SciELO - Scientific Electronic Library Online

vol.31 issue5Systolic pressure, abdominal obesity and body fat, metabolic syndrome predictors in spanish preschoolersMicrobiological quality of enteral feeding and infant formula produced in dietary units, according to the triad of Donabedian author indexsubject indexarticles search
Home Pagealphabetic serial listing  


Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Nutrición Hospitalaria

On-line version ISSN 1699-5198Print version ISSN 0212-1611

Nutr. Hosp. vol.31 n.5 Madrid May. 2015 

ORIGINAL / Síndrome metabólico


Waist-to-height ratio (WHtR) and triglyceride to HDL-c ratio (TG/HDL-c) as predictors of cardiometabolic risk

Razón Cintura-Estatura (RCA) y los triglicéridos en comparación con el HDL-C (TG / HDL-C): como predictores de riesgo cardiometabólico



Clara Silvana Weiler Miralles1, Luana Maria Wollinger1, Débora Marin1, Julia Pasqualini Genro1,2, Veronica Contini1 y Simone Morelo Dal Bosco1,2

1Programa de Pós-Graduação em Biotecnologia, Centro de Ciências Biológicas e da Saúde, Centro Universitário UNIVATES. Rio Grande do Sul.
2Universidade Federal de Ciências da Saúde de Porto Alegre, Departamento de Nutrição (UFCSPA) e Centro de Ciências Biológicas e da Saúde, Centro Universitário UNIVATES. Rio Grande do Sul. Brazil.




Introduction: The excessive concentration of fat in the abdominal region is related to a higher risk of developing cardiovascular disease (CVD). Studies have been performed to identify simple and effective indicators of abdominal obesity and associated cardiometabolic risk through the use of simple parameters such as anthropometric and biochemical measures. The Triglyceride / High-density Lipoprotein Cholesterol (TG/HDL-c) has been proposed as a more practical and easy to use atherogenic marker, along with the Waist-to-Height Ratio (WHtR), which makes a superior tool for separating cardiometabolic risk related to overweight/obesity when comparing to Body Mass Index (BMI).
Objective: To verify the applicability of the WHtR and the TG/HDL-c ratio as predictors of cardiometabolic risk.
Methods: This cross-sectional study was performed at the Department of Nutrition of the UNIVATES University Center, where the participantfs anthropometric and biochemical data were collected. Statistical analysis was performed by the Statistical Package for the Social Sciences software (SPSS) 20.0, with a significance level of 5% (p < 0.05).
Results: A total of 498 individuals took part on this research, 77.5% female and with a mean age of 25.5±6.5. A high percentage of fat was found in both men and women (19.9 ±5.80% and 29.24±5.43%, respectively). The prevalence of overweight/obesity (BMI ≥ 25Kg/m2) was 35.05%. The WHtR marker was significantly correlated to Low-density Lipoprotein Cholesterol (LDL-c), Triglyceride (TG) and Anthropometric BMI values, waist circumference (WC) and body fat percentage (BF%). For the TG/HDL-c ratio, there was a positive and significant correlation to the same markers, beyond TC. There was also a correlation between WHtR and TG/HDL-c, and both presented a negative and significant correlation with HDL-c.
Conclusion: WHtR and TG/HDL-c values were found to be good markers for the cardiometabolic risk ratio in the studied sample. Several studies, original articles and academic reviews confirm the use of the WHtR or TG/ HDL-c markers for that purpose in adults. Key-words: Waist-to-Heigth Ratio (WHtR); Triglyceride/ High-density-lipoprotein Cholesterol (TG/HDL-c) Ratio; Cardiometabolic Risk.

Key words: Body composition. Nutritional status. Body weight and measures.


Introduccion: La concentracion excesiva de grasa en la region abdominal se relaciona con un mayor riesgo de desarrollar enfermedad cardiovascular (ECV). Se han realizado estudios para identificar los indicadores simples y eficaces de la obesidad abdominal y el riesgo cardiometabolico asociados con el uso de parametros simples, como las medidas antropometricas y bioquimicas. El / alta densidad de colesterol de lipoproteinas de trigliceridos (TG / HDL-c) se ha propuesto como un enfoque mas practico y facil de usar marcador aterogenico, junto con la relacion cintura-estatura (RCEst), lo que hace que una herramienta superior para separar cardiometabolico riesgos relacionados con el sobrepeso / obesidad cuando se compara con el indice de masa corporal (IMC).
Objetivo: Verificar la aplicabilidad de la RCEst y la relacion TG / HDL-c como predictores de riesgo cardiometabolico.
Metodos: Este estudio transversal se llevo a cabo en el Departamento de Nutricion del Centro Universitario UNIVATES, donde se recogieron datos antropometricos y bioquimicos de los participantes. El analisis estadistico se realizo mediante el paquete estadistico para el software de Ciencias Sociales (SPSS) 20,0, con un nivel de significacion del 5% (p <0,05).
Resultados: Un total de 498 personas participaron en esta investigacion, el 77,5% de mujeres y con una edad media de 25,5 ± 6,5. Un alto porcentaje de grasa se encuentra en hombres y mujeres (19,9 ± 5,80% y 29,24 ± 5,43%, respectivamente). La prevalencia de sobrepeso / obesidad (IMC ≥ 25 kg / m2) fue 35,05%. El marcador RCEst se correlaciono significativamente con baja densidad de colesterol de lipoproteinas (LDL-c), trigliceridos (TG) y antropometricos IMC valores, la circunferencia de la cintura (CC) y el porcentaje de grasa corporal (% GC). Para la relacion TG / HDL-c, hubo una correlación positiva y significativa para los mismos marcadores, más allá de TC. También hubo una correlación entre la RCEst y TG / HDL-c, y ambos presentaron una correlación negativa y significativa con el HDL-c.
Conclusión: No se encontraron valores RCEst y TG / HDL-c para ser buenos marcadores de la razón de riesgo cardiometabólico en la muestra estudiada. Varios estudios, artículos originales y revisiones académicas confirman el uso de la RCEst o marcadores TG / HDL-c para tal fin en los adultos.

Palabras clave: La composición corporal. El estado nutricional. El peso corporal y medidas.

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License