Influência da distribuição da gordura corporal sobre a prevalência de hipertensão arterial e outros fatores de risco cardiovascular em indivíduos obesos

Carneiro, Gláucia; Faria, Alessandra N.; Filho, Fernando Flexa Ribeiro; Guimarães, Adriana Coutinho de Azevedo; Lerario, Daniel; Ferreira, Sandra Roberta Gouvêa; Zanella, Maria Teresa

doi:10.1590/s0104-42302003000300036

Cited by 113 publications

(111 citation statements)

References 17 publications

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“…Most studies in young populations emphasize the role of physical development in the determination of pressure levels. Weight and Body Mass Index are the variables showing a stronger correlation with blood pressure in this age group (3,6,15) .…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

“…The ratio between waist and hip circumference measures (WHR), characterizing the central distribution of fat, has been used to identify the subjects at higher cardiovascular risk (15,17) . In a study performed with obese subjects (15) , it was seen that the WHR increase was not associated with higher pressure levels. However, other studies (16) concluded that WHR is a complementary index to Body Mass Index in the evaluation of obesity and its metabolic changes and that the increased WHR is correlated to an adverse lipidic profile in hypertensive patients.…”

Section: Discussionmentioning

confidence: 99%

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Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

et al. 2007

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Objective: To analyze the evolution of systolic blood pressure (SAP), diastolic blood pressure (DAP) and anthropometric measurement values of children and teenagers who presented altered arterial pressure on a first evaluation. Methods: Follow-up study, performed from October / 2004 to December / 2005, at a public school in Fortaleza. One hundred fifty-one subjects between six and seventeen years old were accompanied and evaluated for a period of one year. Results: It was observed that the SAP and DAP of children and teenagers decreased along the evaluations. The variables age, education, weight, height, body mass index, waist perimeter, hip perimeter, arm and subscapular skin fold circumference were correlated positive and significantly with SAP and DAP values. There was a difference in median among the variables: Gender, kinship degree for arterial hypertension, passive smoker with SAP and DAP. Conclusion: It was observed that the SAP and DAP of children and adolescents decreased along the evaluations. Keywords: Blood pressure; Child health; Adolescent health; School health RESUMO Objetivo: O objetivo do estudo foi analisar a evolução dos valores da pressão arterial sistólica (PAS), da pressão arterial diastólica (PAD) e das medidas antropométricas de crianças e adolescentes que apresentaram alteração da pressão arterial em uma primeira avaliação. Métodos: Estudo longitudinal, realizado nos meses de outubro de 2004 a dezembro de 2005, em uma escola pública de Fortaleza, Ceará. Cento e cinqüenta e um indivíduos com idades entre seis e dezessete anos foram avaliados e acompanhados por um período de um ano. Resultados: As variáveis idade, escolaridade, peso, altura, índice de massa corporal, perímetro da cintura, perímetro do quadril, circunferência do braço e prega subescapular estiveram correlacionadas positiva e significativamente com os valores da PAS e da PAD. Houve diferença de mediana entre as variáveis: sexo, grau de parentesco para hipertensão arterial, fumante passivo com a PAS e com a PAD. Conclusão: Observou-se que a PAS e a PAD das crianças e dos adolescentes diminuíram ao longo das avaliações. Descritores: Pressão arterial; Saúde da criança; Saúde do adolescente; Saúde escolar RESUMEN Objetivo: En este estudio se tuvo como objetivo analizar la evolución de los valores de la presión arterial sistólica (PAS), de la presión arterial diastólica (PAD) y de las medidas antropométricas de niños y adolescentes que presentaron alteración de la presión arterial en una primera evaluación. Métodos: Se trata de un estudio longitudinal, realizado en los meses de octubre del 2004 a diciembre del 2005, en una escuela pública de Fortaleza, Ceará. Ciento cincuenta y un individuos con edades entre seis y diecisiete años fueron evaluados y acompañados por el período de un año. Resultados: Las variables edad, escolaridad, peso, altura, índice de masa corporal, perímetro de la cintura, perímetro de la cadera, circunferencia del brazo y pliegue subescapular estuvieron correlacionadas positiva y significativamente ...

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

et al. 2007

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“…12 The increase in cardiovascular risk is more associated with the distribution of visceral fat than with the mere increase in body weight. 3 Studies on the oriental population have already evidenced that patients with increased visceral fat, despite their normal body weight, had an increased prevalence of cardiovascular diseases. 3 In this study, all experimental animals had an increase in epididymal fat and the greatest increase in that parameter occurred in the group associating the two models of obesity: exocrine and neuroendocrine (MSG+CAF group).…”

Section: Discussionmentioning

confidence: 99%

“…2 The high incidence of obesity and its association with risk factors, such as diabetes mellitus, dyslipidemia, and arterial hypertension, increase mortality due to cardiovascular diseases. 3 The coexistence of arterial hypertension and obesity increases the risk of cardiovascular disease, and is frequently associated with dyslipidemia and glucose intolerance, making the possibilities of angina pectoris, myocardial infarction, heart failure, stroke, and sudden death even more frequent. 4 Human obesity is known to be a multifactorial disease, thus, controlling each variable involved in its etiology is impossible.…”

Section: Introductionmentioning

confidence: 99%

Efeito da associação entre obesidade neuroendócrina e exócrina experimental sobre a pressão arterial de cauda e o metabolismo de glicose de ratos Wistar

Pastore¹,

Cesaretti²,

Ginoza³

et al. 2010

J. Bras. Nefrol.

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Objective: To study two different models of obesity, exocrine and endocrine, and its association on tail arterial pressure (TAP), body weight (BW), glucose metabolism and visceral fat content. Methods: Male Wistar rats were studied. The MSG group was composed by rats that received of MSG in neonatal period. At the 3rd month of life, part of these animals received cafeteria diet. Animals received saline control in the neonatal period. In the 12 weeks of study, body weight and blood pressure were measured twice a week. In the end of this period on, Oral Glucose Tolerance Test (OGTT) was performed and the Insulin Sensitivity Index (ISI) was calculated, also the left Relative Ventricular Weight (RLW) and Relative Epididimal Fat Weight (REFW) were obtained. Results: No changes on BW and TAP were verified. The obesity induced by MSG and CAF, individually, let to increases on insulin resistance (WST = 23,25 ± 9,31; CAF = 15,92 ± 9,10*; MSG = 13,41 ± 3,84* mg-1mU-1, p < 0,05 vs WST) and relative epididimal fat content (WST = 6,20 ± 0,57; CAF = 8,27 ± 1,53*; MSG = 8,23 ± 1,98* g/100 g, *p < 0,05) when these rats were compared to control rats. An enhanced effect upon these parameters was observed with the association of both obesity models (MSG+CAF = 9,34 ± 5,77 mg1mU-1, p < 0,05 vs MSG and CAF) and visceral fat content (MSG+CAF = 11,12 ± 3,85 g/100g, p < 0,05 vs MSG and CAF). Conclusion: The association of these two experimental models of obesity aggravates insulin resistance that probably is due at least in part to the increase of visceral fat content.

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Determination of risk factors for hypertension through the classification tree method

et al. 2006

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Most current statistical strategies for determining risk factors for hypertension (HT) among certain populations have proved inconclusive. In this study, the classification tree method, which is more practical and easy to understand than other statistical methods, was used to determine the risk for HT among outpatients in a clinic in Denizli province, western Turkey, between January 2002 and July 2004. The effects of 14 risk factors (body mass index, waist-to-hip ratio, age, serum total cholesterol, serum triglycerides, sex, HT in first-degree relatives, diabetes mellitus, smoking, stress factors, alcohol consumption, dyslipidemia in first-degree relatives, dyslipidemia [previously diagnosed], and saturated fat consumption) on HT were evaluated in this population. In all, 1761 adults at the outpatient clinic were recruited for lipid and HT measurements. The classification tree method revealed 7 main risk factors (body mass index, waist-to-hip ratio, sex, serum triglycerides, serum total cholesterol, HT in first-degree relatives, and saturated fat consumption) for HT. The findings of the present study suggest that the classification tree is a valuable statistical method for evaluating multiple risk factors for HT.

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Influência da distribuição da gordura corporal sobre a prevalência de hipertensão arterial e outros fatores de risco cardiovascular em indivíduos obesos

Abstract: Our data reinforce the association between obesity and high cardiovascular risk. In addition, our findings suggested a role for body fat distribution in the development of hypertension in obese patients.

Cited by 113 publications

References 17 publications

Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

Pressão arterial de crianças e adolescentes de uma escola pública de Fortaleza - Ceará

Efeito da associação entre obesidade neuroendócrina e exócrina experimental sobre a pressão arterial de cauda e o metabolismo de glicose de ratos Wistar

Determination of risk factors for hypertension through the classification tree method

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