• AlmeidaNaiade SilveiraNShttp://orcid.org/0000-0001-7193-3666Universidade Federal da Bahia, Escola de Nutrição, Departamento de Ciências da Nutrição - Salvador (BA), Brazil., Raquel Rocha, Carla Daltro, Claudineia Almeida de Souza, Rafael Leiróz Pereira Duarte Silva, Manoel Alfredo Curvelo Sarno, and Helma Pinchemel Cotrim.
• Universidade Federal da Bahia, Escola de Nutrição, Departamento de Ciências da Nutrição - Salvador (BA), Brazil.
• Rev Assoc Med Bras (1992). 2021 Nov 1; 67 (11): 1544-1549.

ObjectiveThis study aims to evaluate the role of anthropometric clinical indicators of visceral adiposity as predictors of NAFLD, identifying the cutoff points based on gender.MethodsThis was a cross-sectional study conducted in patients with or without NAFLD. Waist circumference (WC), body mass index (BMI), waist-to-height ratio (WHtR), Conicity Index (C Index), and lipid accumulation product (LAP) were evaluated.ResultsA total of 107 individuals were evaluated, of which 46.7% were diagnosed with NAFLD. Individuals with NAFLD presented higher values of WC, BMI, C Index, LAP, and WHtR when compared with those without NAFLD (p<0.05). For the total sample, the indicators WC, BMI, WHtR, LAP, and C Index had an area under the receiver operator characteristic curve (AUC) above 0.87, with no difference in the prediction of NAFLD in both sexes. WHtR (AUC=0.934) was the indicator of visceral adiposity with the best discriminatory power for NAFLD, followed by LAP (0.919), WC (0.912), C Index (0.907), and BMI (0.877).ConclusionsThe anthropometric clinical indicators of visceral adiposity showed high performance, especially the WHtR indicator, as NAFLD predictors.

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