• 作者：Montserrat Solera-Martí ; nez^a ; ^{Montserrat.Solera@uclm.es} ; Sara L&#243 ; pez-Martí ; nez^b ; Mairena Sá ; nchez-L&#243 ; pez^a ; ^c ; Pablo Moya-Martí ; nez^a ; Blanca Notario-Pacheco^a ; Natalia Arias-Palencia^a ; Pablo Franquelo-Morales^d ; Vicente Martí ; nez-Vizcaí ; no^a ; Estudio de Cuenca Adultos^&loz ;
• 关键词：AFC ; aná ; lisis factorial confirmatorio ; CFI ; comparative fit index (í ; ndice de ajuste comparativo) ; cHDL ; colesterol unido a lipoproteí ; nas de alta densidad ; HOMA-IR ; homeostatic model assessment of insulin resistance ; ISM ; í ; ndice
• 刊名：Revista Espa帽ola de Cardiolog铆a
• 出版年：2011
• 期刊代码：pca308_03008932
• 类别：med
• 出版时间：May 2011
• 卷：64
• 期：5
• 页码：379-384
• 文件大小：203 K

lass="h4">Introduction and objectives

To determine by confirmatory factor analysis whether a model of the metabolic syndrome including waist circumference-to-height ratio, as a measure of adiposity, has better goodness of fit than that based on waist circumference alone and, on the basis of the data of the best-fit model, to develop an index of global cardiometabolic risk in young adults.

lass="h4">Methods

Cross-sectional observational study involving 683 university students aged 18 to 30 years, in their first year at the University of Castilla-La Mancha in Spain, during the 2009-10 academic year. We compared the best fit of 2 models of the metabolic syndrome, both of which included the triglyceride-to-high-density lipoprotein cholesterol ratio, HOMA-IR index, and mean arterial blood pressure, but differed in that one of them used waist circumference, whereas the other used the waist circumference-to-height ratio. A metabolic syndrome index (MSI) was constructed and its association with aerobic capacity, daily physical activity and muscle strength was estimated.

lass="h4">Results

The single-factor model that included waist circumference was a better indicator of goodness of fit. The MSI was inversely associated with aerobic capacity and muscle strength.

lass="h4">Conclusions

This study confirms that a single factor underlies the concept of metabolic syndrome; including the waist circumference-to-height ratio does not result in improvements over the model in which waist circumference alone is considered, and the development of a quantitative MSI may be useful for the quantification of cardiometabolic risk in clinical practice.

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