Hypertriglyceridemic waist and cardiometabolic risk in hypertensive women

Hypertriglyceridemic waist and cardiometabolic risk in hypertensive women

Title: Hypertriglyceridemic waist and cardiometabolic risk in hypertensive women;
Cintura hipertrigliceridêmica e risco cardiometabólico em mulheres hipertensas
Author Cabral, Nayra Anielly Lima Google Scholar
Ribeiro, Valdinar Sousa Google Scholar
Franca, Ana Karina Teixeira da Cunha Google Scholar
Salgado, Joao Victor Leal Google Scholar
Santos, Alcione Miranda dos Google Scholar
Salgado Filho, Natalino Autor UNIFESP Google Scholar
Silva, Antonio Augusto Moura da Google Scholar
Institution Fac Sao Luis Uniceuma
Univ Fed Maranhao
Universidade de Brasília (UnB)
Universidade Federal do Rio de Janeiro (UFRJ)
Universidade Federal de São Paulo (UNIFESP)
Univ Oxford
Abstract Objective: To evaluate the association between hypertriglyceridemic waist (HW) and cardiometabolic risk factors in women with hypertension. Methods: A cross-sectional study was performed in 218 patients monitored by HiperDia (Enrollment and Monitoring Program for Hypertensive and Diabetic Individuals) in two health units in Sao Luis, MA, Brazil. The dependent variable was HW and the independent variables were sociodemographics, lifestyle, anthropometrics, and health problems. Results: HW was present in 33% of the sample and was predominant in women aged >= 60 years (56.4%), non-whites (81.7%), those with eight or fewer years of schooling (57.3%), and those belonging to socioeconomic class C (49%). Excess weight (68.8%) and hypercholesterolemia (68.8%) were observed. HW was associated with: smoking (PR: 2.08; p = 0.017), overweight (PR: 2.46; p = 0.010), obesity (PR: 4.13; p <0.001), hypercholesterolemia (PR: 1.87; p = 0.015), high levels of high-density lipoproteins (HDL) cholesterol (PR: 3.41; p <0.001), and fasting glycemia 100 mg/dL or being diabetic (PR: 1.86; p = 0.006). After adjustment, total cholesterol (PR = 1.78; p = 0.012), HDL-cholesterol (PR: 3.03; p <0.001), body mass index (BMI) >= 25 to < 30 kg/m(2) (PR = 2.60; p = 0.005), and BMI >= 30 kg/m(2) (PR = 3.61; p < 0.001) remained associated. Conclusion: A high prevalence of HW and its association with altered lipid profile and excess body weight was observed. HW showed to be an important diagnostic tool for the monitoring of hypertensive women with metabolic risk, which is low cost, easily accessible, and useful in clinical practice, especially in primary health care in the Brazilian Unified Health System (Sistema Onico de Saude - SUS).
Keywords Waist circumference
hypertriglyceridemia
hypertension
Language Portuguese
Date 2012-09-01
Published in Revista Da Associacao Medica Brasileira. Sao Paulo: Assoc Medica Brasileira, v. 58, n. 5, p. 568-573, 2012.
ISSN 0104-4230 (Sherpa/Romeo, impact factor)
Publisher Assoc Medica Brasileira
Extent 568-573
Origin http://dx.doi.org/10.1590/S0104-42302012000500014
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000310116100013
SciELO ID S0104-42302012000500014 (statistics in SciELO)
URI http://repositorio.unifesp.br/11600/45425

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