Lipid profile and anthropometric parameters for health promotion in type 2 diabetic mellitus patients from Parnaíba-PI
DOI:
https://doi.org/10.33448/rsd-v11i11.33697Keywords:
Body Mass Index; Abdominal Obesity; Anthropometry; Diabetes mellitus.Abstract
Epidemiological evidence indicates that patients with type 2 Diabetes Mellitus (DM2) are increased risk of developing cardiovascular diseases, among the risk factors are obesity, overweight and dyslipidemia. To investigate the lipid profile and anthropometric indicators of abdominal obesity in a group of patients with DM2 from Parnaíba-PI. A cross-sectional, descriptive study was carried out with 51 individuals with DM2. Fasting glucose, glycated hemoglobin (HbA1c), triglycerides, HDL-c and LDL-c were measured. The measures of weight, height, waist circumference (WC) and hips were obtained and used to obtain the Body Mass Index (BMI), waist to height ratio (WHtR) and waist to hip ratio (WHR). Student's t and Mann-Whitney tests were used. Results: The observed population had 68.62% female and 31.37% male, with age of 59.12 ± 6.3 years. The diagnosis time was 8.3 ± 5.3 years. Hypercholesterolemia was prevalent at 725%, hypertriglyceridemia at 65%, and mixed hyperlipidemia at 6%. The reduction in HDL-c was observed in 61% of patients. Considering the normal LDL-c value ≤100 mg / dL, hypercholesterolemia alone had a prevalence of 90.19% and mixed hyperlipidemia in 29.41%. Mean blood glucose was 133.025 ± 52 mg/dL, and HbA1c levels ranged from 5.7-7.6%. Abdominal obesity obtained by the WC indicator was 75% and the WHtR was 91.66%. WHR was observed above the recommended values in 67.34% of patients. The high prevalence of abdominal obesity and lipid changes show the need to develop health practices that encourage healthy eating, physical activity and weight loss, since dyslipidemia in patients with DM2 has an important relevance for cardiovascular risk.
References
Almeida, F. C. A., Landim, M. A. T., Borges, K. M., & de Araújo Torres, R. (2018). Hábitos alimentares de indivíduos com diabetes mellitus tipo 2 atendidos pelo Programa Estratégia Saúde da Família na cidade de Cajaeiras, Paraíba, Brasil. RBONE-Revista Brasileira De Obesidade, Nutrição E Emagrecimento, 12(71), 301-309.
American Diabetes Association. (2019). Standards of medical care in diabetes—2019 abridged for primary care providers. Clinical diabetes: a publication of the American Diabetes Association, 37(1), 11.
Bertoluci, M. C., & Rocha, V. Z. (2017). Cardiovascular risk assessment in patients with diabetes. Diabetology & metabolic syndrome, 9(1), 1-13.
Browning, L. M., Hsieh, S. D., & Ashwell, M. (2010). A systematic review of waist-to-height ratio as a screening tool for the prediction of cardiovascular disease and diabetes: 0· 5 could be a suitable global boundary value. Nutrition research reviews, 23(2), 247-269.
Cabrera-Pivaral, C. E., González-Pérez, G., Vega-López, M. G., & Arias-Merino, E. D. (2004). Impacto de la educación participativa en el índice de masa corporal y glicemia en individuos obesos con diabetes tipo 2. Cadernos de Saúde Pública, 20, 275-281.
Carr, M. C., & Brunzell, J. D. (2004). Abdominal obesity and dyslipidemia in the metabolic syndrome: importance of type 2 diabetes and familial combined hyperlipidemia in coronary artery disease risk. The journal of clinical endocrinology & metabolism, 89(6), 2601-2607.
Corrêa, M. M., Tomasi, E., Thumé, E., Oliveira, E. R. A. D., & Facchini, L. A. (2017). Waist-to-height ratio as an anthropometric marker of overweight in elderly Brazilians. Cadernos de saude publica, 33.
Gomes, M. B., Giannella, N., Mendonça, E., Tambascia, M. A., Fonseca, R. M., Réa, R. R., et al. Prevalência de International Dabetes Federation. http://www.idf.org. Acessado em 01/02/2021.
International Dabetes Federation (IDF). The IDF consensus worldwide definition of the metabolic syndrome. 2005. http://www.idf.org.
International Diabetes Federation (Idf). Idf Diabetes Atlas [Internet]. (8th ed.) Brussels: 2017. https:// diabetesatlas.org/IDF_Diabetes_Atlas_8e_interactive_EN/.
Khan, M. A. B., Hashim, M. J., King, J. K., Govender, R. D., Mustafa, H., & Al Kaabi, J. (2020). Epidemiology of type 2 diabetes–global burden of disease and forecasted trends. Journal of epidemiology and global health, 10(1), 107.
Machado, S. P., Rodrigues, D. G. C., Viana, K. D. A. L., & de Carvalho Sampaio, H. A. (2012). Correlação entre o índice de massa corporal e indicadores antropométricos de obesidade abdominal em portadores de diabetes mellitus tipo 2. Revista Brasileira em Promoção da Saúde, 25(4), 512-520.
Obesity, P. (1998). Managing the Global Epidemic. World Health Organization (WHO), Genf.
Oguntibeju, O. O. (2019). Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. International journal of physiology, pathophysiology and pharmacology, 11(3), 45.
Packard, C. J., Boren, J., & Taskinen, M. R. (2020). Causes and consequences of hypertriglyceridemia. Frontiers in endocrinology, 11, 252.
Pitanga, F. J. G., & Lessa, I. (2005). Indicadores antropométricos de obesidade como instrumento de triagem para risco coronariano elevado em adultos na cidade de Salvador-Bahia. Arquivos Brasileiros de Cardiologia, 85, 26-31.
Pouliot, M. C., Després, J. P., Lemieux, S., Moorjani, S., Bouchard, C., Tremblay, A., & Lupien, P. J. (1994). Waist circumference and abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. The American journal of cardiology, 73(7), 460-468.
Santos, R. D., Giannini, S. D., Fonseca, F. H., Moriguchi, E. H., Maranhão, R. C., & da Luz, P. L. (2001). Sociedade Brasileira de Cardiologia: III Diretrizes Brasileiras Sobre Dislipidemias e Diretriz de Prevenção da Aterosclerose. Arq Bras Cardiol, 77(s3).
Sociedade Brasileira De Diabetes (SBD). (2017). Circunferência da cintura como preditor de risco Metabólico em adolescentes. Artigo comentado: Waist circumference is an independent predictor of insulin, por Marlene Merino. Rio de Janeiro.
Sociedade Brasileira De Diabetes (SBD). (2017). Diretrizes da Sociedade Brasileira de Diabetes. 2017-2018. Jardim Caboré: Clannad.
Sociedade Brasileira De Diabetes (SBD). Diretrizes da Sociedade Brasileira de diabetes. 2019-2020. Rio de Janeiro: 2019. https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf.
Torquato, L. E. S. Ocorrência de dislipidemias em portadores de diabetes mellitus tipo 2. (2012). Trabalho de Conclusão de Curso (Graduação em Farmácia). Universidade Estadual da Paraíba, Campina Grande.
Umbelino, A. F., Serrano, H. M. S., & Cruz, N. R. (2008). Avaliação nutricional e clínica em pacientes diabéticos hospitalizados. Rev Digital Nutrição [Internet], 2(2).
United Kingdom Prospective Diabetes mellitus Study Group (UKPDS). intensive blood glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 Diabetes mellitus. Lancet. 352:837-853, 1998.
Kim, H. J., Lee, H. J., An, S. Y., Sim, S., Park, B., Kim, S. W., & Choi, H. G. (2015). Analysis of the prevalence and associated risk factors of tinnitus in adults. PloS one, 10(5), e0127578.
Vasques, A. C. J., Cassani, R. S., Forti, A. C. E., Vilela, B. S., Pareja, J. C., Tambascia, M. A., & Brams Investigators. (2015). Sagittal abdominal diameter as a surrogate marker of insulin resistance in an admixtured population—Brazilian Metabolic Syndrome Study (BRAMS). PLoS One, 10(5), e0125365.
Vasques, A. C. J., Priore, S. E., Rosado, L. E. F. P. D. L., & Franceschini, S. D. C. C. (2010). Utilização de medidas antropométricas para a avaliação do acúmulo de gordura visceral. Revista de Nutrição, 23, 107-118.
Vigitel. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças não Transmissíveis. 2018. https://portalarquivos2.saude.gov.br/images/pdf/2019/julho/25/vigitel-brasil-2018.pdf Brasil.
Volaco, A., Martins, C. M., Soares, J. Q., Cavalcanti, A. M., Moyses, S. T., Baena, C. P., & Precoma, D. B. (2018). Neck circumference and its correlation to other anthropometric parameters and finnish diabetes risk score (FINDRISC). Current Diabetes Reviews, 14(5), 464-471.
Xavier, H. T., Izar, M. C., Faria Neto, J. R., Assad, M. H., Rocha, V. Z., Sposito, A. C., & Ramires, J. A. F. (2013). V Diretriz brasileira de dislipidemias e prevenção da aterosclerose. Arquivos brasileiros de cardiologia, 101, 1-20.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Ana Carolina Machado Leódido; Alyne Rodrigues de Araujo; Hianny Ferreira Fernandes ; Luiz Felipe de Carvalho França ; Gisele Santos de Araújo; Danilo Alves Lopes; Shantala Luana de Brito Veras Brejal Pereira ; Renata Pereira Nolêto; Manoel Dias de Souza Filho; Cristiano Sales da Silva
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.
