Sagittal abdominal diameter: No advantage compared with other anthropometric measures as a correlate of components of the metabolic syndrome in elderly from the Hoorn Study

Janine Mukuddem-Petersen, Marieke B. Snijder, Rob M. Van Dam, Jacqueline M. Dekker, Lex M. Bouter, Coen D A Stehouwer, Robert J. Heine, Giel Nijpels, Jacob C. Seidell

Research output: Chapter in Book / Report / Conference proceedingChapterAcademicpeer-review

Abstract

BACKGROUND: The sagittal abdominal diameter has been proposed as a useful measure by which to estimate abdominal obesity and as being more strongly related to components of the metabolic syndrome than are other anthropometric measures. OBJECTIVE: The objective was to study which anthropometric measure (ie, sagittal abdominal diameter, waist circumference, waist-to-hip ratio, waist-to-height ratio, or body mass index) is the strongest correlate of components of the metabolic syndrome (ie, glucose and lipid concentrations and blood pressure) in the elderly. DESIGN: The Hoorn Study is a population-based cohort study in older Dutch men and women. Cross-sectional data were analyzed. Age-adjusted Pearson correlations of anthropometric measures with components of the metabolic syndrome were calculated in 826 subjects (389 men, 437 women) aged 56-83 y. Analyses were performed with adjustment for age and stratification for sex and age (/=65 y). RESULTS: No single anthropometric measure was consistently correlated more strongly with components of the metabolic syndrome than were the other measures in either men or women. The associations were generally stronger in younger subjects than in older subjects and in women than in men. For example, the correlation between sagittal abdominal diameter and postload glucose was 0.35 (P <0.001) in younger and 0.14 (P = 0.051) in older men, and the correlation between waist circumference and postload glucose was 0.33 (P <0.001) in older women and 0.14 (P = 0.062) in older men. CONCLUSION: The use of sagittal abdominal diameter has no advantages over simpler and more commonly used anthropometric measures such as the waist circumference in older men and women.
Original languageEnglish
Title of host publicationAmerican Journal of Clinical Nutrition
Pages995-1002
Number of pages8
DOIs
Publication statusPublished - 1 Nov 2006

Publication series

NameAmerican Journal of Clinical Nutrition
Volume84

Keywords

  • Body mass index
  • Elderly
  • Fat distribution
  • Hip circumference
  • Metabolic syndrome
  • Sagittal abdominal diameter
  • Waist circumference
  • Waist-to-height ratio
  • Waist-to-hip ratio

Fingerprint

Dive into the research topics of 'Sagittal abdominal diameter: No advantage compared with other anthropometric measures as a correlate of components of the metabolic syndrome in elderly from the Hoorn Study'. Together they form a unique fingerprint.

Cite this