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Preditores de gordura visceral - TWiki - Universidade Federal da ...

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individual standing up and also found higher average values in women (20.6 cm). The<br />

present study recor<strong>de</strong>d average SAD values according to sex and age which ma<strong>de</strong> it<br />

impossible to compare our findings with those of studies that carried out a more<br />

generalised analysis.<br />

When analysing the correlation of the SAD with the <strong>visceral</strong> adipose tissue area, we<br />

noted that, as in other studies 3, 8, 9, 33-36 , the SAD measurement presented a high<br />

correlation with <strong>visceral</strong> adipose tissue measured by CT, which indicates that it is a<br />

strong predictor for this type of fat. We emphasise that this correlation was highest<br />

amongst el<strong>de</strong>rly men.<br />

In regards to the SAD cut-off points that i<strong>de</strong>ntified a VATA consi<strong>de</strong>red to present risk,<br />

this study encountered values close to those found in the literature. These SAD values<br />

have varied between 19 and 24 cm 3,7,19,24 .<br />

Waist circumference is a measurement that assesses cardiovascular risk and is also one<br />

of the criteria for <strong>de</strong>fining metabolic syndrome. Its importance in the i<strong>de</strong>ntification of<br />

obesity, as well as in the estimation of <strong>visceral</strong> fat, has been highlighted in the<br />

literature 32 .<br />

When analysing an individual’s WC in this study, we noted that this measurement’s<br />

average values for adult women and el<strong>de</strong>rly women already indicated risk for the<br />

<strong>de</strong>velopment of metabolic complications associated with obesity, unlike the values<br />

found for men, who had WC values lower than the cut-off points <strong>de</strong>fined as risk factors<br />

by the WHO 20 . This last result was similar to that of a study carried out on el<strong>de</strong>rly<br />

Brazilians which also found that WC values for both sexes were lower than the cut-off<br />

points that had been, until that point, consi<strong>de</strong>red to <strong>de</strong>termine risk for this group 42 .<br />

WC measurement correlated very well with the VATA in all the age and sex groups; the<br />

correlation was strongest in the group of el<strong>de</strong>rly men. Janssen et al’s 43 study, utilizing<br />

magnetic resonancing, found r = 0.76 for women. Similar findings were found in a<br />

study un<strong>de</strong>rtaken by Després et al 38 which recor<strong>de</strong>d a correlation of r = 0.82 between<br />

WC and CT-assessed VATA in a study carried out on adult men. Kan<strong>da</strong> et al 44 noted a<br />

22

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