2012, Number S5
<< Back Next >>
Revista Habanera de Ciencias Médicas 2012; 11 (S5)
Waist circumference with overweight and high blood pressure in adults
de la Fuente CRV, Carballo MRG, Fernández-Britto RJE, Guilarte DS, Albert CMJ
Language: Spanish
References: 20
Page: 650-664
PDF size: 125.91 Kb.
ABSTRACT
Introduction: since end of XX Century an obesity pandemic has been settled, even nowadays the adiposity term appeared; Cuba and specifically our community are involved in those trends; its link with other atherosclerotic illnesses has arise their incidences.
Objective: the main objective of this research is to identify the waist circunference alterations in adults of a community and its relationship with other factors of atherogenic risk.
Material and Methods: a descriptive study was done to 312 outpatients of both sexes between 20-59 years from 6th Clinic, Vedado's Policlinic, on Havana; between 2008-2009. The Reference's Center of Atherosclerosis Form was applied
with variables as: age, sex, blood pressure, body mass index and waist circumference.
Results: 30.1% of population had overweight and 17% obesity; 60.9% had non desirable values of blood pressure; 41.0% prehypertension and 19.9% hypertension. Those patients with overweight there was 38.5% hypertensive, and also 62.4% of obese. Those which had high risk of abdominal obesity 46.8% had prehypertension and 29.8% hypertensive, almost 60% of reported with high risk of abdominal obesity had blood pressure disturbances.
Conclusions: anthropometrical indicators were good risk markers in males from 40-59 years and women over 30 years.
REFERENCES
Neumann PJ and Cohen JT. Editorial Reducing Cardiovascular Disease: Opportunities and consequences. Diabetes Care. 2008; 31(8): 1708-1709.
Stamatelopoulos KS, Lekakis JP, Vamvakou G, Katsichti P, Protogerou A, Revela I, et al. The relative impact of different of adiposity on markers of early atherosclerosis. Int J Cardiol. 2007; 119(2):139-46.
Ortega FB, Labayen I, Ruiz JR, Martín-Matillas M, Castillo MJ, Moreno MA. AVENA Study Group. Role of the body composition. Are muscular and cardiovascular fitness partially programmed at birth? J Pediatr. 2009; 154(1): 61-66.
MINSAP. Objetivos de trabajo e indicadores 2011. ECIMED. Publicación electrónica. Pdf.
República de Cuba. Anuario Estadístico 2008. Ministerio de Salud Pública; 2008.
Balkau B, Deanfield JE, Bassand JP, Fox KA, Smith SC Jr, Barter P, et al. International Day for the Evaluation of Abdominal Obesity (IDEA): A waist circumference, cardiovascular disease and diabetes mellitus in 168 000 primary care patients in 63 countries. Circulation. 2007; 116(17): 1942-51.
Schneider HJ, Glaesmer H, Klotsche J, Lehnert H, Zeiher AM, Pittrow D, et al. DETECT Study Group. Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. J Clin Endocrinol Metab. 2007; 92(2):589-94.
Amato MC, Giordano C, Galia M, Criscimanna A, Vitabile S, Midiri M and for the AlkaMeSy Study Group. Visceral Adiposity Index: A reliable indicator of visceral fat function associated with cardiometabolic risk. Diabetes Care. 2010; 33(4): 920- 922.
López Mariño L. Asociación entre las alteraciones del peso corporal y la hipertensión arterial. CMF # 14 (antiguo). 2006-2009. Tesis para optar por título de Especialista Primer Grado en Medicina General Integral. 2009.
Molenaar EA, Massaro JM, Jacques PF, Pou KM, Hoffmann U, Pencina K, et al. Association of Lifestyle Factors With Abdominal Subcutaneous and Visceral Adiposity: The Framingham Heart Study. Diabetes Care. 2009, March; 32(3): 505- 510.
Fox CS, Pencina MJ, Wilson PW, Paynter NP, Vasan RS, D'Agostino RB, Sr. Lifetime Risk of Cardiovascular Disease Among Individuals With and Without Diabetes Stratified by Obesity Status in the Framingham Heart Study. Diabetes Care. 2008; 31(8): 1582-1584.
Cepeda-Valery B, Pressman GS, Figueredo VM, Romero-Corral A. Impact of obesity on total and cardiovascular mortality-fat or fiction? Nat Rev Cardiol. 2011, Jan 25; [Epub] PMID: 2126-3454.
Vega Alonso T, Lozano Alonso JE y cols. Prevalencia de la Hipertensión Arterial en las poblaciones de Castilla y León. Gac Sanit. 2008; 22(4): 330-6.
Pérez Caballero MD, León Álvarez JL, Fernández Arias MA. El control de la hipertensión arterial: un problema no resuelto. Rev Cub Med. 2011; 50(3):311- 323.
Grupo de Trabajo para el Tratamiento de la Hipertensión Arterial de la Sociedad Europea de Hipertensión (ESH) y de la Sociedad Europea de Cardiología (ESC). Guías de Práctica clínica para el tratamiento de la Hipertensión. Rev Esp Cardiol. 2007; 60 (9):968.e1-968.e94.
Molenaar EA, Hwang SJ, Vasan RS, Grobbee DE, Meigs JB, D'Agostino RB, et al. Burden and Rates of Treatment and Control of Cardiovascular Disease Risk Factors in Obesity: The Framingham Heart Study. Diabetes Care. 2008; 31(7): 1367-1372.
Gómez Monzón Y. Asociación entre las alteraciones del peso corporal e hipertensión arterial. CMF No.5. Policlínico Vedado. Años 2005-2006. Tesis para optar por título de Especialista Primer Grado en Medicina General Integral. 2006.
Quesada Soto Z. Correlación de dos indicadores antropométricos y la hipertensión sistólica aislada en población adulta de dos consultorios médicos. Policlínico Vedado. 2004-2006. Tesis para optar por título Académico de Master en Aterosclerosis. 2006.
López Mariño L. Asociación entre las alteraciones del peso corporal y la hipertensión arterial. CMF # 14 (antiguo). 2006-2009. Tesis para optar por título de Especialista Primer Grado en Medicina General Integral. 2009.
Medina González I. Circunferencia de la cintura y su asociación con otros factores de riesgo aterogénicos. Escuela Primaria Frank Hidalgo Gato. 2007. Tesis para optar por título de Master en Aterosclerosis. 2008.