Abdominal obesity increases metabolic risk factors in non-obese adults: a Hungarian cross-sectional study

Abstract

BackgroundThe prevalence of abdominal obesity is increasing worldwide. Adults with abdominal obesity have been reported to have increased risk of cardiometabolic disorders.The aim of this study was to examine whether non-obese subjects (body mass index (BMI) < 25 kg/m2) with abdominal obesity examined in the framework of the Swiss–Hungarian Cooperation Programme had increased metabolic risk compared to participants without abdominal obesity.MethodsA cross-sectional study was carried out in 5228 non-obese individuals. Data were collected between July 2012 and February 2016. Descriptive statistics, Pearson’s correlation analysis and multiple logistic regression models were applied, odds ratios (OR) with 95% confidence interval (CI) being the outcomes.Results607 (11.6%) out of the 5228 non-obese individuals had abdominal obesity. The correlation analysis indicated that the correlation coefficients between BMI and waist circumference (WC) were 0.610 in males and 0.526 in females. In this subgroup, the prevalence of high systolic blood pressure, high fasting blood glucose, and high total cholesterol and triglyceride levels were significantly higher. The logistic regression model based on these data showed significantly higher risk for developing high systolic blood pressure (OR = 1.53; 95% CI = 1.20–1.94), low HDL cholesterol (OR = 2.06; 95% CI = 1.09–3.89), and high trygliceride level (OR = 1.65; 95% CI = 1.27–2.16).ConclusionsThere was a very high, significant, positive correlation between WC and BMI. Abdominal obesity was found to be strongly related to certain metabolic risk factors among non-obese subjects. Hence, measuring waist circumference could be recommended as a simple and efficient tool for screening abdominal obesity and related metabolic risk even in non-obese individuals.

Central obesity in adult patients with optimal weight in primary health care

“…In the group with optimal weight and central obesity, there was a statistically significant difference in relation to gender and age (p<0.005). Our data were consistent with data from 2017 and 2019 which also indicate the abdominal obesity was very frequent in PHCs, and more so in women than men 29,30 .…”

“…U grupi normalno uhranjenih pacijenata sa centralnom gojaznošću postoji statistička značajna razlika u odnosu na pol i starosnu grupu (p<0,005). Dobijeni podaci su u skladu sa podacima iz 2017. i 2019. godine koji, takođe, ukazuju da je abdominalna gojaznost česta na nivou primarne zdravstvene zaštite, kao i da je češća kod žena nego kod muškaraca 29,30 .…”

A Blind Man Leads a Blind Man? Personalised Nutrition-Related Attitudes, Knowledge and Behaviours of Fitness Trainers in Hungary

“…The nutrition-related education in Hungarian fitness centres is a question of specific importance, because (1) obesity is a considerable problem for the Hungarian population, and the Hungarian prevalence of obesity is one of the highest in the world (Lukács et al) [23]; (2) the fitness centres are often visited by young males with relatively low levels of education, and that is why this is an ideal place to achieve such population segments which are hardly achievable in other ways for health-related communication and (3) the Hungarian fitness industry is increasing intensively. This tendency is fuelled by a favourable economic climate (relatively rapid increasing of purchasing power) and liberal regulatory framework.…”

Association between Dietary Patterns and Serum Hepatic Enzyme Levels in Adults with Dyslipidemia and Impaired Fasting Plasma Glucose

“…However, this relationship was not present in subjects with normal waist circumference. This subgroup finding is crucial for clinical application as obesity is a worldwide epidemic and linked to many chronic diseases [ 44 , 45 ]. Clinicians may use this finding to advocate for the importance of maintaining normal waist circumference in preventing obesity-associated liver disease.…”