Can neck-thigh ratio (ntr) be an anthropometric index to diagnose metabolic syndrome?

Lisboa, Kenya Waleria de Siqueira Coêlho; Lira Neto, José Claudio Garcia; Araújo, Márcio Flávio Moura de; Freitas, Roberto Wagner Júnior Freire de; Gomes, Emiliana Bezerra; Bispo, Gláucia Margarida Bezerra; Rodrigues, Eduarda Maria Duarte; Damasceno, Marta Maria Coelho

doi:10.1590/1982-0194201800066

Acessibilidade / Reportar erro

Brasil

Acta Paulista de Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original Article • Acta Paul Enferm. 31 (5) • 2018 • https://doi.org/10.1590/1982-0194201800066 copy

Can neck-thigh ratio (ntr) be an anthropometric index to diagnose metabolic syndrome?

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

Investigate the Neck-to-Thigh Ratio (NTR) as an anthropometric index for the diagnosis of Metabolic Syndrome in Brazilian university students.

Methods:

A cross-sectional study with 691 adults (> 18 years) of both sexes. Anthropometric parameters were investigated: abdominal circumference, neck circumference, thigh circumference, body mass index, and NTR. In addition, laboratory data were collected, such as: triglycerides, glycaemia and HDL cholesterol.

Results:

The abdominal circumference (83.59 ± 10.68 cm), neck (37.29 ± 2.36 cm), thigh (52.37 ± 5.71 cm) and the neck-thigh ratio (0.72 ± 0.07 cm) was higher among men (p <0.001). In the analysis of the components of the syndrome, the NTR showed a statistically significant positive linear correlation with all.

Conclusion:

This research showed that NTR is not a criterion capable of diagnosing MS, but indicates changes in the components that form the syndrome.

Keywords
Metabolic syndrome x; Adiposity; Biomarkers; Students; Adult health

Sex		Without MS		With MS
Sex		Mean	SD	Mean	SD	p-value
Female	NTR	0.61	0.05	0.58	0.04	<0.001
	TC	52.0	5.1	57.9	6.0
	NC	31.7	1.8	33.3	1.6
Male	NTR	0.72	0.07	0.69	0.04	<0.001
	TC	52.0	5.6	58.0	4.0
	NC	37.1	2.3	40.1	1.7
Total	NTR	0.65	0.08	0.65	0.07	<0.001
	TC	52.0	5.3	58.0	4.8
	NC	33.7	3.3	37.4	3.8

Variables	Statistic^† † Pearson test (r)	Variables
Variables	Statistic^† † Pearson test (r)	NTR	TC	AC	NC	TG	HDL	DBP	SBP	FG
NTR	r	1	−0.573^ p<0.001.	0.065	0.536^ p<0.001.	0.098^* * p<0.05 e	−0.342^ p<0.001.	0.292^ p<0.001.	0.376^ p<0.001.	0.014
NTR	p	-	0.000	0.088	0.000	0.010	0.000	0.000	0.000	0.713
TC	r	−0.573^ p<0.001.	1	0.643^ p<0.001.	0.370^ p<0.001.	0.051	−0.001	0.096^* * p<0.05 e	0.101^ p<0.001.	0.054
TC	p	0.000	-	0.000	0.000	0.180	0.976	0.012	0.008	0.158
AC	r	0.065	0.643^ p<0.001.	1	0.730^ p<0.001.	0.141^ p<0.001.	−0.200^ p<0.001.	0.289^ p<0.001.	0.338^ p<0.001.	0.025
AC	p	0.088	0.000	-	0.000	0.000	0.000	0.000	0.000	0.506
NC	r	0.536^ p<0.001.	0.370^ p<0.001.	0.730^ p<0.001.	1	0.183^ p<0.001.	−0.398^ p<0.001.	0.422^ p<0.001.	0.528^ p<0.001.	0.065
NC	p	0.000	0.000	0.000	-	0.000	0.000	0.000	0.000	0.089
TG	r	0.098^* * p<0.05 e	0.051	0.141^ p<0.001.	0.183^ p<0.001.	1	−0.252^ p<0.001.	0.137^ p<0.001.	0.146^ p<0.001.	0.074
TG	p	0.010	0.180	0.000	0.000	-	0.000	0.000	0.000	0.052
HDL	r	−0.342^ p<0.001.	−0.001	−0.200^ p<0.001.	−0.398^ p<0.001.	−0.252^ p<0.001.	1	−0.191^ p<0.001.	−0.273^ p<0.001.	−0.063
HDL	p	0.000	0.976	0.000	0.000	0.000	-	0.000	0.000	0.098
DBP	r	0.292^ p<0.001.	0.096^* * p<0.05 e	0.289^ p<0.001.	0.422^ p<0.001.	0.137^ p<0.001.	−0.191^ p<0.001.	1	0.697^ p<0.001.	0.070
DBP	p	0.000	0.012	0.000	0.000	0.000	0.000	-	0.000	0.068
SBP	r	0.376^ p<0.001.	0.101^ p<0.001.	0.338^ p<0.001.	0.528^ p<0.001.	0.146^ p<0.001.	−0.273^ p<0.001.	0.697^ p<0.001.	1	0.045
	p	0.000	0.008	0.000	0.000	0.000	0.000	0.000	-	0.239
FG	r	0.014	0.054	0.025	0.065	0.074	−0.063	0.070	0.045	1
	p	0.713	0.158	0.506	0.089	0.052	0.098	0.068	0.239	-

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Corresponding author José Claudio Garcia Lira Neto http://orcid.org/0000-0003-2777-1406 E-mail: jclira@live.com