Las medidas antropométricas como indicadores predictivos de riesgo metabólico en una población mexicana

Abstract

Introduction: Currently, it is considered that the body fat accumulation at central level is associated with the presence of hypertriglyceridemia, hypertension and diabetes. The body mass index (BMI) has been used to identify obesity in the general population, but can not detect the distribution of body fat, so that can be used other anthropometric measures to assess adiposity and determine their relationship with the presence of metabolic disorders that present people with excess weight. Objective: To evaluate anthropometric measurements such as waist-hip ratio (WHR), BMI and waist circumference (WC) as predictive indicators of metabolic risk factors in Mexican adults. Methods: A descriptive cross-sectional study was conducted in a total of 490 subjects (27-46 years), grouped by gender. All participants were determined anthropometric measurements and biochemical parameters. ROC curves of anthropometric parameters were set to identify the best predictive indicator of metabolic risk. Results: The metabolic risk factor most prevalent after abdominal obesity in women was hypertriglyceridemia, followed by hyperglycemia, hypercholesterolemia and high blood pressure, which are found most often in men than in women, although the presence of abdominal obesity was found most frequently in women (73.9% vs. 37.3%). WC was the best predictive indicator to have one or more metabolic risk factors [area under the curve AUC = 0.85 (95% CI, 0.78 to 0.92)], followed by the BMI [AUC = 0.79 (95% CI, 0.72 to 0.88)], and fi nally the WHC [AUC = 0.63 (95% CI, 0.52 to 0.74)]. Also shows that abdominal obesity duplicate the risk of metabolic syndrome. Conclusion: Waist circumference is a better indicator of metabolic risk in both genders compared with BMI and the WHC.

Life style and quality of life in patients with metabolic syndrome and diabetes type 2

“…In regards to the clinical variables, patients had low cholesterol LDL and HDL levels, hyperglycemia, normal blood pressure, slightly high triglycerides, and a desirable level of cholesterol. This information and these variables were necessary to diagnose MS 27 . Hyperglycemia has proven to be one of the three main components of MS 28 .…”

Indicadores antropométricos y estilos de vida relacionados con el índice aterogénico en población adulta

“…En México existen investigaciones enfocadas al estudio de los factores de riesgo cardiovascular y metabólicos en función de los índices somatométricos (Domínguez-Reyes et al 2017;González-Chávez et al, 2011y Aguilar-Salinas, 2007. No obstante, los trabajos científicos que establecen una relación entre los indicadores antropométricos y el índice aterogénico son escasos.…”

Gastric Sleeve analysis as a surgical treatment for obesity

“…This is a conical disease, of a multifactorial nature, with an increasing prevalence in the world being the second cause of predictable death, after smoking. And great relevance in the world economy [3][4][5][6]. The main cause relies on changing the lifestyle of modern society, which has generated a huge unbalance between the consumption and use of energy, the development of large quantity and variety of industrial foods with a high caloric density, the enormous increase of sedentary lifestyle and less physical activity [7].…”

“…The prevalence of obese patients has severely increased becoming a serious public health issue [7]. It is estimated that in Mexico about 10 million people are severely obese [4,6].…”

“…Fat is a toxic factor which increases the fragility of these patients [12]; Obese people suffer from an increased risk of presenting multiple comorbidities such as high blood pressure, diabetes mellitus, dyslipidemia, heart failure, venous insufficiency, stroke, gout, COPD, coronary heart disease, obstructive sleep apnea, osteoarthritis, development of insulin resistance , osteoarticular diseases, mood disorders, substance abuse, depression, anxiety, reproductive disorders and cancer, which diminishes the quality and life expectancy [4,6,8,10,13].…”