Anthropometric clinical indicators of visceral adiposity as predictors of nonalcoholic fatty liver disease

SUMMARY OBJECTIVE: This study aims to evaluate the role of anthropometric clinical indicators of visceral adiposity as predictors of NAFLD, identifying the cutoff points based on gender. METHODS: This was a cross-sectional study conducted in patients with or without NAFLD. Waist circumference (WC), body mass index (BMI), waist-to-height ratio (WHtR), Conicity Index (C Index), and lipid accumulation product (LAP) were evaluated. RESULTS: A total of 107 individuals were evaluated, of which 46.7% were diagnosed with NAFLD. Individuals with NAFLD presented higher values of WC, BMI, C Index, LAP, and WHtR when compared with those without NAFLD (p<0.05). For the total sample, the indicators WC, BMI, WHtR, LAP, and C Index had an area under the receiver operator characteristic curve (AUC) above 0.87, with no difference in the prediction of NAFLD in both sexes. WHtR (AUC=0.934) was the indicator of visceral adiposity with the best discriminatory power for NAFLD, followed by LAP (0.919), WC (0.912), C Index (0.907), and BMI (0.877). CONCLUSIONS: The anthropometric clinical indicators of visceral adiposity showed high performance, especially the WHtR indicator, as NAFLD predictors.

Bibliographic Details

Main Authors:	Almeida,Naiade Silveira, Rocha,Raquel, Daltro,Carla, Souza,Claudineia Almeida de, Silva,Rafael Leiróz Pereira Duarte, Sarno,Manoel Alfredo Curvelo, Cotrim,Helma Pinchemel
Format:	Digital revista
Language:	English
Published:	Associação Médica Brasileira 2021
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302021001201544
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