“A body shape index” and its association with arterial hypertension and diabetes mellitus among Brazilian older adults: National Health Survey (2013)

Abstract

The aim was to evaluate the separate and joint association of abdominal adiposity indicators (a body shape index - ABSI, waist circumference - WC, waist-to-height ratio - WHtR) and body mass index (BMI) with arterial hypertension and diabetes mellitus, in Brazilian older adults. Data from the 2013 Brazilian National Health Survey (PNS 2013) were used for the population aged 60 years or older (10,537 older adults). Arterial hypertension and diabetes mellitus outcomes were self-reported and the following anthropometric indices were evaluated by direct measurement: a ABSI, BMI, WC and WHtR. Associations were assessed by logistic regression, with adjustments for confounding factors. The results of this study evidenced a higher strength of association between the report of arterial hypertension and diabetes mellitus with BMI, WC and WHtR in the Brazilian population of older adults in separate analyses, when compared to ABSI. When adjusted for BMI, ABSI showed a greater strength of association with the outcomes, but it was not superior to the performance of WC and WHtR. Considering the lower strength of association, in separate and joint analyses, between the new index (ABSI) and the chronic conditions assessed, BMI, WC and WHtR probably remain as useful indices in public health, at least in relation to arterial hypertension and diabetes mellitus in Brazilian older adults.

Edentulism and all–cause mortality among Brazilian older adults: 11–years follow–up

“…First, the use of a summary measure of poor nutritional status was based on BMI, which has been shown to be an useful and reliable tool in large surveys. 36 Second, the Lipschitz nutritional status classification limits comparison of our results with those from other studies, although this cut-off has been validated and indicated for older adults. 29 Finally, edentulism and nutritional status were measured at baseline.…”

Factors associated to the adherence to the non-pharmachological treatment of hypertension in primary health care

“…The components of the non-pharmacological treatment of depression with the lowest adherence in the sample studied were the control of the AC, weight control, and physical activity. Inadequate anthropometric measurements represent a cardiovascular risk and increase arterial pressure (16)(17) . Furthermore, these weight and abdominal circumference changes are related to physical inactivity, which is very common among participants.…”

Anthropometric and body composition parameters in adolescents with the metabolically obese normal-weight phenotype

“…In the bivariate analysis, p values <0.20 were considered for inclusion in the regression models. The waist-to-height ratio, waist-to-hip ratio, android/gynoid ratio and regional IMLC were converted to Z-score in the regression models using the following equation: Z-score = (individual anthropometric value -mean anthropometric value) / standard deviation [45].…”