Med Pregl 2013; LXVI (1-2): 11-18. Novi Sad: januar-februar. 11 Introduction Of chronic non-communicable diseases, cardio- vascular diseases and diabetes are among leading causes of death not only in Serbia but in the whole world as well. In the structure of mortality, cardio- vascular diseases in Serbia account for more than half of all death events (57.3%) [1]. In 2010, cardio- Corresponding Author: Dr Marina Rastović, Dom zdravlja, 23320 Novi Kneževac, Kralja Petra Karađorđevića 85, E-mail: marinara85@gmail.com ORIGINALNI NAUČNI RADOVI ORIGINAL STUDIES Health Centre Novi Kneževac 1 Originalni naučni rad Faculty of Medicinet Novi Sad, Department of Anatomy 2 Original study Clinical Centre of Vojvodina, Novi Sad UDK 613.25:572.5.08]-06-055.2 Institute for Internal Diseases 3 DOI: 10.2298/MPNS1302011R Institute for Cardiovascular Diseases of Vojvodina, Sremska Kamenica 4 Faculty of Sports and Physical Education of Novi Sad 5 ANTHROPOMETRIC INDICATORS OF MASS AND DISTRIBUTION OF ADIPOSE TISSUE IN THE ASSESSMENT OF CARDIOVASCULAR AND DIABETES RISK IN WOMEN ANTROPOMETRIJSKI POKAZATELJI MASE I DISTRIBUCIJE MASNOG TKIVA U PROCENI RIZIKA OD KARDIOVASKULARNIH BOLESTI I DIJABETESA KOD ŽENA Marina RASTOVIĆ 1 , Biljana SRDIĆ GALIĆ 2 , Edita STOKIĆ 3 , Dejan SAKAČ 4 , Milena MIKALAČKI 5 and Darinka KOROVLJEV 5 Summary Introduction. From the clinical and epidemiological point of view it is very important to define easily measurable and simple anthro- pometric parameters of mass and distribution of adipose tissue that will also be good predictors of future complications of obesity. The aim of our study was to correlate anthropometric indicators of mass and distribution of adipose tissue with the risk of developing cardi- ovascular diseases and diabetes. Material and Methods. The study group consisted of 155 women aged 45.4±13.04y. The ant- hropometric measurements were performed in order to assess adi- pose tissue mass and its specific distribution. The 10-year risk of developing cardiovascular diseases was assessed by using two sco- re-systems: Framingham and Prospective Cardiovascular Munster Study, while the 10-year risk of development of diabetes was asse- ssed by QDScore system. Results. According to our results, the waist-to-stature ratio was the best predictor of cardiovascular and diabetes risk (r=0.617-0.780; AUC=0.872). The estimated cut-off value for the waist-to-stature ratio in cardiovascular and diabetes risk prediction was 0.486. Apart from the waist-to-stature ratio, the body mass index, body fat mass, waist circumference and indica- tors of upper extremity adiposity also correlated strongly with the assessed risk. The anthropometric indicators of lower body adipo- sity had no significant diagnostic values. Conclusion. The waist- to-stature ratio is the best anthropometric indicator of cardiovascu- lar and diabetes risk. Key words: Antropometrija; Telesna visina; Obim struka; Masno tkivo; Intraabdominalno masno tkivo; Faktori rizika; Kardiovasku- larne bolesti; Dijabetes melitus; Gojaznost; Žensko; Odrasli; Sred- nje godine Sažetak Uvod. Sa kliničkog i epidemiološkog aspekta veoma je značajno definisanje lako merljivih i jednostavnih antropometrijskih poka- zatelja mase i distribucije masnog tkiva koji će istovremeno biti i dobri prediktori budućih komplikacija gojaznosti. Cilj našeg rada bila je korelacija antropometrijskih pokazatelja veličine i distribu- cije masne mase sa rizikom od razvoja kardiovaskularnih bolesti i dijabetesa u narednih deset godina. Materijal i metode. Ispitana je grupa od 155 žena prosečne starosti 45,4±13,04 godine, kod ko- jih su izvršena antropometrijska merenja da bi se procenila masa masnog tkiva i njegova specifična distrbucija. Desetogodišnji ri- zik od razvoja kardiovaskularnih bolesti je izračunat primenom dva skoring sistema: Framingham i Prospective Cardiovascular Munster Study , dok je desetogodišnji rizik od razvoja dijabetesa izračunat primenom QDScore sistema. Rezultati. Prema rezulta- tima našeg istraživanja, odnos obima struka i telesne visine bio je najbolji pokazatelj rizika (r=0,617-0,780; AUC=0,872). Procenje- na granična vrednost ovog parametra u diskriminaciji rizika izno- sila je 0,486. Pored odnosa obima struka i telesne visine, značajnu povezanost sa rizikom imali su i indeks telesne mase, obim stru- ka, masna masa i pokazatelji masne mase gornjeg ekstremiteta. Antropometrijski pokazatelji masnotkivnih depoa donjeg ekstre- miteta nisu imali značajnu dijagnostičku vrednost. Zaključak. Odnos obima struka i visine je najbolji antropometrijski pokaza- telj rizika za razvoj kardiovaskularnih bolesti i dijabetesa. Ključne reči: Anthropometry; Body Height; Waist Circumferen- ce; Adipose Tissue; Intra-Abdominal Fat; Risk Factors; Cardio- vascular Diseases; Diabetes Mellitus; Obesity; Female; Adult; Middle Aged