Abstract
RECEIVER OPERATING CHARACTERISTIC (ROC) PLOTS: AN EVALUATION TOOL FOR CARDIO METABOLIC RISK ASSESSMENT IN DIABETICS

*Sakina S. Raghib and Sabiha A. Vali

ABSTRACT

The study explored optimal anthropometric indicator and cut - off points for cardio metabolic risk (CMR) in 200 type 2 female diabetics with a mean age of 54.29±10.55. Receiver Operating Characteristic (ROC) was performed independently and statistical significance was obtained corresponding to AUC of each parameter. Cut off values as determined by Youden’s index were 29.32 kg/m² (BMI), 96.50 cm (WC), 0.95 (WHR) and 0.60 (WHtR). The optimum cut off for WHtR remained close to the standard cut off value of 0.5 indicating WHtR as the best predictive value for evaluating metabolic risk. The AUC of BMI was lowest; 0.602 (p=0.088) while WHtR showed the highest AUC of 0.692 (p=0.001) thereby confirming its ability to be a better predictor of cardio metabolic risk factors followed by WC (AUC 0.668 p= 0.005). The study validates the usefulness of ROC as an evaluation tool for identifying diabetics at cardio metabolic risk.

Keywords: Cardio Metabolic Risk, Youden’s index, Area under curve (AUC).


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