ABSTRACT
ABSTRACT Objective: Recently, a new obesity index (A Body Shape Index, ABSI) based on waist circumference (WC) was developed, and high ABSI corresponds to a more central concentration of body volume. It is well known that central obesity is closely linked with insulin resistance (IR). Therefore, our study aimed to examine the discriminatory power of ABSI for IR in Chinese adults and elderly without diabetes. Subjects and methods: In 2007, a cross-sectional study was made. In this study, 570 individuals without diabetes were available for analysis (male: 56.1%, mean age: 62.3 ± 6.5 years). Insulin resistance was assessed by homeostasis model assessment (HOMA-IR). Areas under the receiver operating characteristic (ROC) curves were determined to identify variables/models that could predict insulin resistance. Results: ABSI was associated with IR, the cut-off points was 0.0785 m11/6kg-2/3 to identifying IR and the area under the ROC (AUC) curve was 0.618 (95%CI: 0.561-0.675), which was not better than body mass index BMI (AUC = 0.753; 95%CI: 0.706-0.801), WC (AUC = 0.749; 95%CI: 0.700-0.797), and fasting plasma glucose (FPG, AUC = 0.752; 95%CI: 0.705-0.799). Furthermore, combination with ABSI could improve the discriminatory power of other variables for IR. The AUC curve increased from 0.753 to 0.771for BMI, 0.749 to 0.754 for WC, 0.752 to 0.769 for FPG, respectively. Conclusions: ABSI is associated with IR in the general Chinese adults and elderly without diabetes, but the discriminatory power for IR is poor. It is recommended that ABSI be used in combination with other variables.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Insulin Resistance/physiology , Body Mass Index , Body Size/physiology , Reference Standards , Reference Values , Somatotypes , Blood Glucose/analysis , Insulin Resistance/ethnology , China , Cross-Sectional Studies , Risk Factors , Sensitivity and Specificity , Statistics, Nonparametric , Asian People , Body Size/ethnology , Homeostasis/physiologyABSTRACT
A proposta desta reflexão é essencialmente, mas não exclusivamente, epistemológica. Partindo da pergunta "o que caracteriza e termina por construir o objeto de pesquisa das Ciências Humanas e Sociais", os autores fazem uma reflexão inicial sobre como deveríamos nos aproximar dele, tendo como base o pensamento da Escola de Frankfurt, que acolhe e integra também as reflexões de Sartre sobre o tema. Defendendo a idéia de que temos que (con)viver com nossas circunstãncias e compreender o que denominamos como sociedade, defendem que esta aproximação nunca se dará de forma "definitivamente satisfatória". Diante desta totalidade social, movente e cambiante, nos resta o olhar micrológico que pode vir iluminá-la. E que este olhar deve estar atento ao que deixamos "na sombra", o que não se percebe de imediato, pois a realidade social não se apresenta como totalidade iluminada mas como um quadro no qual o "claro e o escuro" disputam a primazia do nosso olhar. Por fim, os autores chamam a atenção que no embate entre a invenção, a liberdade criativa e a tradição, é preciso saber preservar a tensão que se deriva desta embate na esperança de um pensamento não pensado ainda.
These considerations are essentially, but not exclusively, epistemological. Starting off with the question "what characterizes and finally constructs the research object in the Human and Social Sciences", we argue initially what a first approach to the object should be, in view of the teachings of the Frankfurt School, which nestles and incorporates Sartre´s thinking on the theme. Granting we have both to cope with our circumstances and to understand what we call society, the School sustains that approach shall never have a "decisively satisfactory" fashion. Before the moving and changing social whole, we are left with the micrological watch, which might shed some light onto it. And that watch must be attentive to what is left "in the shade" and to what goes unnoticed right upfront, for social reality does not make itself visible as a well-lit whole, but as a picture permeated by chiaroscuro disputes. Finally, we highlight the struggle between invention, creative freedom, and tradition requires the preservation of the tension it generates, so that the not-yet-thought might prosper.
Subject(s)
Humans , Schools , Creativity , Methodology as a Subject , Philosophy , SociologyABSTRACT
A proposta desta reflexão é essencialmente, mas não exclusivamente, epistemológica. Partindo da pergunta "o que caracteriza e termina por construir o objeto de pesquisa das Ciências Humanas e Sociais", os autores fazem uma reflexão inicial sobre como deveríamos nos aproximar dele, tendo como base o pensamento da Escola de Frankfurt, que acolhe e integra também as reflexões de Sartre sobre o tema. Defendendo a idéia de que temos que (con)viver com nossas circunstãncias e compreender o que denominamos como sociedade, defendem que esta aproximação nunca se dará de forma "definitivamente satisfatória". Diante desta totalidade social, movente e cambiante, nos resta o olhar micrológico que pode vir iluminá-la. E que este olhar deve estar atento ao que deixamos "na sombra", o que não se percebe de imediato, pois a realidade social não se apresenta como totalidade iluminada mas como um quadro no qual o "claro e o escuro" disputam a primazia do nosso olhar. Por fim, os autores chamam a atenção que no embate entre a invenção, a liberdade criativa e a tradição, é preciso saber preservar a tensão que se deriva desta embate na esperança de um pensamento não pensado ainda.(AU)
These considerations are essentially, but not exclusively, epistemological. Starting off with the question "what characterizes and finally constructs the research object in the Human and Social Sciences", we argue initially what a first approach to the object should be, in view of the teachings of the Frankfurt School, which nestles and incorporates Sartre´s thinking on the theme. Granting we have both to cope with our circumstances and to understand what we call society, the School sustains that approach shall never have a "decisively satisfactory" fashion. Before the moving and changing social whole, we are left with the micrological watch, which might shed some light onto it. And that watch must be attentive to what is left "in the shade" and to what goes unnoticed right upfront, for social reality does not make itself visible as a well-lit whole, but as a picture permeated by chiaroscuro disputes. Finally, we highlight the struggle between invention, creative freedom, and tradition requires the preservation of the tension it generates, so that the not-yet-thought might prosper.(AU)