2018, Number 2
Usefulness of the waist/hip index in the detection of cardiometabolic risk in overweight and obese individuals
Hernández RJ, Moncada EOM, Arnold DY
Language: Spanish
References: 0
Page: 1-16
PDF size: 224.46 Kb.
ABSTRACT
Introduction: waist/hip index is presented as another element of the clinical assessment of obesity and its consequences.Objective: to describe the usefulness of waist / hip index in the detection of cardiometabolic risk.
Methods: Google Scholar was used as a search engine and a total of 97 articles were obtained, of which 61 were referenced for fulfilling the stated objective.
Results: obesity behaves like a multifactorial disease of chronic evolution, with important consequences for health. The increase in abdominal adipose tissue promotes greater synthesis and release of adipokines and other substances, which can impair lipid and carbohydrate metabolism through increased insulin resistance, and increase cardiovascular risk. Waist/hip index evaluates abdominal fat indirectly. It is an inexpensive indicator, easy to apply and easy to interpret in the 3 levels of health care in our country. Its cut-off point must be determined for each geographical area, since this may vary according to the nosological entity we are investigating and the sample of patients studied, as it varies with sex and ethnic characteristics. Its use helps to predict cardiometabolic risk and mortality in the people studied.
Conclusions: Waist/hip index is useful in the prediction of cardiometabolic risk. Its correct use would improve the quality of services in the 3 levels of health care in our country.