Can Stature, Abdominal Perimeter and Bmi Index Predict Possible Cardiometabolic Risks in Future Obesity?

Abstract

Background: Obesity changes the anatomy of the patient. In addition to the aesthetic change, the high percentage of fat determines evident functional changes. Anthropometric normality in measuring abdominal circumference and height can serve as a basis for measuring cardiometabolic risks of obesity. Aim: To verify if it is possible to determine parameters of normality between waist and height in people with normal BMI and fat percentages, to serve as a basis for assessing risks for obesity comorbidities. Methods: A sample of 454 individuals with BMI and percentages of fat considered within the normal range was extracted. It was divided into age groups for both men and women between 18 and 25; 26 to 35; 36 to 45; 46 to 55; 56 to 65. A total of 249 men and 205 women were included. Results: Regarding the percentage of height as a measure of the abdominal perimeter, the total female sample had an average of 44.2±1.1% and the male 45.3%+1.5. For women, this percentage determined the equation of the waist-height ratio represented by X=(age+217) / 5.875, and for men X=(age+190.89) / 5.2222. “X” represents the percentage of the height measurement so that the individual falls into the category of adequate percentage of fat and BMI. Conclusion: Between the stature of adult men and women with normal fat percentage and BMI, there is a common numerical relationship, with is on average 44% for women and 45% for men.

Effect of High-Intensity Interval Training and Intermittent Fasting on Body Composition and Physical Performance in Active Women

“…In addition, as it has been presented in numerous epidemiological studies, waist circumference is associated with cardiometabolic risks and pathologies, which extensively negatively affect public health [ 53 , 54 ]. The absence of significant changes could be due to the fact that the interventions in which a significant reduction in fat mass was observed were of longer duration (>12 weeks) than those used in the present study (8 weeks) [ 49 , 55 ].…”

Is the Waist/Height Ratio a Better Parameter Than Bmi in Determining the Cardiometabolic Risk Profile of Obese People?

“…Our study found that the WHtR values after two years of postoperative RYGB were equivalent to 0.56, with a reduction equivalent to 60.7% if the objective was to reach 0.45 in the study by Lucas et al (2020) 27 .…”

“…Study by Lucas et al (2020) 28 , using the cutoff point of 0.5 in WHtR as a reference, evaluated the development of an equation that could determine the appropriate waist measurement of the smallest abdominal perimeter, also having as premise the WHtR, but in a sample 454 individuals, 249 males and 205 females, between 18 and 65 years old, without the state of obesity. Regarding the percentage of height as a measure of the smallest waist circumference, the total female sample had an average of 44.2±1.1% and the male 45.3%±1.5.…”

Repercussões Da Cirurgia Bariátrica Sobre Parâmetros Metabólicos. Experiência De 15 Anos Em Hospital De Maceió - Brasil.

“…A sua realização vem crescendo nos dias atuais, sendo considerado um método eficaz no tratamento da obesidade mórbida e no controle de peso em longo prazo, mas tem ganhado importância também no controle da diabetes, na redução dos fatores de risco cardiovasculares e de outras comorbidades relacionadas à obesidade e da síndrome metabólica nos indivíduos refratários ao tratamento clínico. 7,13,16 A cirurgia deverá ser recomendada para aqueles pacientes obesos que não obtiveram êxito no tratamento clínico conservador (dieta e medicamentos) e após rigorosa análise da equipe multiprofissional, com avaliação do estado nutricional, das condições e do perfil psicológico e deverá seguir as recomendações médicas e nutricionais após o procedimento, complementado com um plano alimentar de forma correta e individualizada, com suplementação nutricional, além de manter atividade física. Isto porque o sucesso do tratamento cirúrgico depende essencialmente do equilíbrio emocional e das mudanças nos hábitos alimentares e estilo de vida do indivíduo.…”