COMPARISON OF WAIST CIRCUMFERENCE AND METABOLIC SYNDROME AS A PROGNOSTIC VALUE OF INSULIN RESISTANCE IN ELDERLY RESIDENTS OF KAHRIZAK

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SHARIFI FARSHAD; MIRAREFIN MOJDE; FAKHRZADEH HOSSEIN; ZERAFATI NAHID; BADAMCHIZADE ZOHRE; EDALAT BANOO; GHADERPANAHI MARYAM

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Journal: Salmand: Iranian Journal of Ageing Year:2009 | Volume:4 | Issue:13 Page(s): 26-35

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Title

COMPARISON OF WAIST CIRCUMFERENCE AND METABOLIC SYNDROME AS A PROGNOSTIC VALUE OF INSULIN RESISTANCE IN ELDERLY RESIDENTS OF KAHRIZAK

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Keywords

INSULIN RESISTANCEQ2

WAIST CIRCUMFERENCEQ3

METABOLIC SYNDROMEQ3

ROCQ3

Abstract

Objective: The aim of this study was to compare WAIST CIRCUMFERENCE with METABOLIC SYNDROME, as a predictor for INSULIN RESISTANCE in a group of elderly population.Materials and Methods: In a cross-sectional study among 225 elderly aged 60 year old and more whose clinical data were complete, 94 subjects (42 males and 52 females) who were able to sign the consent form Mini Mental stat Examination>20 and wanted to participate in study entered the study. Insulin sensitivity was determined by using Homeostasis Model Assessment index. INSULIN RESISTANCE was defined as top quartile of Homeostasis Model Assessment.Results: WAIST CIRCUMFERENCE and Homeostasis Model assessment and Homeostasis Model Assessment index were highly positively correlated in both sexes. The optimal WAIST CIRCUMFERENCE was 94.5 cm for men and 90.5 cm for women. 'The high sensitivity and specificity of WAIST CIRCUMFERENCE and Homeostasis Model assessment in males (0.80 & 0.84) indicates the proportion of INSULIN RESISTANCE which are correctly identified all non-IR males as such.Conclusion: In this study 94.5 cm determined as cut-off for INSULIN RESISTANCE index in males. It seems that optimal WAIST CIRCUMFERENCE and Homeostasis Model assessment determination in Iran warrants further study in a larger sample of METABOLIC SYNDROME subjects.

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