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Int. j. cardiovasc. sci. (Impr.) ; 35(2): 230-242, Mar.-Apr. 2022. tab, graf
Article in English | LILACS | ID: biblio-1364972


Abstract Background Cardiovascular diseases (CVDs) are the main cause of morbidity and mortality in Brazil. Objective To provide population-based data on prevalence and factors associated with CVD risk factors. Methods Individuals aged ≥20 years from two editions of the cross-sectional Health Survey of São Paulo focusing on Nutrition (ISA-Nutrition), performed in Sao Paulo city in 2008 (n=590) and 2015 (n=610), were evaluated for: obesity, central obesity, waist/height ratio, high blood pressure (HBP), dyslipidemia, diabetes, and number of CVD risk factors ≥3. Prevalence was estimated according to complex survey procedures. Factors associated with cardiovascular risk factors were assessed using logistic regression, with statistical significance of p<0.05. Results Obesity and older age were associated with higher odds of all cardiovascular risk factors investigated, except for dyslipidemia. HBP was positively associated with being Black/Brown and negatively associated with being physicaly active in leisure time. Women were more likely to have increased adiposity indicators and three or more cardiovascular risk factors than men. Those with higher education had lower chances of having diabetes, HBP and dyslipidemia, and those with higher income had higher chances of having three or more risk factors. Former smokers had higher odds of diabetes, obesity, and high waist/height ratio, and smokers had higher odds of high non-HDL cholesterol levels. From 2008 to 2015, there was an increase (p<0.001) in the prevalence of diabetes (6.9% to 17.3%), HBP (31.9% to 41.8%), dyslipidemia (51.3% to 67.6%), and number of CVD risk factors ≥3 (18.9% to 34.1%). Conclusion This study shows increasing prevalence of CVD risk factors in adult population in Sao Paulo and may support the definition of target groups and priority actions on CVD prevention and treatment.

Humans , Male , Female , Adult , Middle Aged , Young Adult , Cardiovascular Diseases/epidemiology , Cardiometabolic Risk Factors , Brazil , Logistic Models , Odds Ratio , Prevalence , Cross-Sectional Studies , Health Surveys , Morbidity , Age Factors , Diabetes Mellitus/epidemiology , Age and Sex Distribution , Dyslipidemias/epidemiology , Waist-Height Ratio , Hypertension/epidemiology , Obesity/epidemiology
Int. j. cardiovasc. sci. (Impr.) ; 35(1): 68-79, Jan.-Feb. 2022. tab
Article in English | LILACS | ID: biblio-1356304


Abstract Background The long incubation periods of cardiovascular diseases offer opportunities for controlling risk factors. In addition, preventive interventions in childhood are more likely to succeed because lifestyle habits become ingrained as they are repeated. Objective To investigate the effects of recreational physical activities, in combination or not with a qualitative nutritional counseling, in cardiometabolic risk factors of students with dyslipidemia and abdominal obesity. Methods Students (8-14 years old) were randomly divided into three groups (n=23 each): i ) Control; ii ) PANC, students undergoing Physical Activity and Nutritional Counseling, and iii ) PA, students submitted to Physical Activity, only. Blood samples (12-h fasting) were collected for biochemical analysis and anthropometric markers were also assessed. Two-Way RM-ANOVA and Holm-Sidak's test, and Friedman ANOVA on Ranks and Dunn's test were applied. P ≤ 0.05 was considered significant. Effect sizes were evaluated by Hedges' g and Cliff's δ for normal and non-Gaussian data, respectively. Results Compared to the control group and to baseline values, both interventions caused significant average reductions in total cholesterol (11%; p <0.001), LDL-c (19%; p=0.002), and non-HDL-c (19%; p=0.003). Furthermore, students in the PANC group also experienced a significant decrease in body fat compared to baseline (p=0.005) and to control (5.2%; g=0.541). Conclusions The proposed strategies were effective to reduce cardiometabolic risk factors in children and adolescents. The low cost of these interventions allows the implementation of health care programs in schools to improve the students' quality of life.

Humans , Male , Female , Child , Adolescent , Food and Nutrition Education , Dyslipidemias/prevention & control , Obesity, Abdominal/prevention & control , Cardiometabolic Risk Factors , Life Style , Quality of Life , Students , Cardiovascular Diseases/prevention & control , Exercise , Delivery of Health Care , Dyslipidemias/diet therapy , Adolescent Nutrition , Obesity, Abdominal/diet therapy
Arch. latinoam. nutr ; 71(4): 261-269, dic. 2021. tab
Article in English | LILACS, LIVECS | ID: biblio-1355151


Insulin resistance is a pathological entity that can lead to alterations in lipid metabolism and can increase cardiovascular risk. Objective. The aim of this study was to assess the influence of different sociodemographic variables such as age, sex and social class and healthy habits such as smoking, physical activity and adherence to the Mediterranean diet on the cardiometabolic profile of Spanish workers. Material and methods. A descriptive, cross-sectional study was carried out in 1457 Spanish workers in an attempt to evaluate the effect of healthy habits (physical exercise determined with the IPAQ questionnaire, Mediterranean diet and tobacco consumption) and sociodemographic variables (age, sex and social class) on the values of different insulin resistance scales. Results. The progressive increase in the level of physical activity and high adherence to the Mediterranean diet achieved an improvement in the mean values and in the prevalence of elevated values in all the insulin resistance scales analyzed in this study. Age over 50 years and belonging to the least favored social classes (social classes II-III) were the variables that increased the risk of presenting insulin resistance. Male sex also increased the risk of presenting insulin resistance. Conclusions. The different healthy habits such as vigorous physical exercise and high adherence to the Mediterranean diet improve the values of the different scales that assess insulin resistance(AU)

La resistencia a la insulina es una entidad patológica que puede provocar alteraciones en el metabolismo de los lípidos y puede aumentar el riesgo cardiovascular. Objetivo. En este trabajo se pretende valorar la influencia de diferentes variables sociodemográficas como la edad, el sexo y la clase social y hábitos saludables como el consumo de tabaco, la actividad física y la adherencia a la dieta mediterránea en el perfil cardiometabólico de trabajadores españoles. Material y métodos. Se realizó un estudio descriptivo y transversal en 1457 trabajadores españoles intentando evaluar el efecto de los hábitos saludables (ejercicio físico determinado con el cuestionario IPAQ, dieta mediterránea y consumo de tabaco) y las variables sociodemográficas (edad, sexo y clase social) sobre los valores de diferentes escalas de resistencia a la insulina. Resultados. El aumento progresivo del nivel de actividad física y la alta adherencia a la dieta mediterránea consiguieron una mejoría en los valores medios y en la prevalencia de los valores elevados en todas las escalas de resistencia a la insulina analizadas en este estudio. La edad por encima de los 50 años y la pertenencia a las clases sociales menos favorecidas (clases sociales II-III) fueron las variables que aumentaron el riesgo de presentar resistencia a la insulina. El sexo masculino también incrementó el riesgo de presentar resistencia a la insulina. Conclusiones. Los diferentes hábitos saludables como el ejercicio físico vigoroso y la alta adherencia a la dieta mediterránea mejoran los valores de las diferentes escalas que valoran resistencia a la insulina(AU)

Humans , Male , Female , Adult , Middle Aged , Aged , Insulin Resistance , Metabolic Syndrome/complications , Diet, Mediterranean , Lipid Metabolism , Healthy Lifestyle , Cardiometabolic Risk Factors , Social Class , Weights and Measures , Exercise , Nutrition Assessment , Abdominal Circumference , Feeding Behavior
Enferm. foco (Brasília) ; 12(6): 1139-1144, dez. 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1369034


Objetivos: Analisar a diferença do risco cardiometabólico entre homens e mulheres com excesso de peso corporal. Método: Estudo descritivo transversal realizado com adultos, de ambos os sexos, com idade entre 18 e 50 anos, com excesso de peso e com circunferência da cintura alterada, de acordo com os critérios da Organização Mundial da Saúde (2015). Resultados: A idade média entre as mulheres foi de 37,82 anos e entre os homens, de 31,56 anos. Em relação ao peso, a média entre as mulheres foi menor que dos homens. Em relação à medida de circunferência de quadril, a média das mulheres foi de 123,16 cm e dos homens de 114,94 cm. Os resultados médios dos exames laboratoriais foram maiores entre os homens com 212,77, enquanto o "colesterol bom" (HDL) entre as mulheres foi de 50,58. Conclusão: O risco cardiometabólico apresentado pelo sexo feminino. (AU)

Objective: To analyze the difference in cardiometabolic risk between men and women with excess body weight. Methods: Descriptive cross-sectional study carried out with adults, of both sexes, aged between 18 and 50 years, with excess weight and with altered waist circumference, according to the criteria of the World Health Organization. Results: The average age among women was 37,82 years and among men, 31,56 years. Regarding weight, the average among women was lower than that of men. Regarding the measure of hip circumference, the average for women was 123,16 cm and for men, 114,94 cm. Conclusion: The cardiometabolic risk presented by women was lower than the risk presented by men. The variables that showed the most evident significance between gender differences were: age, weight, height, hip circumference, triglycerides, cholesterol. (AU)

Objetivo: Analizar la diferencia de riesgo cardiometabólico entre hombres y mujeres con exceso de peso corporal. Métodos: Estudio descriptivo transversal realizado con adultos, de ambos sexos, de entre 18 y 50 años, con sobrepeso y con alteración de la circunferencia de la cintura, según los criterios de la Organización Mundial de la Salud. Resultados: La edad media de las mujeres fue de 37,82 años y de los hombres de 31,56 años. En cuanto al peso, el promedio entre las mujeres fue menor que el de los hombres. En cuanto a la medida de la circunferencia de la cadera, la media para las mujeres fue de 123,16 cm y para los hombres, de 114,94 cm. Conclusión: El riesgo cardiometabólico presentado por las mujeres fue menor que el riesgo presentado por los hombres. Las variables que mostraron mayor significación entre las diferencias de género fueron: edad, peso, talla, perímetro de la cadera, triglicéridos, colesterol. (AU)

Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Cardiovascular Diseases , Risk Factors , Cardiometabolic Risk Factors , Obesity , Body Mass Index , Sex Factors , Cross-Sectional Studies , Age Factors
Revista brasileira de ciência e movimento ; 29(1): [1-28], nov. 2021. tab, ilus
Article in Portuguese | LILACS | ID: biblio-1348230


: O exercício físico, em especial a corrida de rua tem sido recomendada para prevenção e tratamento de doenças crônicas não transmissíveis. O objetivo desta revisão sistemática foi verificar os efeitos de diferentes métodos de treinamento sobre os indicadores cardiometabólicos de corredores recreacionais. As bases de dados eletrônicas utilizadas na presente pesquisa foram: PUBMED, SCIENCE DIRECT, LILACS e COCHRANE LIBRARY, usando os descritores agrupados segundo o método PICO; População ("adults" OR "young adult" OR "middle aged") AND Intervenção ("endurance training" OR "aerobic training" OR "running") OR Comparação ("recreational runners" OR "jogging") AND Outcome/Desfecho ("cardiovascular risk factors" OR "cardiometabolic risk factors" OR "metabolic syndrome"). Na seleção os artigos foram excluídos por título, resumo e texto. Obteve-se um total de 813 artigos encontrados, no qual nove (9) preencheram os critérios de inclusão e baixo risco de viés de acordo com a Escala Testex. Foram encontrados três métodos de treinamento: Combinado (Contínuo +Intervalado); Contínuo e Intervalado. Considerando a somatória das amostras dos nove estudos, um total de 604 indivíduos (466 homens e 138 mulheres) participaram dos ensaios. Os diferentes métodos de treinamentos resultaram na redução dos níveis de triglicerídeos, insulina e glicose e na redução do colesterol total e LDL, e consequentemente o aumento do HDL. Na composição corporal houve diminuição significativa do peso e da gordura corporal, do IMC, na medida da circunferência da cintura, e no aumento da capacidade aeróbia (VO2). Concluiu-se que os treinamentos combinado, contínuo e intervalado podem ser aplicados para melhora dos indicadores cardiometabólicos, cada um dentro da sua especificidade de frequência, volume e intensidade.(AU)

Physical exercise, especially running, has been recommended for the prevention and treatment of chronic non-communicable diseases. The objective of this systematic review was to verify the effects of different training methods on the cardiometabolic indicators of recreational runners. The electronic databases used in the present research were: PUBMED, SCIENCE DIRECT, LILACS and COCHRANE LIBRARY, using the descriptors grouped according to the PICO method; Population ("adults" OR "young adult" OR "middle aged") AND Intervention ("endurance training" OR "aerobic training" OR "running") OR Comparison ("recreational runners" OR "jogging") AND Outcome / Outcome ("Cardiovascular risk factors" OR "cardiometabolic risk factors" OR "metabolic syndrome"). In the selection, articles were excluded by title, abstract and text. A total of 813 articles were obtained, in which nine (9) met the inclusion criteria and low risk of bias according to the Testex Scale. Three training methods were found: Combined (Continuous + Interval); Continuous and Interval. Considering the sum of the samples from the nine studies, a total of 604 individuals (466 men and 138 women) participated in the trials. The different training methods resulted in a reduction in the levels of triglycerides, insulin and glucose and in the reduction of total cholesterol and LDL, and consequently an increase in HDL. In body composition, there was a significant decrease in weight and body fat, in BMI, as measured by waist circumference, and in increased aerobic capacity (VO2). It is concluded that combined, continuous and interval training can be applied to improve cardiometabolic indicators, each within its specific frequency, volume and intensity.(AU)

Humans , Male , Female , Adult , Middle Aged , Aged , Running , Physical Fitness , Endurance Training , Triglycerides , Body Composition , Exercise , Cholesterol , Metabolic Syndrome , Diabetes Mellitus , Fats , Arterial Pressure , High-Intensity Interval Training , Noncommunicable Diseases , Heart Disease Risk Factors , Cardiometabolic Risk Factors , Glucose , Insulin , Jogging
Int. j. cardiovasc. sci. (Impr.) ; 34(4): 420-430, July-Aug. 2021. tab, graf
Article in English | LILACS | ID: biblio-1286833


Abstract Background The implementation of intensive therapy protocols increases the probability of adverse events in patients with breast cancer (BC). Components of metabolic syndrome (MS) are among these events. Objective To verify the prevalence of MS and cardiovascular disease (CVD) risk in female BC survivors. Materials and Methods This is a descriptive, observational, cross-sectional study. Our sample comprised 60 women without BC (G1) and 60 women who had survived BC (G2). We collected sociodemographic, anthropometric, tumor, and clinical data. After variable analysis, the participants received positive or negative MS diagnoses and a 10-year CVD risk stratification. The significance level adopted for the analyses was 5% ( p < 0.05) and the confidence interval (CI) was 95%. For comparing categorical data, we used the chi-squared, Fisher's exact, or G tests; for comparing continuous data, we used the parametric Student's t-test and the non-parametric Mann-Whitney test. Results Both groups presented overweight and an increased waist-to-hip ratio. Weight, body mass index, abdominal circumference, hip circumference, and low-density cholesterol were variables that presented statistically significant differences between groups. MS was diagnosed in 32% of women in G1 and 45% of those in G2. Regarding the 10-year risk for CVD, most women were in the low-risk stratum: the mean total risk of CVD occurrences was 7.48% in G1 and 7.70% in G2. Conclusion We observed a higher prevalence of MS among women who survived BC, possibly due to overweight, as well as a low 10-year risk for CVD after cancer treatment. Although we did not observe a statistically significant difference, we suggest the adoption of a healthy lifestyle and rigorous control of cardiometabolic risk factors.

Humans , Female , Adult , Middle Aged , Breast Neoplasms/complications , Metabolic Syndrome/epidemiology , Cardiometabolic Risk Factors , Epidemiology, Descriptive , Cross-Sectional Studies , Healthy Lifestyle , Heart Diseases/epidemiology
Arq. bras. cardiol ; 117(1): 39-48, July. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1285237


Resumo Fundamento O aumento significativo de doenças cardiovasculares em países em desenvolvimento alerta sobre seu impacto em populações carentes. Objetivo Identificar a relação de agrupamentos de componentes da síndrome metabólica (SM) com aterosclerose e inflamação crônica em adultos e idosos. Métodos Análise transversal usando dados de dois estudos populacionais de tipo coorte realizados em Florianópolis, sul do Brasil (EpiFloripa Adult Cohort Study, n = 862, 39,9±11,5 anos; EpiFloripa Aging Cohort Study, n = 1197, 69,7±7,1 anos). Pressão arterial (PA), circunferência da cintura (CC), e níveis plasmáticos de lipídio e glicose foram analisados como fatores individuais ou como agrupamentos de componentes da SM (como número de componentes presentes em um indivíduo ou como combinações). Os desfechos incluíram espessura intima-media carotídea (EIMC), placas ateroscleróticas, e níveis de proteína C reativa (CRP). Regressão linear múltipla e regressão logística, ajustadas quanto aos fatores de confusão, foram usadas para análise. O nível de significância adotado foi de 5%. Resultados Indivíduos com PA e CC elevadas, dislipidemia e hiperglicemia (61,5%) apresentaram maiores valores de EIMC e PCR que aqueles que não apresentaram componentes de SM. CC elevada foi um determinante comum de inflamação sistêmica, ao passo que a coexistência de PA elevada e CC elevada (agrupamentos de dois ou três fatores) associou-se com maior EIMC (β entre +3,2 e +6,1 x 10-2 mm; p < 0,05) e PCR (EXPβ entre 2,18 e 2,77; p < 0,05). Conclusão A coexistência de PA e CC elevadas associou-se com maiores valores de EIMC e níveis de PCR. A obesidade central, isolada ou em combinação com outros fatores de risco, teve efeito sobre a inflamação sistêmica.

Abstract Background The significant increase in cardiovascular diseases in developing countries alerts about their impact on underprivileged populations. Objective To identify the relationship of clusters of metabolic syndrome (MS) components with atherosclerosis and chronic inflammation among adults and elderly. Methods Cross-sectional analysis using data from two population-based cohort studies in Florianópolis, Southern Brazil (EpiFloripa Adult Cohort Study, n = 862, 39.9±11.5 years; EpiFloripa Aging Cohort Study, n = 1197, 69.7±7.1 years). Blood pressure (BP), waist circumference (WC), and lipid and glucose levels were analyzed as individual factors or as clusters (either as the number of components present in an individual or as combinations of components). Outcomes included carotid intima-media thickness (IMT), atherosclerotic plaques, and C-reactive protein (CRP) levels. Multiple linear and logistic regression analyses adjusted for confounding factors were used. The statistical significance adopted was 5%. Results Individuals with high BP, elevated WC, dyslipidemia and hyperglycemia (6.1% of the sample) showed higher IMT and CRP than those negatives for all MetS components. Elevated WC was a common determinant of systemic inflammation, while the coexistence of high BP and elevated WC (clusters of two or three factors) was associated with higher IMT (β between +3.2 and +6.1 x 10-2 mm; p value < 0.05) and CRP (EXPβ between 2.18 and 2.77; p value < 0.05). Conclusion The coexistence of high BP and elevated WC was associated with increased IMT and CRP levels, but central obesity affected systemic inflammation either alone or in combination with other risk factors.

Humans , Adult , Aged , Atherosclerosis/etiology , Atherosclerosis/epidemiology , Carotid Intima-Media Thickness , Brazil/epidemiology , Cross-Sectional Studies , Risk Factors , Cohort Studies , Cardiometabolic Risk Factors , Inflammation
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(2): 379-388, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1340659


Abstract Objectives: to investigate the relation between maternal overweight and child's anthropometric indices, identifying the interaction with the child's age. Methods: a cross-sectional study with mothers and their children under 2 years old. The mothers' body mass index (BMI), waist-to-hip ratio and waist-to-height ratio was calculated. In children, we calculated height/age (H/A), body mass index/age (BMI/A), weight/height (W/H) and weight/age (W/A) indices. The means of the anthropometric indices of children with excess weight and maternal cardiometabolic risk were compared. Mothers and children's anthropometric indices were correlated. Linear regression models were proposed. We investigated the child's age interaction with anthropometric variables of the dyad. Results: the means of BMI/A and W/H were higher in children of overweight mothers and the means of BMI/A, W/H and W/A were higher when mothers had increased risk for cardiometabolic diseases. There was an association of maternal weight and height with the W/A index; maternal BMI with W/H; maternal height with H/A; maternal weight, BMI and waist circumference with BMI/A. The children's age did not interact with the assessed parameters. Conclusion: children under 2 years of age, whose mothers are overweight, tend to show changes in weight, regardless of age.

Resumo Objetivos: investigar a relação do excesso de peso materno com índices antropométricosinfantis, identificando a interação da idade da criança. Métodos: estudo transversal com mães e seus filhos menores de 2 anos. Calculou-se o índice de massa corporal (IMC), relação cintura quadril e relação cintura estaturadas mães. Nas crianças, calculou-se os índices estatura/idade (E/I), índice de massa corporal/idade (IMC/I), peso/estatura (P/E) e peso/idade (P/I). Comparou-se as médias dos índices antropométricos das crianças com excesso de peso e risco cardiometabólico materno. Correlacionou-se índices antropométricos infantis e maternos. Modelos de regressão linear foram propostos. Foi investigada interação da idade da criança com variáveis antropométricas da díade. Resultados: as médias do IMC/I e P/E foram maiores em filhos de mães com excesso de peso e as médias do IMC/I, P/E e P/I foram maiores quando mães apresentaram risco aumentado para doenças cardiometabólicas. Verificou-se associação do peso e estatura materna com o índice P/I; do IMC materno com P/E; da estatura materna com E/I; do peso, IMC e perímetro da cintura materna com IMC/I. A idade das crianças não interagiu com os parâmetros avaliados. Conclusão: crianças menores de 2 anos, cujas mães têm excesso de peso, tendem a apresentar alteração no peso, independente da idade.

Humans , Female , Child, Preschool , Body Weights and Measures , Body Mass Index , Nutritional Status , Child Nutrition , Maternal Nutrition , Feeding Behavior , Cardiometabolic Risk Factors , Weight by Height , Comorbidity , Stature by Age
Arch. latinoam. nutr ; 71(1): 45-53, mar. 2021. tab
Article in English | LILACS, LIVECS | ID: biblio-1283251


The reduction of hours of sleep affects the physical and mental health of people. Having unhealthy sleep habits are associated with a greater occurrence of daytime sleepiness, which in turn has been related to poorer nutritional status. The objective of this study was to relate food intake, anthropometric measurements, and daytime sleepiness in Ecuadorian adults. Non-experimental, cross-sectional study, the sample included 400 men and women between 18 and 65 years of age, who attended an outpatient consultation of general medicine, family medicine, and traumatology services of a public hospital in Quito-Ecuador. Anthropometric and body composition measurements were measured using tetrapolar bio-impedance, following the recommendations of the International Society for the Advancement of Anthropometry (ISAK). Caloric intake was measured using a 24-hour recall and for daytime sleepiness (DS) the Epworth questionnaire was used. Statistical analyzes were performed using R. From the sample 56.5% presented DS, which affected women more frequently compared to men (p < 0.05). Differences were found between body measurements and dietary intake between groups of people with and without DS. Caloric intake, waist circumference, percentage of fat mass were higher in people with DS (p < 0.05), while muscle mass was higher in subjects without DS (p <0.05). No differences were found concerning visceral fat. We conclude that SD is related to less healthy values in terms of dietary intake and anthropometric measures(AU)

La reducción de las horas de sueño afecta la salud física y mental de las personas. Tener hábitos de sueño poco saludables se asocia a una mayor ocurrencia de somnolencia diurna, lo que a su vez se ha relacionado con un peor Estado Nutricional. El objetivo de este estudio fue relacionar la ingesta de alimentos, las medidas antropométricas y la somnolencia diurna en adultos ecuatorianos. Estudio no experimental, transversal n=400 hombres y mujeres entre 18 y 65 años, que acudieron a consulta externa de los servicios de medicina general, medicina familiar y traumatología de un hospital público de Quito, Ecuador tomado como referencia. Se tomaron medidas antropométricas siguiendo las recomendaciones de la Sociedad Internacional para el Avance de la Antropometría (ISAK) y de composición corporal a través de la bioimpedancia tetrapolar. La ingesta calórica se midió mediante un recordatorio de 24 horas y para somnolencia diurna (SD)se utilizó el cuestionario de Epworth. Los análisis estadísticos se realizaron utilizando el software R. 56,5% de la muestra presenta SD, que afectó con mayor frecuencia a las mujeres en comparación con los hombres (p <0,05). Se encontraron diferencias entre las medidas corporales y la ingesta dietética entre grupos de personas con SD y sin ella. La ingesta calórica, la circunferencia de la cintura, el porcentaje de masa grasa fue mayor en personas con SD (p <0.05), mientras que la masa muscular fue mayor en sujetos sin SD (p <0.05). No se encontraron diferencias en relación con la grasa visceral. Concluimos que SD está relacionada con valores menos saludables en cuanto a ingesta dietética y medidas antropométricas(AU)

Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Young Adult , Body Weights and Measures , Eating , Feeding Behavior , Disorders of Excessive Somnolence/epidemiology , Body Composition , Nutritional Status , Cross-Sectional Studies , Sex Distribution , Ecuador/epidemiology , Cardiometabolic Risk Factors
Cienc. Salud (St. Domingo) ; 5(2): [77-85], Ene-Abr. 2021.
Article in Spanish | LILACS | ID: biblio-1363021


Objetivo: comparar la utilidad del índice cintura-talla y el índice de masa corporal para detectar factores de riesgo cardiometabólicos en niños de 5-18 años, atendidos en la consulta externa del Hospital Infantil Regional Universitario Doctor Arturo Grullón en el período octubre-diciembre del año 2016. Método: se realizó un estudio observacional, comparativo, de corte transversal y fuente primaria, con una muestra de 118 pacientes. Se midieron las variables sociodemográficas (edad y sexo), antropométricas (peso, talla, IMC, ICT, PC, TA), y laboratorios (glicemia, ALT, colesterol, triglicéridos, HDL, LDL). Para el análisis cuantitativo se calculó el promedio y la desviación estándar, para el análisis cualitativo se utilizó la prueba estadística chi-cuadrado. Resultados: tanto el ICT como el IMC detectan de manera similar las alteraciones de la presión arterial sistólica (ICT=15.9 %, IMC=15 %), diastólica (ICT=20.4 %, IMC= 21.8 %), obesidad (ICT=69.5 %, IMC=73.7 %), HDL (ICT=6.8 %, IMC=5.6 %). En relación a la evaluación de la obesidad ambos índices arrojaron resultados afines, 69.5 % para ICT y 73.7 % el IMC. En la valoración de los niveles altos de ALT se obtuvieron resultados similares, presentando el ICT un 8.1 % y el IMC un 8.9 %. Conclusión: se demostró que tanto el ICT como el IMC son buenos predictores de factores de riesgos cardiometabólicos.

Objective: To compare the utility of the WSI and BMI in detecting cardiometabolic risks on children between 5-18 years, during external consult in Hospital Infantil Regional Universitario Dr. Arturo Grullón in the period of October-December 2016. Methods: A cross-sectional, primary source, observational design study was conducted with a sample of 118 patients. The variables measured for this study included sociodemographic (age and sex), anthropometric (weight, height, BMI, ICT, PC), and laboratories (glycemia, ALT, cholesterol, triglycerides, HDL, LDL). The quantitative analysis was carried out by calculating the average and the standard deviation. As for the qualitative analysis, the statistical test χ² was used. Results: Both the WSI and the BMI proved to be effective in detecting changes in Systolic (WSI = 15.9%, BMI = 18.4%) and Diastolic Blood Pressure (WSI = 20.4%, BMI = 18.6%), obesity (WSI = 69.5%, BMI = 73.7%), HDL (WSI = 29.3%, BMI = 29.9%). Regarding the detection of obesity, both rates showed similar results, 69.5% for ICT, and 73.7% for BMI. Comparable results were obtained in the assessment of high levels of ALT, with the ICT at 8.1% and the BMI at 8.9%. Conclusions: WSI and BMI are both useful to detect cardiometabolic risk factors.

Patients , Body Mass Index , Obesity , Child , Adolescent , Dominican Republic , Waist-Height Ratio , Cardiometabolic Risk Factors , Hospitals, Pediatric
Article in English | LILACS, SES-SP | ID: biblio-1136748


ABSTRACT Objective: To characterize the adherence to the Mediterranean diet (MD) in students from elementary schools in Porto and Maia and analyze its association with sleep hygiene, physical activity, cardiometabolic risk, and school performance. Methods: This is a cross-sectional study with 891 Portuguese students: 455 boys (51%) and 436 girls (49%), aged between 9 and 11 years old (mean [M]=9.2, standard deviation [SD]=0.4), with an average weight of 35.9 kg (SD=8.1), average height of 1.4 m (SD=0.1), average body mass index (standardized BMI Z score for the pediatric age group) of 0.76 (SD=1.21); 59.5% of them had normal weight and 15.9% were obese. The students filled a questionnaire on the adherence to the Mediterranean Diet (Mediterranean Diet Quality Index in Children and Adolescents [KIDMED]), participated in a socio-demographic interview, and had their anthropometric data collected after their parents signed the informed consent form. Results: The results suggest high levels of adherence to the MD (77.6%) both in males and females. Using Pearson's correlation coefficient, we found that the Z score was positively associated to cardiometabolic risk and the starting age of an extracurricular physical activity, and negatively associated to the average hours of sleep on a typical day both in males and females. We also identified a negative relation between KIDMED and the starting age of physical activity. Conclusions: This study has contributed to the knowledge of adherence to the MD among Portuguese elementary students and correlations with variables associated to a healthier lifestyle (MD, hours of sleep, and physical activity). Future studies should focus their attention on other countries and more heterogeneous samples.

RESUMO Objetivo: Caracterizar a adesão à dieta mediterrânica de alunos de escolas primárias do Porto e Maia e analisar a sua associação com a higiene do sono, a atividade física, o risco cardiometabólico e o desempenho escolar. Métodos: Estudo transversal com 891 alunos portugueses: 455 meninos (51%) e 436 meninas (49%), entre 9 e 11 anos (média [M]= 9,2; desvio padrão [DP]= 0,4), peso médio 35,9 kg (DP= 8,1), estatura média 1,4 cm (DP= 0,1), índice de massa corporal médio (IMC padronizado por escore Z para a faixa etária pediátrica) 0,76 (DP= 1,2), 59,5% de pessoas com peso adequado e 15,9% de obesos. Os alunos completaram o Índice de Qualidade de Adesão à Dieta Mediterrânica em Crianças e Adolescentes (Mediterranean Diet Quality Index in Children and Adolescents [KIDMED]) e uma entrevista sociodemográfica e dados antropométricos, após obtenção do consentimento informado dos pais. Resultados: Os resultados sugerem altos níveis de adesão ao padrão alimentar mediterrânico (77,6%), tanto nos meninos como nas meninas. Recorrendo ao coeficiente de correlação de Pearson, encontramos associação positiva entre o escore Z e o risco cardiometabólico, associação negativa entre o escore Z e a média de horas de sono em um dia típico nos meninos e nas meninas, associação positiva entre o escore Z e a idade de início de uma atividade física extracurricular e associação negativa entre o KIDMED e a idade de início da atividade física. Conclusões: Este estudo contribuiu para o conhecimento da adesão ao padrão alimentar mediterrânico de alunos do 1º ciclo de escolaridade do Porto e da Maia e correlações com variáveis associadas a um estilo de vida mais saudável (adesão à dieta mediterrânica, horas de sono e atividade física). Estudos futuros deverão focar a sua atenção em outros países e com amostras mais heterogêneas.

Humans , Male , Female , Child , Exercise , Diet, Mediterranean , Sleep Hygiene/physiology , Portugal , Body Mass Index , Cross-Sectional Studies , Surveys and Questionnaires , Feeding Behavior , Cardiometabolic Risk Factors
Article in English | WPRIM | ID: wpr-922184


BACKGROUND@#Given the important repercussions that sociodemographic factors can have on physical activity, especially in the field of leisure, and cardiometabolic risk, it seems relevant to analyze the implications of these variables on the relationship between physical activity in leisure time (LTPA) and cardiometabolic risk. In this sense, the present study aims to verify the moderating role of biologic and socioeconomic factors in the relationship between LTPA and cardiometabolic risk in adolescents in southern Brazil.@*METHODS@#Cross-sectional study that included 1596 adolescents selected at random (58.2% girls), aged between 10 and 17 years. LTPA, biological and socioeconomic factors were assessed using a self-reported questionnaire and the cardiometabolic risk score (total cholesterol/HDL-c ratio, triglycerides, fasting glucose, systolic blood pressure, and waist circumference, considering the participant's age and sex) was included as an outcome. Associations and moderations were tested by multiple linear regression models.@*RESULTS@#It was observed a positive interaction of LTPA and sex (p = 0.048) and LTPA and school system (p = 0.037), and negative interaction of LTPA and skin color (p = 0.040), indicating that these factors were moderators in the relationship between LTPA and clustered cardiometabolic risk score (cMetS) in adolescents. A reduction in cardiometabolic risk was observed according to the increase in weekly minutes of LTPA among boys, non-white adolescents, and students from municipal schools.@*CONCLUSIONS@#The association between LTPA and cardiometabolic risk was moderated by sex, skin color, and school system in adolescents from southern Brazil.

Adolescent , Age Factors , Brazil/epidemiology , Cardiometabolic Risk Factors , Child , Cross-Sectional Studies , Effect Modifier, Epidemiologic , Exercise , Female , Humans , Leisure Activities , Male , Sex Factors , Skin Pigmentation , Socioeconomic Factors
Article in English | WPRIM | ID: wpr-880353


BACKGROUND@#Body mass-independent parameters might be more appropriate for assessing cardiometabolic abnormalities than weight-dependent indices in Asians who have relatively high visceral adiposity but low body fat. Dual-energy X-ray absorptiometry (DXA)-measured trunk-to-peripheral fat ratio is one such body mass-independent index. However, there are no reports on relationships between DXA-measured regional fat ratio and cardiometabolic risk factors targeting elderly Asian men.@*METHODS@#We analyzed cross-sectional data of 597 elderly men who participated in the baseline survey of the Fujiwara-kyo Osteoporosis Risk in Men (FORMEN) study, a community-based single-center prospective cohort study conducted in Japan. Whole-body fat and regional fat were measured with a DXA scanner. Trunk-to-appendicular fat ratio (TAR) was calculated as trunk fat divided by appendicular fat (sum of arm and leg fat), and trunk-to-leg fat ratio (TLR) as trunk fat divided by leg fat.@*RESULTS@#Both TAR and TLR in the group of men who used ≥ 1 medication for hypertension, dyslipidemia, or diabetes ("user group"; N = 347) were significantly larger than those who did not use such medication ("non-user group"; N = 250) (P < 0.05). After adjusting for potential confounding factors including whole-body fat, both TAR and TLR were significantly associated with low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglyceride, fasting serum insulin, and the insulin resistance index in the non-user group and non-overweight men in the non-user group (N = 199).@*CONCLUSION@#The trunk-to-peripheral fat ratio was associated with cardiometabolic risk factors independently of whole-body fat mass. Parameters of the fat ratio may be useful for assessing cardiometabolic risk factors, particularly in underweight to normal-weight populations.

Absorptiometry, Photon , Adiposity/physiology , Aged , Aged, 80 and over , Biomarkers/metabolism , Cardiometabolic Risk Factors , Cross-Sectional Studies , Humans , Intra-Abdominal Fat/diagnostic imaging , Japan , Male , Osteoporosis/etiology , Prospective Studies , Risk Assessment , Risk Factors , Thorax/diagnostic imaging
São Paulo; s.n; 2021. 175 p.
Thesis in Portuguese | LILACS | ID: biblio-1352795


Introdução: Depressão e obesidade são condições comuns e com implicações importantes para a Saúde Pública. Do ponto de vista fisiopatológico, elas estão interconectadas numa relação bidirecional. Frente a modesta eficácia do tratamento da depressão, sobretudo quando associada à obesidade, torna-se importante a investigação de tratamento adjuvantes. No contexto neurológico, as dietas hiperlipídicas (DH) têm mostrado eficácia na epilepsia refratária, com poucas evidências na depressão, entretanto os ácidos graxos poli-insaturados da série ômega-3 apresentam ação anti-inflamatória, cardioprotetora e, potencialmente antidepressiva, podendo exercer papel no manejo da depressão e obesidade. Objetivo: Avaliar o impacto de uma dieta hiperlipídica e hipocalórica rica em ômega-3 na resposta clínica e no risco cardiometabólico de pacientes com depressão e obesidade. Métodos: Ensaio clínico controlado, randomizado, paralelo, aberto e com duração de 6 semanas. Participantes de ambos os sexos, de 18 a 50 anos, com diagnóstico de depressão e obesidade foram distribuídos em três grupos: Grupo DH dieta hiperlipídica e hipocalórica e antidepressivo; Grupo DHW3 dieta hiperlipídica e hipocalórica rica em ômega-3 e antidepressivo e; Grupo Controle (DC) antidepressivo e padrão alimentar habitual. Os desfechos primários foram: avaliação antropométrica e de composição corporal, acompanhamento dos sintomas depressivos e ansiosos, e BDNF plasmático. Os desfechos secundários foram: marcadores bioquímicos (lipídicos, inflamatórios e oxidativos). Os testes estatísticos foram realizados no programa Statistical Package for the Social Sciences® versão 20.0. Resultados: Foram incluídos 8 pacientes no grupo DH, 7 no grupo DHW3 e 7 no grupo DC. Houve redução de peso média de 7% no grupo DHW3 (Δ = -7,7kg; p = 0,043). As DH e DHW3 promoveram redução do IMC ao longo do tempo (DH: Δ = -2,1kg/m2; p = 0,043; DHW3: Δ = -2,8kg/m2; p = 0,042), e também quando comparados ao grupo DC (DH: p = 0,007; DHW3: p < 0,001). Os três grupos reduziram os escores de depressão após seis semanas (DH: Δ = -20,4 pontos; p = 0,043; DHW3: Δ = -16 pontos; p = 0,043; DC: Δ = -11 pontos; p = 0,028). Somente o grupo DH atingiu melhor resposta clínica da depressão em relação aos DC (p = 0,015). Quanto à ansiedade, os grupos DH e DHW3 reduziram os sintomas ansiosos após seis semanas (DH: Δ = -19,9 pontos; p = 0,043; DHW3: Δ = -13,6 pontos; p = 0,043). Porém, somente o grupo DH teve melhor resposta clínica da ansiedade em relação ao grupo DC (p = 0,029). Não houve alteração de percentual de massa gorda e magra e no BDNF em nenhum grupo. Com exceção de pequenas mudanças em alguns marcadores hepáticos, lipídicos e de subfrações lipoproteicas, os parâmetros bioquímicos permaneceram inalterados. Conclusão: A DH promoveu eficácia clínica nos sintomas depressivos e ansiosos e na redução do IMC, sem agravar o risco cardiometabólico, quando administrada de forma aguda. A DHW3 não foi superior na melhora da depressão e nos marcadores cardiometabólicos.

Introduction: Depression and obesity are common conditions a nd have important implications for Public Health. From the pathophysiological point of view, they are interconnected in a bidirectional relationship. In view of the modest effectiveness of depression treatment, especially when associated with obesity, it is important to investigate adjuvant treatments. In the neurological context, hyperlipidic diets (HD) have shown to be effective in refractory epilepsy, with little evidence in depression, however the omega 3 series polyunsaturated fatty acids have an anti inflammatory, cardioprotective and potentially antidepressant action, and may play a role in the management of depression and obesity. Objective: To evaluate the impact of a hyperlipidic and hypocaloric diet rich in omega-3 on the clinical response and on cardiometabolic risk of patients with depression and obesity. Methods: 6-week, open-label, parallel-group, randomized, controlled clinical trial. Participants of both sexes, aged 18 to 50, diagnosed with depression and obesity, were divided into three groups: Group DH hyperlipidic and hypocaloric diet and antidepressant; Group DHW3 - hyperlipidic and hypocaloric rich in omega-3 diet and antidepressant and; Control Group (DC) - antidepressant and usual dietary pattern. The primary outcomes were: anthropometric and body composition assessment, monitoring of depressive and anxious symptoms and of plasma BDNF. Secondary outcomes were: biochemical markers (lipid, inflammatory and oxidative). Statistical tests were performed using the Statistical Package for the Social Sciences®, version 20.0. Results: 8 patients were included in group DH, 7 in group DHW3 and 7 in group DC. There was an average weight reduction of 7% in group DHW3 (Δ = 7.7 kg; p = 0.043). D H and DHW3 reduced BMI over time (DH : Δ = 2.1 kg/m2 ; p = 0.043; DHW3: Δ = 2.8 kg/m2 ; p = 0.042), and also when compared to group DC (DH: p = 0.007; DHW3: p < 0.001). The three groups reduced their depression scores after six weeks (DH: Δ = 20.4 points; p = 0.043; DHW3: Δ = 16 points; p = 0.043; DC: Δ = 11 points; p = 0.028). Only group DH achieved a better clinical response to depression compared to D C (p = 0.015). As for anxiety, groups DH and DHW3 reduced anxiety symptoms after six weeks (DH: Δ = 19.9 points; p = 0.043; DHW3: Δ = 13.6 points; p = 0.043). However, only group DH had a better clinical response to anxiety compared to group DC (p = 0.029). There was no change in the percentage of fat and lean body mass and in BDNF in any group. With the exception of minor changes in some hepatic and lipid markers and in lipoprotein subfractions, biochemical parameters remained unchanged. Conclusion: HD promoted clinical effectiveness in depressive and anxious symptoms and in reducing BMI, without aggravating cardiometabolic risk, when administered in an acute manner. DHW3 was not superior in improving depression or cardiometabolic markers.

Fatty Acids, Omega-3 , Depression , Diet, High-Fat , Cardiometabolic Risk Factors , Obesity
J. Phys. Educ. (Maringá) ; 32: e3276, 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1360521


RESUMO As DCV são as principais causas de morbimortalidade mundial, sendo o sedentarismo um dos principais fatores de risco para seu desenvolvimento. Assim, esta investigação teve como objetivo avaliar o número de passos diários e sua associação com fatores de risco cardiometabólicos (FRCV) em professores. Foram avaliados o número de passos diários, parâmetros antropométricos, hemodinâmicos e bioquímicos de 150 professores, divididos em Dois grupos (G1 < 10000 passos e G2 ≥ 10000 passos). Para determinar a associação e magnitude desta entre FRCV e níveis insuficientes de atividade física foram utilizados o teste qui quadrado e razão de chances. Correlação de Pearson foi utilizada para verificar a relação entre o número de passos e as demais variáveis e curvas ROC para avaliar o ponto de corte de passos diários em relação a cada FRCV. Entre os docentes avaliados, 42% eram ativos fisicamente, apresentando melhor perfil antropométrico, hemodinâmico e bioquímico. Hipertensão arterial e dislipidemias foram os FRCV que apresentaram associação com a condição de baixo número de passos. O ponto de corte de número de passos indicou valores superiores a 12,500 passos/dia para proteção contra os FRCV. Assim, a maioria dos docentes era insuficientemente ativa, destacando que aqueles que atingiram 10000 passos por dia de média, apresentaram um melhor perfil cardiometabólico.

ABSTRACT Cardiovascular diseases are the main causes of worldwide morbidity and mortality, with a sedentary lifestyle being one of the main risk factors for its development. Thus, this investigation aimed to evaluate the number of daily steps and their association with cardiometabolic risk factors (CRF) in teachers. The number of daily steps, anthropometric, hemodynamic and biochemical parameters of 150 teachers were evaluated, divided into two groups (G1 <10,000 steps and G2 ≥ 10,000 steps). To determine the association and magnitude of this between CRF and insufficient levels of physical activity, the chi square test and odds ratio were used. Pearson's correlation was used to verify the relationship between the number of steps and the other variables and ROC curves to assess the cutoff point of daily steps in relation to each CRF. Among the teachers evaluated, 42% were physically active, with a better anthropometric, hemodynamic and biochemical profile. Arterial hypertension and dyslipidemia were the CRF that were associated with the condition of low number of steps. The cut-off point for the number of steps indicated values greater than 12,500 steps/day for protection against CRF. Thus, most teachers were insufficiently active, highlighting that those who reached 10,000 steps per day on average, had a better cardiometabolic profile.

Humans , Male , Female , School Teachers , Cardiometabolic Risk Factors , Motor Activity , Biochemical Phenomena , Anthropometry , Dyslipidemias , Sedentary Behavior , Hypertension , Obesity
Rev. bras. epidemiol ; 24: e210043, 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1288479


RESUMO: Objetivo: Avaliar a validade da massa corporal e da estatura autorreferidas em adolescentes, adultos e idosos segundo sexo, idade, nível de atividade física no lazer, estado nutricional e fatores de risco cardiometabólicos. Métodos: Participaram do estudo 856 sujeitos, com 12 anos ou mais, que responderam ao Inquérito de Saúde de São Paulo (ISA-2015) e que possuíam a massa corporal e a estatura autorreferidas e aferidas. Com base no índice de massa corporal, realizou-se uma classificação do estado nutricional de acordo com critérios padronizados para cada fase da vida. A validade das medidas autorreferidas foi examinada usando o coeficiente de correlação intraclasse, Bland-Altman e o teste t pareado. Utilizaram-se regressões lineares para elaborar os coeficientes de calibração, e realizaram-se testes de sensibilidade e especificidade. Resultados: Os principais resultados apontam que os valores de massa corporal e estatura autorreferidas tendem a ser bem similares aos aferidos, apesar de algumas exceções. Para os adolescentes, notou-se uma subestimação da estatura, ao passo que, para os idosos, houve superestimação. Com relação à massa corporal, houve consistente subestimação da medida autorreferida entre as mulheres. Entre os homens que praticavam menos de 150 minutos semanais de atividade física no lazer, notou-se superestimação do índice de massa corporal. O processo de calibração das medidas autorreferidas tornou-as mais concordantes com as medidas aferidas, aumentando a sensibilidade na classificação do estado nutricional entre as mulheres e a especificidade entre os homens. Conclusões: As medidas autorreferidas de estatura, massa corporal e índice de massa corporal forneceram medidas válidas e confiáveis, apresentando melhoras substanciais após a calibração.

ABSTRACT: Objective: To evaluate the validity of self-reported body mass and height measurements in adolescents, adults and older adults according to sex, age, leisure-time physical activity level, nutritional status, and cardiometabolic risk factors. Methods: The study included 856 subjects, aged 12 years or older, who participated in the São Paulo Health Survey (ISA-2015) and who had their body mass and height measured and self-reported. Based on the Body Mass Index (BMI), a classification of nutritional status was made according to standardized criteria for each phase of life. The validation of self-reported data was examined by the Intraclass Correlation Coefficient, Bland-Altman and paired T-Test. Linear regression models were used to estimate the calibration coefficients, and sensitivity and specificity tests were performed. Results: Self-reported body mass and height values tend to be very similar to measured values, with a few exceptions. For the adolescents, an underestimation of height was noted, while for the older adults, an overestimation. There was a consistent underestimation of self-reported body mass among women, and an overestimation of BMI among men who practiced less than 150 minutes of physical activity per week during leisure time. The calibration process of self-reported measures made them more consistent with the values measured, increasing the sensitivity in the classification of nutritional status among women and the specificity among men. Conclusions: Self-reported measures of height, body mass and BMI provided valid and reliable measures, presenting a substantial improvement after calibration.

Humans , Male , Female , Adolescent , Aged , Body Height , Cardiometabolic Risk Factors , Body Weight , Brazil/epidemiology , Exercise , Body Mass Index , Sex Factors , Reproducibility of Results , Self Report
Rev. cuba. med. gen. integr ; 36(2): e1197, abr.-jun. 2020. tab
Article in Spanish | LILACS, CUMED | ID: biblio-1138961


Introducción: El embarazo es una etapa de riesgo de obesidad persistente después del parto, entre otras causas, es secundario al estado nutricional al inicio del embarazo y a las ganancias de peso por encima de lo recomendado. Objetivo: Describir las ganancias de peso gestacionales por categorías nutricionales y su asociación con la retención de peso al año del parto. Métodos: Se realizó un estudio observacional de corte transversal en 100 mujeres al año del parto, pertenecientes a tres áreas de salud del municipio Santa Clara, en el periodo comprendido de julio 2016 a julio 2017. Se revisaron los tarjetones de las embarazadas para recoger el peso en kg a la captación, su evaluación nutricional según el índice de masa corporal en la primera consulta y el peso al final de la gestación. Las mismas fueron visitadas en su domicilio al año de paridas; se recogieron datos generales, se midió la talla de pie, el peso corporal y la circunferencia de la cintura. Se calcularon los índices de masa corporal y cintura/talla. Resultados: Predominó la condición de peso adecuado a la captación (67,08 por ciento). El 82,87 por ciento de las mujeres retuvo peso al año de paridas; con mayor frecuencia en las obesas (90,0 por ciento) y sobrepeso (83,01 por ciento) según su estado nutricional a la captación. Todas las mujeres tuvieron índice cintura/talla por encima de 0,50 al año de paridas. Conclusiones: Las mujeres con mayores ganancias por encima de lo recomendado, tienen menor capacidad de recuperación del peso corporal al año de paridas(AU)

Introduction: Pregnancy is a period of persistent obesity risk after delivery. Among other causes, it is secondary to the nutritional status at the beginning of pregnancy and to gaining weight above the recommended. Objective: To describe gestational weight gains by nutritional categories and their association with weight retention one year after delivery. Methods: An observational and cross-sectional study was conducted with 100 women one year after delivery and from three health areas of Santa Clara Municipality, in the period from July 2016 to July 2017. Their pregnancy identification cards were reviewed to collect their weight in kilograms at the time pregnancy was identified, nutritional evaluation based on the body mass index at the first office visit, and the weight at the end of pregnancy. They were paid home visits one year after delivery. General data were collected, foot size, body weight, and waist circumference were measured. Body mass and waist/height indexes were calculated. Results: The weight condition adequate to the time pregnancy was identified (67.08 percent). 82.87 percent of women retained weight one year after delivery, more frequently in obese (90.0 percent) and overweight (83.01 percent) women according to their nutritional status at the time pregnancy was identified. All women had waist/height index above 0.50 one year after delivery. Conclusions: Women with weight gains higher than recommended have less capacity to recover their body weight one year after delivery(AU)

Humans , Female , Pregnancy , Nutrition Assessment , Waist-Height Ratio , Gestational Weight Gain , Cardiometabolic Risk Factors , Cross-Sectional Studies , Observational Study
Rev. cuba. med. gen. integr ; 36(1): e1040, ene.-mar. 2020. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1099070


Introducción: La obesidad se relaciona con múltiples consecuencias adversas para la salud, como hipertensión, diabetes, hiperlipoproteinemia, enfermedad cardiovascular y otras. La prevalencia de estas entidades se ha incrementado en Cuba en las últimas décadas, muy asociadas a la ganancia ponderal. Objetivo: Describir la relación de la obesidad con la enfermedad cardiovascular y los factores de riesgo metabólicos como hipertensión arterial, hiperlipoproteinemia y diabetes mellitus. Métodos: Se realizó un estudio descriptivo, de corte transversal, en 2902 pacientes que acudieron a chequeo médico en el Hospital Militar Central Dr. Carlos J. Finlay. Se recolectaron datos generales, antropométricos y factores de riesgo metabólico de enfermedad cardiovascular. Se realizó glucemia en ayunas, colesterol, triglicéridos, creatinina y prueba de tolerancia a la glucosa oral en casos indicados. Se calculó el filtrado glomerular. Los pacientes fueron clasificados en bajo peso, normo peso, sobrepeso y obeso, se identificó la relación entre el estado nutricional y los factores de riesgo metabólico y la enfermedad cardiovascular. Resultados: Se encontró 44,5 por ciento de sobrepeso, más frecuente entre los hombres (45,5 por ciento) y 29,2 por ciento de obesidad, más frecuente entre las mujeres (31,6 por ciento). El índice de masa corporal aumentó progresivamente con la edad. Los valores de glucemia, colesterol, triglicéridos, HbA1c y filtrado glomerular aumentaron con el estado nutricional, así como la frecuencia de diabetes, hipertensión, hiperlipoproteinemia y enfermedad cardiovascular. Conclusiones: La obesidad fue muy frecuente en este grupo de pacientes, en los cuales se relacionaron directamente los factores de riesgo metabólico hipertensión arterial, hiperlipoproteinemia, diabetes mellitus y enfermedad cardiovascular(AU)

Introduction: Obesity is associated with multiple adverse health consequences, such as hypertension, diabetes, hyperlipoproteinemia, cardiovascular disease, and others. The prevalence of these conditions has increased in Cuba in recent decades, closely associated with ponderal gain. Objective: To describe the relationship of obesity with cardiovascular disease and metabolic risk factors such as hypertension, hyperlipoproteinemia, and diabetes mellitus. Methods: A descriptive, cross-sectional study was carried out with 2902 patients who went for a medical check-up at Dr. Carlos J. Finlay Central Military Hospital. General, anthropometric and metabolic risk factors for cardiovascular disease were gathered. The tests of fasting blood glucose, cholesterol, triglycerides, creatinine and oral glucose tolerance were performed in indicated cases. Glomerular filtrate was calculated. Patients were classified as low weight, normal weight, overweight, and obese. The relationship between nutritional status and metabolic risk factors and cardiovascular disease was identified. Results: 44.5 percent were found in overweight, more frequent among men (45.5 percent). 29.2 percent were found in obesity, more frequent among women (31.6 percent). The body mass index increased progressively with age. Blood glucose, cholesterol, triglycerides, HbA1c, and glomerular filtration levels increased with nutritional status, as well as the frequency of diabetes, hypertension, hyperlipoproteinemia, and cardiovascular disease. Conclusions: Obesity was very frequent in this group of patients, in which the metabolic risk factors were directly associated with high blood pressure, hyperlipoproteinemia, diabetes mellitus, and cardiovascular disease(AU)

Humans , Male , Female , Overweight/epidemiology , Cardiometabolic Risk Factors , Hyperlipoproteinemias/epidemiology , Obesity/epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies , Risk Factors , Cuba