Determinaciones de laboratorio clínico en pacientes obesos y su relación con el síndrome metabólico / Clinical Laboratory Parameters in Obese Patients and Its Relationship with Metabolic Syndrome

Introducción: el peso corporal y el estado de salud se encuentran relacionados, la obesidad es una condición común mundialmente. Objetivo: valorar los niveles de algunos parámetros de laboratorio en pacientes con obesidad androide, útiles para el diagnóstico del síndrome metabólico. Métodos: estudio de serie de casos desde enero de 2015 a enero de 2016 en una muestra de 75 pacientes con obesidad androide del Policlínico Pedro del Toro Saad del municipio Holguín, se empleó determinaciones cuantitativas de los parámetros investigados. Se utilizaron medidas descriptivas y de asociación. Resultados: el 29,33% de los obesos presentaban entre 31 y 40 años, evidenciándose importante prevalencia en adultos jóvenes con obesidad severa. El 30,66% de la muestra y el 50% del grupo con obesidad severa presentaron glucemia elevada, existió asociación entre sus niveles y el grado de obesidad. El 62,66%, el 68,0% y el 58,66% de los pacientes presentaron cifras de colesterol, triglicéridos y Apo B elevados, respectivamente. En los tres grupos ponderales predominaron valores disminuidos de HDL, se destacó en la obesidad severa con el 91,66% de este tipo de pacientes y en el caso de la Apo A, el 75% de los pacientes con obesidad severa tenían valores disminuidos. Conclusiones: existió un predominio del grado de obesidad ligera, observándose cifras considerables de la severa sobre todo en los adultos jóvenes. Los niveles de los parámetros de laboratorio expresaron en su mayoría patrones de alto riesgo aterogénico, asociados al incremento del índice de masa corporal. Se diagnosticó el SM en la totalidad de la muestra.

Introduction: the body weight and the state of health are in close relationship. Obesity commonly affects people all around the world. Objective: to assess the levels of some biochemical parameters in patients with android obesity and an early diagnosis of the metabolic syndrome. Methods: a series of cases study, using a sample of 75 patients with android obesity, from "Pedro del Toro Saad" in Holguín municipality was carried out. The period extended from January 2015 to January 2016. Quantitative determinations of the intended parameters used, as well as, descriptive and association measures. Results: 29.33% of the obese were between 31 and 40 years, evidencing a significant prevalence in young adults with severe obesity. 30.66% of the sample and 50% of the group with severe obesity had high glycemia; there was an association between their levels and the degree of obesity. 62.66%, 68.0% and 58.66% of the patients had high levels of cholesterol, triglycerides and Apo B, respectively. In the three weight groups, decreased HDL values predominated, severe obesity was observed in 91.66% of this type of patients, and in the case of Apo A, 75% of patients with severe obesity had decreased values. Conclusions: there was a predominance of the degree of mild obesity, observing considerable numbers of the severe one, especially in young adults. Laboratory parameter levels mostly expressed patterns of high atherogenic risk, associated with increased body mass index. The metabolic syndrome was diagnosed in all patients.

The changes of body mass index and abdominal fatness in postpartum period / 대한산부인과학회지

OBJECTIVE: To investigate the changes of body mass index (BMI) and abdominal fatness of women in postpartum period, and to evaluate the relationship between two factors. METHODS: Sixty uncomplicated postpartum women were included. BMI and abdominal fatness using bioelectric impedance method were measured three times; at postpartum one day, one week, and six weeks. RESULTS: Mean BMI was 25.9+/-3.9 kg/m2, 24.8+/-3.8 kg/m2, 23.5+/-3.8 kg/m2, and abdominal fatness was 0.843+/-0.058, 0.850+/-0.054, 0.849+/-0.056 at postpartum one day, one week, and six weeks, respectively. The incidence of overweight women (BMI 23-24.9 kg/m2) was 35%, 25%, 20%, and the incidence of obesity women (BMI> or =25 kg/m2) was 45%, 38.3%, 26.7%, and the incidence of android obesity (abdominal fatness>0.85) was 43.3%, 43.3%, 38.3% at each three postpartum period. The cut-off values of BMI to predict android obesity was >24.9 kg/m2, >23.2 kg/m2, and >22.6 kg/m2 at postpartum one day, one week, and six weeks, respectively. CONCLUSION: The changes of postpartum body weight must be explored with abdominal fatness as well as BMI, and standard references for each postpartum periods are needed.

Dynamics of Body Mass Index and Abdominal Fatness in Postpartum Period / 대한산부인과학회지

OBJECTIVE: To investigate the dynamics of body mass index (BMI) and abdominal fatness of women in postpartum period, and to find cut-off values of BMI to predict android obesity. METHODS: Forty-three uncomplicated postpartum women were included. BMI and abdominal fatness using bioelectric impedance method were measured three times; at postpartum one day, one week, and six weeks. RESULTS: BMI was 24.9 +/- 2.6, 24.1 +/- 2.4, 23.0 +/- 2.4, and abdominal fatness was 0.842 +/- 0.035, 0.845 +/- 0.039, 0.839 +/- 0.036 at postpartum one day, one week, and six weeks, respectively. The incidence of overweight women (BMI 25-29.9) was 46.5%, 34.9%, 25.6%, and the incidence of android obesity (abdominal fatness>0.85) was 37.2%, 32.6%, 30.2% at each three postpartum period. The cut-off values of BMI to predict android obesity was >25.3, >23.6, and >22.9 at postpartum one day, one week, and six weeks, respectively. CONCLUSION: The dynamics of postpartum body weight must be explored with abdominal fatness as well as BMI. Further prospective long-term follow-up studies in a larger scale will be warranted to confirm these findings.