Obesity implies increased body weight due to the enlargement of the adipose tissue to the extent
that impairs health. There is a strong correlation between the central (abdominal) type of obesity
and the cardiovascular and metabolic diseases. Several anthropometric indicators of abdominal obesity
have been developed to measure abdominal adipose tissue mass. Some studies have proved that SAD
is a good predictor of abdominal, especially visceral, fat mass, as well as of cardiometabolic risk. Many
authors have suggested specific cut-off values for SAD that corresponded with cardiovascular and
metabolic risk or with visceral fat area obtained by CT. In order to investigate relationship between SAD
and anthropometric and cardiovascular risk factors, we used methodology based on rough set theory
applied to table?organized data with producing decision rules in the
form. Our study included
1334 subjects aged 43.49
10.43 years. Our results revealed connection between SAD and cardiovascular
risk factors which showed dependence on age and nutrition level. We primarily recommend application
of SAD in the assessment of the cardiovascular risk in overweight and obese individuals. SAD values
≥24.3 cm in overweight and obese subjects older than 41 years should correspond to increased risk,
while values <24.3 cm in overweight subjects younger than 41 years could point to healthy metabolic
profile. Screening for body fat distribution by using SAD combined with the examination of the decision
rules in obese and preobese persons may be beneficial in identifying high risk patients and prevention
of both metabolic syndrome and cardiovascular disease.
Edita Stokić, MD, PhD, Professor of Endocrinology, Medical Faculty, University of Novi Sad, Serbia. Author/
coauthor of 320 publications, coauthor of ?Practical guide for obesity treatment?, Practical guide for cardiovascular risk
factors treatment? and ?Practical guide for treatment lipid and lipoprotein disorders?.
National SCOPE Fellow (Specialist Certification of Obesity Professionals in Europe), 2005.
Education and training: Diabetes Expert Forum, (Marseille, France) 2012, Obesity Management Course for
Clinicians working in the field of Diabetes? - IOTF SCOPE (Prague, Czeh Republic), 2004, CMEF Cardiometabolic
education Forum (Paris, France), 2005, Postgraduate Clinical Endocrinology Course (European Federation of Endocrine
Society, Geneva, Switzerland), 1995.
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