Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos / Cardiovascular risk profile and insulin resistance according body mass index, waist circumference and hypertriglyceridemic waist in adult subjects
Rev. méd. Chile
; 137(9): 1179-1186, sep. 2009. tab
Article
em Es
| LILACS
| ID: lil-534019
Biblioteca responsável:
BR1.1
ABSTRACT
Background:
Insulin plays a determinant role in the individual metabolic profile. Obesity, the most common cause of insulin resistance (IR), can be diagnosed by body mass index (BMI). Waist circumference (WC), specifically, measures accumulation of abdominal fat. The cardiovascular risk of an individual is strongly related to a combination of abdominal obesity with hypertiiglyceridemia or hypertriglyceridemic waist (HTW). Aim To assess the metabolic profüe of cardovascular risk and RI according to BMI, WC and HTW in adult patients. Material andmethods:
Weight, height, BMI, blood pressure (BP), WC, HTW, blood glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides and insulin were assessed and IR calculated by the homeostasis model assessment (HOMA) in 63 females aged 46±11 years and 12 males aged 4 7± 10 years.Results:
Differences in weight, WC, BP, lipids, glucose, insulin and HOMA, were observed as BMI increased. When patients were grouped according to WC, there were significant differences only in systolic pressure, triglycerides, insulin and HOMA. Individuals with HTW had a more adverse metabolic profüe than those without HTW or with only high WC. A multiple regression equation determined that body mass index, total cholesterol and diastolic blood pressure were independent predictors of insulin resistance.Conclusions:
Patients with HTW displayed an unfavorable cardiac risk profile (Rev Méd Chile 2009; 1371179-86).Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Resistência à Insulina
/
Doenças Cardiovasculares
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Hipertrigliceridemia
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Circunferência da Cintura
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
Idioma:
Es
Revista:
Rev. méd. Chile
Assunto da revista:
MEDICINA
Ano de publicação:
2009
Tipo de documento:
Article