Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study

Peng Ju Liu,1 Hui Ping Lou,2 Yan Ning Zhu3 1Department of Clinical Nutrition, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 2Department of Medical Examination Center, Peking Union Medical College...

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Autores principales:	Liu PJ, Lou HP, Zhu YN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	metabolic syndrome hypertriglyceridemic waist circumference triglyceride glucose index hypertriglyceridemic waist phenotype Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/9262b831b5ed4d76a0f741bbbc0199d7
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spelling	oai:doaj.org-article:9262b831b5ed4d76a0f741bbbc0199d72021-12-02T10:09:42ZScreening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study1178-7007https://doaj.org/article/9262b831b5ed4d76a0f741bbbc0199d72020-08-01T00:00:00Zhttps://www.dovepress.com/screening-for-metabolic-syndrome-using-an-integrated-continuous-index--peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Peng Ju Liu,1 Hui Ping Lou,2 Yan Ning Zhu3 1Department of Clinical Nutrition, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 2Department of Medical Examination Center, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 3Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of ChinaCorrespondence: Peng Ju Liu Tel +86-10-69155550Fax +86-10-69155551Email lpjjia@126.comBackground: It has been suggested that hypertriglyceridemic waist (HW) phenotype is strongly associated with metabolic syndrome (MetS); however, there are very limited studies integrating triglyceride (TG) and waist circumference (WC) into a continuous variable to investigate the predictive power of this phenotype. Inspired from the triglyceride glucose index (TyG), we developed an integrated continuous index termed waist-triglyceride index (WTI) which was calculated as Ln [TG (mg/dl) WC (cm)/2].Objective: We aimed to examine the potential of WTI in screening for MetS by comparing this quantitative index with the qualitative HW phenotype and other frequently used indices.Methods: A cross-sectional study was conducted in a total of 3460 non-diabetic adults who participated in an annual health checkup. MetS was defined by the update National Cholesterol Education Program/Adult Treatment Panel ш criteria for Asian Americans. Receiving operating characteristic (ROC) curve and areas under the curve (AUC) were employed to evaluate the performance of the involved indices in screening for MetS. Statistical differences among the AUC values of the indices were compared.Results: In both genders, the AUC value of WTI, TyG or HW phenotype was markedly larger than that of each anthropometric index alone. In men, there were no statistical differences in the AUC values among WTI, TyG and HW phenotype, whereas in women, the AUC value of WTI was significantly larger than that of HW phenotype [difference between area (DBA): 0.042, 95% CI: 0.0224– 0.0617, P < 0.0001] and was nominally and significantly smaller than that of TyG (DBA: 0.00646, 95% CI: 0.000903– 0.012, P = 0.0227).Conclusion: Our results suggest that there are discriminatory performance between the WTI and HW phenotype in the detection of MetS in women rather than in men. Appropriate markers for screening MetS in population study should be considered according to the genders.Keywords: metabolic syndrome, hypertriglyceridemic, waist circumference, triglyceride glucose index, hypertriglyceridemic waist phenotypeLiu PJLou HPZhu YNDove Medical Pressarticlemetabolic syndromehypertriglyceridemicwaist circumferencetriglyceride glucose indexhypertriglyceridemic waist phenotypeSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 2899-2907 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	metabolic syndrome hypertriglyceridemic waist circumference triglyceride glucose index hypertriglyceridemic waist phenotype Specialties of internal medicine RC581-951
spellingShingle	metabolic syndrome hypertriglyceridemic waist circumference triglyceride glucose index hypertriglyceridemic waist phenotype Specialties of internal medicine RC581-951 Liu PJ Lou HP Zhu YN Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
description	Peng Ju Liu,1 Hui Ping Lou,2 Yan Ning Zhu3 1Department of Clinical Nutrition, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 2Department of Medical Examination Center, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of China; 3Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, China Academic Medical Science and Peking Union Medical College, Beijing, People’s Republic of ChinaCorrespondence: Peng Ju Liu Tel +86-10-69155550Fax +86-10-69155551Email lpjjia@126.comBackground: It has been suggested that hypertriglyceridemic waist (HW) phenotype is strongly associated with metabolic syndrome (MetS); however, there are very limited studies integrating triglyceride (TG) and waist circumference (WC) into a continuous variable to investigate the predictive power of this phenotype. Inspired from the triglyceride glucose index (TyG), we developed an integrated continuous index termed waist-triglyceride index (WTI) which was calculated as Ln [TG (mg/dl) WC (cm)/2].Objective: We aimed to examine the potential of WTI in screening for MetS by comparing this quantitative index with the qualitative HW phenotype and other frequently used indices.Methods: A cross-sectional study was conducted in a total of 3460 non-diabetic adults who participated in an annual health checkup. MetS was defined by the update National Cholesterol Education Program/Adult Treatment Panel ш criteria for Asian Americans. Receiving operating characteristic (ROC) curve and areas under the curve (AUC) were employed to evaluate the performance of the involved indices in screening for MetS. Statistical differences among the AUC values of the indices were compared.Results: In both genders, the AUC value of WTI, TyG or HW phenotype was markedly larger than that of each anthropometric index alone. In men, there were no statistical differences in the AUC values among WTI, TyG and HW phenotype, whereas in women, the AUC value of WTI was significantly larger than that of HW phenotype [difference between area (DBA): 0.042, 95% CI: 0.0224– 0.0617, P < 0.0001] and was nominally and significantly smaller than that of TyG (DBA: 0.00646, 95% CI: 0.000903– 0.012, P = 0.0227).Conclusion: Our results suggest that there are discriminatory performance between the WTI and HW phenotype in the detection of MetS in women rather than in men. Appropriate markers for screening MetS in population study should be considered according to the genders.Keywords: metabolic syndrome, hypertriglyceridemic, waist circumference, triglyceride glucose index, hypertriglyceridemic waist phenotype
format	article
author	Liu PJ Lou HP Zhu YN
author_facet	Liu PJ Lou HP Zhu YN
author_sort	Liu PJ
title	Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
title_short	Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
title_full	Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
title_fullStr	Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
title_full_unstemmed	Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study
title_sort	screening for metabolic syndrome using an integrated continuous index consisting of waist circumference and triglyceride: a preliminary cross-sectional study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/9262b831b5ed4d76a0f741bbbc0199d7
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Screening for Metabolic Syndrome Using an Integrated Continuous Index Consisting of Waist Circumference and Triglyceride: A Preliminary Cross-sectional Study

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