Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

Fagundes, Luara Costa; Fernandes, Marcos Henrique; Brito, Thaís Alves; Coqueiro, Raildo da Silva; Carneiro, José Ailton Oliveira

doi:10.1590/1413-81232018232.02862016

Cited by 7 publications

(7 citation statements)

References 25 publications

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“…HTGW + prevalence was elevated in our population. Factors such as age, BMI, tobacco use, adherence to the MedDiet, and total energy expenditure were associated with the presence of HTGW, in accordance with Fagundes et al . In this study, the population aged ≥ 60 years had a high prevalence of HTGW, with physical inactivity and overweight as key factors associated with this phenotype.…”

Section: Discussionsupporting

confidence: 89%

Association Between Lifestyle and Hypertriglyceridemic Waist Phenotype in the PREDIMED‐Plus Study

Fernández-García¹,

Muñoz-Garach²,

Martínez‐González³

et al. 2020

Obesity

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Objective The hypertriglyceridemic waist (HTGW) phenotype is characterized by abdominal obesity and high levels of triglycerides. In a cross‐sectional assessment of PREDIMED‐Plus trial participants at baseline, HTGW phenotype prevalence was evaluated, associated risk factors were analyzed, and the lifestyle of individuals with metabolic syndrome and HTGW was examined. Methods A total of 6,874 individuals aged 55 to 75 with BMI ≥ 27 and < 40 kg/m2 were included and classified by presence (HTGW+) or absence (HTGW−) of HTGW (waist circumference: men ≥ 102 cm, women ≥ 88 cm; fasting plasma triglycerides ≥ 150 mg/dL). Analytical parameters and lifestyle (energy intake and expenditure) were analyzed. Results A total of 38.2% of the sample met HTGW+ criteria. HTGW+ individuals tended to be younger, have a greater degree of obesity, be sedentary, and be tobacco users. They had higher peripheral glucose, total cholesterol, and low‐density lipoprotein cholesterol levels; had lower high‐density lipoprotein cholesterol levels; and had increased prevalence of type 2 diabetes mellitus. Mediterranean diet (MedDiet) adherence and physical activity were greater in HTGW− patients. Age, BMI, tobacco use, total energy expenditure, hypertension, type 2 diabetes mellitus, and MedDiet adherence were associated with HTGW+. Conclusions HTGW is a highly prevalent phenotype in this population associated with younger age, higher BMI, tobacco use, and decreased MedDiet adherence. HTGW− individuals were more physically active with greater total physical activity, and fewer had hypertension.

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Section: Discussionsupporting

confidence: 89%

Association Between Lifestyle and Hypertriglyceridemic Waist Phenotype in the PREDIMED‐Plus Study

Fernández-García¹,

Muñoz-Garach²,

Martínez‐González³

et al. 2020

Obesity

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“…The strongly positive association between HTGW with the female sex, age, body mass index and high blood glucose levels, agree with that found in Brazilian older adults (24,32)This association makes clear the importance of anthropometric indicators as indirect evidence of metabolic disorders, since it has been shown that the increase in body volume provides an environment conducive to the development of metabolic disorders especially in women, after the menopause, period in which women reduce their levels of physical activity, increase their social stress and adopt inappropriate nutritional styles, which ultimately leads to an increase in body weight (35). The inverse association between smoking and HTGW is surprising in our study, although it has been reported that the cessation of smoking is linked to the increase in body weight and adiposity indexes (36).…”

Section: Discussionsupporting

confidence: 89%

“…In this study, we found that the prevalence of HTGW among the older adults in Colombia is higher in men than in women and there were significant differences in terms of sex and possible risk factors. In the present study, the prevalence of HTGW in the older adults was 38.7%, a percentage that is much higher than that reported in Brazilian older adults (27.1%) (24) and Chinese (23.71%) (25). In this and other studies (9,24,26), women have the highest prevalence of HTGW, a result that is alarming since this phenotype ends up completing the ominous picture of metabolic syndrome in older adults women, in addition to the increase in body weight.…”

Section: Discussioncontrasting

confidence: 74%

“…In the present study, the prevalence of HTGW in the older adults was 38.7%, a percentage that is much higher than that reported in Brazilian older adults (27.1%) (24) and Chinese (23.71%) (25). In this and other studies (9,24,26), women have the highest prevalence of HTGW, a result that is alarming since this phenotype ends up completing the ominous picture of metabolic syndrome in older adults women, in addition to the increase in body weight. it is a central factor in the development of metabolic alterations, especially in older adults women, due to the existing relationship between visceral fat accumulation (27) and factors associated with the development of hypertension (28) and diabetes mellitus type 2 (29).…”

Section: Discussioncontrasting

confidence: 74%

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Prevalence And Factors Associated With Hypertriglyceridemic Waist In Colombian Elderly.

Rincón-Pabón

Urazán-Hernández

Gómez-Rodas

et al. 2019

Preprint

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Background: The purpose of this study to analyze the prevalence of hypertriglyceridemic waist and associated factors in older individuals aged ≥60 years in Colombia. Methods: The data for this study came from a secondary cross-sectional, nationally representative SABE study Survey on Health, Well-Being, and Aging in Colombia, 2015. A total of 3824 participants (59.7% male, 69 (IR=64-76) years) from 86 Colombian municipalities participated. The data were collected through a questionnaire, blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist phenotype was diagnosed using high triglyceride values (≥ 150 mg / dl) and increased waist circumference ≥ 88 and ≥ 102 cm for women and men, respectively. A logistic regression analysis was used to compare the hypertriglyceridemic waist phenotype and the associated factors, significance level of 5%. STROBE checklist for cross‐sectional studies was applied in this paper (see Supplementary File 1). Results: The hypertriglyceridemic waist was present in 38.7% of the study population, with a higher prevalence among females than males (44.6% vs. 30.0%). Female gender [odds ratio (OR) 1.9 (95% confidence interval (CI) 1.6-2.2)]; be octogenarian [OR 0.7 (95% CI 0.6-0.9)]; live in an urban area [OR 1.5 (95% CI 1.3-1.8)] and have a lifestyle of former smoker [OR 0.8 (95% CI 0.7-0.9)]. On the other hand, it was observed that having a BMI different from normal is strongly associated with HTGW [Weight: OR 2.0 (95% CI 1.5-2.6), overweight: OR 4.1 (95% CI 3.4 -4.9) and obesity: OR 5.0 (95% CI 4.1-6.1)]. The glycemia, the hemoglobin and the increase in cholesterol also showed positive association with HTGW [OR 0.5 (95% CI 0.5-0.7), OR 2.1 (95% CI 1.8-2.4) and OR 2.1 (95% CI 1.9-2.5), respectively] were associated with increased odds of HTGW. ¬Conclusions: There is a significant prevalence of hypertriglyceridemic waist in Colombia's elderly and sociodemographic factors, lifestyles and biological markers are associated with the hypertriglyceridemic waist phenotype. Elderly men showed greater probabilities in terms of age, schooling, geographic area, body mass inde and cholesterol concentrations. Elderly women revealed higher probabilities in biological markers

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“…24−26 A prevalência de indivíduos com FCH neste estudo foi maior dentre o sexo masculino. Apesar de este resultado diferir do encontrado em estudos nacionais, [27][28][29] Quando se tem valores aumentados de PC, como no caso do FCH, há um aumento na gordura abdominal e visceral, que leva a um aumento também da atividade lipolítica nos adipócitos e por causa disso maior liberação de ácidos graxos livres que se acumulam nas células principalmente do fígado, músculos e pâncreas. O excedente de ácidos graxos no fígado servirá como substrato para a produção de triacilgliceróis hepáticos e lipoproteínas ricas em triacilgliceróis na circulação.…”

Section: Discussionunclassified

Prevalence of hypertriglyceridemic waist phenotype and associated factors: cross-sectional study of bank workers in the metropolitan region of Vitória, ES, Brazil

Ferreira

Oliveira²,

Cattafesta³

et al. 2020

DEMETRA

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Objetivo: Este artigo investiga a prevalência de cintura hipertrigliceridêmica em bancários e sua associação com fatores socioeconômicos, laborais, comportamentais, antropométricos e de condições de saúde. Método: trata-se de um estudo transversal com 525 bancários. Para avaliação do fenótipo cintura hipertrigliceridêmica foi considerada a associação de circunferência da cintura e hipertrigliceridemia. Resultados: A investigação resultou em uma prevalência de fenótipo de 19,4%, sendo maior em homens, pessoas em idades avançadas, que vivem maritalmente e que trabalham na agência há mais de cinco anos. O fenótipo também se associou ao excesso de peso, HDL-c (high density lipoprotein) baixo, hiperlipidemia mista, elevada relação triglicerídeos/HDL-c e hipertensão arterial. Ter mais de 50 anos e estar acima do peso aumentava as chances de os bancários apresentarem o fenótipo. Ser do sexo feminino e ter níveis adequados de HDL-c mostraram-se fatores de proteção contra o fenótipo. Conclusão: A prevalência de cintura hipertrigliceridêmica entre bancários é alta e associa-se principalmente ao excesso de peso e perfil lipídico desfavorável desta população.

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Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

Abstract: Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study Prevalência e fatores associados à cintura hipertrigliceridêmica em idosos: um estudo de base populacional

Cited by 7 publications

References 25 publications

Association Between Lifestyle and Hypertriglyceridemic Waist Phenotype in the PREDIMED‐Plus Study

Association Between Lifestyle and Hypertriglyceridemic Waist Phenotype in the PREDIMED‐Plus Study

Prevalence And Factors Associated With Hypertriglyceridemic Waist In Colombian Elderly.

Prevalence of hypertriglyceridemic waist phenotype and associated factors: cross-sectional study of bank workers in the metropolitan region of Vitória, ES, Brazil

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