Body Mass Index and waist circumference as predictors of cardiovascular risk in diabetic patients
DOI:
https://doi.org/10.33448/rsd-v10i14.21906Keywords:
Diabetes mellitus; Metabolic syndrome; Obesity; Body mass index; Abdominal circumference.Abstract
Obesity is a highly prevalent condition in diabetics. The aim was to observe two methods of obesity evaluation: BMI and abdominal circumference (AC) and its association with cardiovascular risk factors in diabetics. Through a prospective, cross-sectional study, diabetics seen in primary care were assessed. Body weight and height were measured to calculate BMI; AC and hip circumference for waist / hip ratio. Biochemistry, well as demographic data were collected from records for clinical analysis. Blood pressure measured at the evaluation. Using BioStat 5.0 for statistical. Prevalence of overweight and obesity were high as the prevalence of cardiovascular risk factors, included AC. Prevalence of Metabolic Syndrome (MS) was 67.1%. There was no association between the risk factors and anthropometry. AC was able to predict SM. It is recommended to use the AC in clinical practice, but not as unique clinical parameter, since the possibility of misdiagnosis and treatment delay.
References
Carvalho, M. H. C. D., Mancini, M. C., Melo, M. E. D., Bahia, L. R., Negrão, C. E., Matos, L. D. N. J. D., & Jardim, P. C. B. V. (2005). I Diretriz brasileira de diagnóstico e tratamento da síndrome metabólica. Arq Bras Cardiol, 84, suppl 1, 1-28.
Castro, S. H. D., Mato, H. J. D., & Gomes, M. D. B. (2006). Anthropometric parameters and metabolic syndrome in type 2 diabetes. Arq Bras Endocrinol Metab, 50(3), 450-455.
Dutra, E. S., de Carvalho, K. M., Miyazaki, É., Merchán-Hamann, E., & Ito, M. K. (2012). Metabolic syndrome in central Brazil: prevalence and correlates in the adult population. Diabetol Metab Syndr, 4(1), 1-9.
Fasanmade, O. A., Odeniyi, I. A., Amira, C. O., & Okubadejo, N. U. (2013). Association of body mass index and abdominal adiposity with atherogenic lipid profile in Nigerians with type 2 diabetes and/or hypertension. Niger Med J, 54(6), 402.
Gierach, M., Gierach, J., Ewertowska, M., Arndt, A., & Junik, R. (2014). Correlation between body mass index and waist circumference in patients with metabolic syndrome. ISRN Endocrinol, 2014, 514589.
Ginsberg, H. N., & MacCallum, P. R. (2009). The obesity, metabolic syndrome, and type 2 diabetes mellitus pandemic: Part I. Increased cardiovascular disease risk and the importance of atherogenic dyslipidemia in persons with the metabolic syndrome and type 2 diabetes mellitus. J Cardiometab Syndr, 4(2), 113-119.
Glaner, M. F. (2005). Body mass index as indicative of body fat compared to the skinfolds. Rev Bras Med Esporte, 11, 243-246.
Gomes, M. D. B., Giannella Neto, D., Mendonça, E. D., Tambascia, M. A., Fonseca, R. M., Réa, R. R., & Dib, S. A. (2006). Nationwide multicenter study on the prevalence of overweight and obesity in type 2 diabetes mellitus in the Brazilian population. Arq Bras Endocrinol Metab, 50(1), 136-144.
Kodama, S., Horikawa, C., Fujihara, K., Heianza, Y., Hirasawa, R., Yachi, Y., & Sone, H. (2012). Comparisons of the strength of associations with future type 2 diabetes risk among anthropometric obesity indicators, including waist-to-height ratio: a meta-analysis. Am J Epidemiol, 176(11), 959-969.
Marinho, N. B. P., Vasconcelos, H. C. A. D., Alencar, A. M. P. G., Almeida, P. C. D., & Damasceno, M. M. C. (2012). Diabetes mellitus: associated factors among users of the family health strategy. Acta Paul Enferm, 25, 595-600.
Martins, K. A., Monego, E. T., Paulinelli, R. R., & Freitas-Junior, R. (2011). Comparison of methods to evaluate total body fat and its distribution. Rev Bras Epidemiol, 14(4), 677-687.
Rocha, N. P. D., Siqueira-Catania, A., Barros, C. R., Pires, M. M., Folchetti, L. D., & Ferreira, S. R. G. (2010). Analysis of several anthropometric measurements for the identification of metabolic syndrome, with or without disturbance of glucose metabolism. Arq Bras Endocrinol Metab, 54(7), 636-643.
Stolar, M. W., & Chilton, R. J. (2003). Type 2 diabetes, cardiovascular risk, and the link to insulin resistance. Clinical therapeutics, 25, B4-B31.
Van Dijk, S. B., Takken, T., Prinsen, E. C., & Wittink, H. (2012). Different anthropometric adiposity measures and their association with cardiovascular disease risk factors: a meta-analysis. Neth Heart J, 20(5), 208-218.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Nathalie Macêdo Cruz de Oliveira; José Ayrton Macedo Guimarães de Oliveira; André Falcão Pedrosa Costa
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.