PMID- 21458132 OWN - NLM STAT- MEDLINE DCOM- 20130312 LR - 20171116 IS - 1579-2242 (Electronic) IS - 0300-8932 (Linking) VI - 64 IP - 5 DP - 2011 May TI - [Validity of a single-factor model underlying the metabolic syndrome in young adults: confirmatory factor analysis]. PG - 379-84 LID - 10.1016/j.recesp.2010.11.010 [doi] AB - 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. 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. 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. 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. CI - Copyright (c) 2010 Sociedad Espanola de Cardiologia. Published by Elsevier Espana. All rights reserved. FAU - Solera-Martinez, Montserrat AU - Solera-Martinez M AD - Centro de Estudios Sociosanitarios, Escuela Universitaria de Enfermeria, Universidad de Castilla-La Mancha, Cuenca, Espana. Montserrat.Solera@uclm.es FAU - Lopez-Martinez, Sara AU - Lopez-Martinez S FAU - Sanchez-Lopez, Mairena AU - Sanchez-Lopez M FAU - Moya-Martinez, Pablo AU - Moya-Martinez P FAU - Notario-Pacheco, Blanca AU - Notario-Pacheco B FAU - Arias-Palencia, Natalia AU - Arias-Palencia N FAU - Franquelo-Morales, Pablo AU - Franquelo-Morales P FAU - Martinez-Vizcaino, Vicente AU - Martinez-Vizcaino V CN - Estudio de Cuenca Adultos LA - spa PT - Journal Article PT - Research Support, Non-U.S. Gov't TT - Validez de un modelo con un unico factor en el sindrome metabolico en adultos jovenes: analisis factorial confirmatorio. DEP - 20110331 PL - Spain TA - Rev Esp Cardiol JT - Revista espanola de cardiologia JID - 0404277 RN - 0 (Lipids) SB - IM MH - Adiposity MH - Adolescent MH - Adult MH - Anthropometry MH - Body Height/physiology MH - Cross-Sectional Studies MH - Factor Analysis, Statistical MH - Female MH - Humans MH - Lipids/blood MH - Male MH - Metabolic Syndrome/*diagnosis/epidemiology MH - Models, Statistical MH - Physical Fitness MH - Reproducibility of Results MH - Spain/epidemiology MH - Waist Circumference MH - Young Adult FIR - Martinez Vizcaino, V IR - Martinez Vizcaino V FIR - Solera Martinez, M IR - Solera Martinez M FIR - Sanchez Lopez, M IR - Sanchez Lopez M FIR - Notario Pacheco, B IR - Notario Pacheco B FIR - Moya Martinez, P IR - Moya Martinez P FIR - Arias Palencia, N IR - Arias Palencia N FIR - Fuentes Chacon, R M IR - Fuentes Chacon RM FIR - Ungria Canete, M V IR - Ungria Canete MV FIR - Olmo Gascon, R IR - Olmo Gascon R FIR - Franquelo Morales, P IR - Franquelo Morales P FIR - Franquelo Gutierrez, P IR - Franquelo Gutierrez P FIR - Lopez Martinez, S IR - Lopez Martinez S FIR - Garcia Ortiz, L IR - Garcia Ortiz L FIR - Rodriguez Artalejo, F IR - Rodriguez Artalejo F FIR - Grandes, Gonzalo IR - Grandes G FIR - Ruiz, J R IR - Ruiz JR FIR - Ortega, F B IR - Ortega FB EDAT- 2011/04/05 06:00 MHDA- 2013/03/13 06:00 CRDT- 2011/04/05 06:00 PHST- 2010/08/18 00:00 [received] PHST- 2010/11/24 00:00 [accepted] PHST- 2011/04/05 06:00 [entrez] PHST- 2011/04/05 06:00 [pubmed] PHST- 2013/03/13 06:00 [medline] AID - S0300-8932(11)00200-4 [pii] AID - 10.1016/j.recesp.2010.11.010 [doi] PST - ppublish SO - Rev Esp Cardiol. 2011 May;64(5):379-84. doi: 10.1016/j.recesp.2010.11.010. Epub 2011 Mar 31.