adults: A Systematic Review and Meta-Analysis

被引:3
作者
Chan, Vicky [1 ]
Cao, Liujiao [2 ]
Wong, Martin Ming Him [3 ]
Lo, Kenneth [1 ,4 ]
Tam, Wilson [5 ]
机构
[1] Hong Kong Polytech Univ, Dept Food Sci & Nutr, Hong Kong, Peoples R China
[2] Sichuan Univ, West China Hosp, West China Sch Nursing, Chengdu, Peoples R China
[3] UCL, Inst Epidemiol & Hlth Care, London, England
[4] Hong Kong Polytech Univ, Res Inst Smart Ageing, Hong Kong, Peoples R China
[5] Natl Univ Singapore, Alice Lee Ctr Nursing Studies, Yong Loo Lin Sch Med, Singapore, Singapore
来源
CURRENT DEVELOPMENTS IN NUTRITION | 2024年 / 8卷 / 01期
关键词
metabolic syndrome; older adults; receiver operating characteristic curve; waist-to-height ratio; CARDIOVASCULAR-DISEASE; ABDOMINAL OBESITY; INDICATORS; RISK; ADIPOSITY; MORTALITY; PREDICTORS; AGE;
D O I
10.1016/j.cdnut.2023.102061
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Although numerous studies have indicated the utility of waist-to-height ratio (WHtR) in early screening for individuals with adverse cardiometabolic health, there is controversy on using WHtR as a one-size -fits-all approach, including in older adults. Objectives: Our study aims to identify the pooled diagnostic accuracy of WHtR in screening for metabolic syndrome (MetS) and its components among older adults. Methods: A systematic review of observational studies was performed using 4 databases. A diagnostic meta-analysis with a random effects model was conducted, and the pooled area under the summary receiver operating characteristic curve, sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio (dOR) of each outcome compared with WHtR, body mass index (BMI), and waist circumference (WC) were calculated, with sex-stratified analysis. Results: A total of 17 studies with 74,520 participants were included. As reflected by the dOR, WHtR (7.65; 95% CI: 6.00, 9.75) performed better than BMI (5.17; 95% CI: 4.75, 5.62) and WC (5.77; 95% CI: 4.60, 7.25) in screening for MetS among older adults and was potentially better among males. For hyperglycemia, hypertension, and dyslipidemia, the performances of WHtR, BMI, and WC were comparable. Conclusion: More studies focusing on older adults are still needed to determine the cutoff values of WHtR to screen for MetS. The search strategy was registered in PROSPERO as CRD42022350379.
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页数:13
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