Universidade Federal de Viçosa, Viçosa, MG.
Arq Bras Cardiol. 2010 Jul;95(1):e14-23. doi: 10.1590/s0066-782x2010001100025.
Some studies have analyzed the efficacy of anthropometric indicators in predicting insulin resistance (IR), for they are more economic and accessible. In this study, the objective was to discuss the measures and anthropometric indices that have been associated with IR. A bibliographic review was done, based on Scielo, Science Direct and Pubmed. Among these studies, waist and sagittal abdominal diameter presented better predictive capacity for IR, with more consistent results. The waist-to-thigh, waist-to-size, neck-to-thigh ratios, the conicity and the sagittal index have showed positive results; nevertheless, more studies are necessary to consolidate them as predictors to IR. The obtained results, with the use of body mass index and of the waist-to-hip ratio, were inconsistent. In the Brazilian population, the realization of studies evaluating the performance of these indicators in predicting IR is suggested, since the results of the studies conducted in other populations are not always applicable to ours, due to ethnic differences resulting from the great miscegenation in the country.
一些研究分析了人体测量指标在预测胰岛素抵抗（IR）方面的功效，因为这些指标更经济、更容易获得。本研究旨在讨论与 IR 相关的测量方法和人体测量指标。基于 Scielo、Science Direct 和 Pubmed 进行了文献回顾。在这些研究中，腰围和矢状腹部直径对 IR 的预测能力更好，结果更一致。腰臀比、腰长比、颈长比、锥形指数和矢状指数显示出阳性结果；然而，需要更多的研究来证实它们作为 IR 预测因子的地位。使用体重指数和腰臀比的结果不一致。在巴西人群中，建议开展评估这些指标在预测 IR 方面表现的研究，因为在其他人群中进行的研究结果并不总是适用于我们，这是由于该国的大规模混血导致了种族差异。
