Análise da relação entre a estatura e o perímetro abdominal em indivíduos portadores de percentuais normais de gordura

Lima, Walter Celso de; Lucas, Ricardo Wallace das Chagas; Nassif, Paulo Afonso Nunes; Bopp, Denise Serpa; Malafaia, Osvaldo

doi:10.1590/s0102-67202010000100007

Cited by 3 publications

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“…Subcutaneous fat has a significant correlation with BMI, but not with visceral fat. Thus, it is concluded that the BMI should not be used in isolation for the screening and evaluation of comorbidities 10 . There are other parameters for this analysis, such as the waist and height ratio.…”

Section: Discussionmentioning

confidence: 99%

Helical Computerized Tomography Can Measure Subcutaneous, Visceral and Total Fat Areas?

Wendler

Nassif

Malafaia

et al. 2021

ABCD, arq. bras. cir. dig.

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Background: Abdominal obesity or android obesity, that is, the increase in adipose tissue in the abdominal region, is considered a risk factor for several morbidities. Different ways of quantifying it have been proposed, one method is the measurement of the abdominal fat area by computed tomography. Aim: To establish correspondence between the groups defined by degree of obesity in relation to the total, subcutaneous and visceral fat area. Methods: Cross-sectional observational study carried out through the analysis of tomographic examinations. Horos v3.3.5 medical image visualization software was used, with abdominal tomography in a single cut including the L4 vertebral body and the umbilical scar, to obtain the areas of total, visceral and subcutaneous fat. Results: Of the 40 patients, 10 had grade II obesity, 23 grade III and 7 superobese. The amount of total fat showed an increase in relation to the degree of obesity. Visceral fat did not show significant differences between the degrees of obesity, but the data showed a lower average in the group of obesity grade II. The area of subcutaneous fat, as well as total fat, showed an increase in its measurements, according to the progression of the patients’ BMI, but there was no statistical significance in this difference between the groups of grade II and super-obese individuals. Conclusion: The area of total and subcutaneous fat showed an increase in its measurements according to the progression of the BMI groups, which did not happen with visceral fat.

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Section: Discussionmentioning

confidence: 99%

Helical Computerized Tomography Can Measure Subcutaneous, Visceral and Total Fat Areas?

Wendler

Nassif

Malafaia

et al. 2021

ABCD, arq. bras. cir. dig.

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“…However, there are several limitations of BMI, which include: non-differentiation of lean and fat mass, making it difficult to assess muscular patients; do not differentiate visceral fat from subcutaneous fat; it has special tables for children and seniors 10,26,30 .…”

Section: Discussionmentioning

confidence: 99%

“…Lima et al (2010) 26 verified the existence of a common waist-to-height ratio in male individuals, aged between 18 and 25 years, with normal fat percentages, to provide a personalized and non-generalized method of measuring waist circumference. The analysis of the sample of 174 individuals resulted to be in the age group of 21.2±2.1 years, with height of 174.3±6.2 cm, with a percentage of fat of 10.8%, with measurement of the abdominal circumference of 75.5±5.7 cm, and with the waist/height ratio presenting the value of 0.43±0.033.…”

Section: Discussionmentioning

confidence: 99%

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

MALAFAIA

Nassif

Lucas³

et al. 2021

ABCD, arq. bras. cir. dig.

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Background: The increased prevalence of obesity has led to a significant increase in the occurrence of metabolic syndrome, a recognized risk factor for increased morbidity and mortality from cardiovascular diseases. Hyperglycemia or type 2 diabetes mellitus, dyslipidemia and arterial hypertension are its main components. Since 2015, international guidelines have recognized the benefits of bariatric surgery in each isolated factor of this syndrome. Aim: To evaluate the impact of Roux-en-Y gastric bypass in this syndrome comparing pre- and postoperative periods with laboratory analysis and to compare waist/height ratio and BMI in relation to the determination of the cardiometabolic risk profile. Methods: A retrospective study was carried out, selecting 80 patients undergoing Roux-en-Y gastric bypass. Total cholesterol, HDL, LDL, triglycerides, fasting glucose, glycated hemoglobin, insulin, body mass index (BMI), vitamin D, vitamin B12, waist circumference and waist/height ratio in three periods were analyzed: the preoperative period from 1 to 6 months, postoperative from 1 to 6 months and postoperative from 1 to 2 years. Results: There was an improvement in all parameters of the clinical analyses. The preoperative BMI had a mean value of 39.8, in the preoperative period from 1 to 6 months, the values dropped to 33.2 and in the postoperative period of 1 year, the mean was 26. The perimeter mean values of 118.5 preoperatively, 105.2 postoperatively from 1 to 6 months and 90.3 postoperatively from 1 to 2 years. Waist/height ratio was 0.73, 0.65 and 0.56 in pre, post 1 to 6 months and 1 to 2 years respectively. Conclusion: Roux-en-Y gastric bypass improves metabolic syndrome and waist-to-height ratio is superior to BMI in the assessment of the cardiometabolic risk profile.

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“…De acordo com a IV Diretriz sobre Dislipidemias e Aterosclerose, da Sociedade Brasileira de Cardiologia, o excesso de peso associado ao acúmulo de gordura na região abdominal (obesidade visceral) está associado a um maior risco de doença aterosclerótica 23 .…”

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Excesso de peso em usuários de unidades básicas de saúde

Silva

Conceição

et al. 2016

ABCS Health Sci.

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Introdução: O conhecimento sobre estado nutricional da população norteia o estabelecimento de políticas públicas em saúde. Objetivo: Avaliar o estado nutricional e as características sociodemográficas de usuários das unidades básicas de saúde (UBSs) de Carapicuíba, São Paulo. Métodos: Estudo transversal com 384 adultos distribuídos em 13 UBSs do município. Foram coletados dados quanto a idade, gênero, escolaridade, informações para a classificação econômica, estado civil, circunferência da cintura (CC), peso e estatura para cálculo do índice de massa corporal (IMC). Resultados: A idade média foi de 40,18+10,51 anos, houve maior prevalência de indivíduos casados (60,36%), de classe social C (64,71%) e com ensino médio completo (48,08%). O IMC médio foi 28,42 kg/m², e a CC, de 94,09 cm. Observa-se que 31,97% estão em sobrepeso e 37,85% são obesos. Quanto à CC, 16,11% apresentam risco aumentado e 64,2% risco aumentado substancialmente para doença metabólica. As mulheres casadas possuem IMC (p=0,0054) e CC (p=0,0279) maiores que as mulheres solteiras. Mulheres têm CC maior que os homens (p<0,0001). Homens de classes A e B têm CC maior que homens de classe C e D (p=0,0027). Não houve associação entre a escolaridade e o IMC e a CC entre as mulheres nem entre os homens (p>0,05). Conclusão: O excesso de peso foi encontrado com frequência em todos os grupos de renda. As mulheres casadas apresentaram IMC e CC maiores que as solteiras. Os homens de classe econômica alta têm CC maior que os de classe baixa.

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Análise da relação entre a estatura e o perímetro abdominal em indivíduos portadores de percentuais normais de gordura

Abstract: DESCRITORES

Cited by 3 publications

References 13 publications

Helical Computerized Tomography Can Measure Subcutaneous, Visceral and Total Fat Areas?

Helical Computerized Tomography Can Measure Subcutaneous, Visceral and Total Fat Areas?

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

Excesso de peso em usuários de unidades básicas de saúde

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