Associação de diferentes medidas e índices antropométricos com a carga aterosclerótica coronariana

Chagas, Patrícia; Caramori, Paulo; Barcellos, Christiano; Galdino, Tatiana Pizzato; Gomes, Irênio; Schwanke, Carla Helena Augustin

doi:10.1590/s0066-782x2011005000093

Cited by 18 publications

(17 citation statements)

References 21 publications

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“…Epidemiological evidence has suggested that abdominal obesity accelerates atherosclerotic progression, however, current evidence on the topic is limited and inconsistent 2, 4 .…”

Section: Introductionmentioning

confidence: 99%

Association between anthropometric measures of obesity and subclinical atherosclerosis in Bangladesh

Parvez

et al. 2014

Atherosclerosis

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Background Anthropometric measures such as waist-hip-ratio (WHR), waist-height-ratio (WHtR), waist circumference, Mid-upper arm circumference (MUAC), and upper thigh circumference, have been linked to the risk of cardiovascular disease (CVD). However, their relationships with subclinical atherosclerosis are unclear. Studies in normal-weight populations, especially in Asian countries where leanness is prevalent, are lacking. Methods We conducted a cross-sectional study to assess the associations of WHR, WHtR, waist circumference, hip circumference, body mass index (BMI), MUAC and upper thigh circumference with carotid intima-media thickness (cIMT) among 562 middle-aged participants free of CVD in rural Bangladesh. Results After adjusting for age and sex, WHR and waist circumference but not BMI showed a positive significant association with cIMT. In multivariate analysis, each standard deviation (SD) increase of WHR (0.08) or WHtR (0.07) was associated with an 8.96 μm (95% CI, 1.12–16.81) or 11.45 μm (95%CI, 0.86–22.04) difference in cIMT, respectively, after controlling for age, sex, BMI, smoking status, education level, and systolic blood pressure (SBP). The associations of WHR and WHtR with cIMT were independent of the influence of other anthropometric measures. The associations of other anthropometric measures and cIMT were not apparent. Conclusions In our relatively lean, healthy Asian population, WHR and WHtR appear to be better predictors of early atherosclerosis than other common surrogates of adiposity.

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“…Epidemiological evidence has suggested that abdominal obesity accelerates atherosclerotic progression, however, current evidence on the topic is limited and inconsistent 2, 4 .…”

Section: Introductionmentioning

confidence: 99%

Association between anthropometric measures of obesity and subclinical atherosclerosis in Bangladesh

Parvez

et al. 2014

Atherosclerosis

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“…Neck circumference (NC) was recently associated with various cardiovascular risk factors such as insulin resistance and biochemical components of metabolic syndrome such as fasting glucose, fasting triglycerides, and blood pressure, independent of body mass index (BMI) and waist circumference [[1]-[4]]. However, few studies have assessed the relation between NC and early stage atherosclerosis in Chinese adults [[5]].…”

Section: Introductionmentioning

confidence: 99%

Neck circumference and early stage atherosclerosis: the cardiometabolic risk in Chinese (CRC) study

Liang

Wang

et al. 2014

Cardiovasc Diabetol

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BackgroundNeck circumference (NC) has been previously related to cardiometabolic risk factors. In this study we examined the association between NC and early stage atherosclerosis in Chinese adults.MethodsThe study samples were from a community-based health examination survey in central China. In total 2,318 men and women (18-64 y) were included in the final analyses. Carotid radial pulse wave velocity (crPWV), carotid femoral PWV (cfPWV), carotid artery dorsalis pedis PWV (cdPWV) and NC were measured.ResultsAfter adjustment for age, sex, lipids, glucose, blood pressure, heart rate, body mass index (BMI), high NC was significantly associated with an increasing trend of cfPWV, cdPWV and crPWV (P = 0.001, 0.049, and 0.038; respectively). In addition, we found significant interaction between hypertension status and NC level in relation to cfPWV, adjusted for age, sex, BMI, fasting glucose, lipids and heart rate(P for interaction = 0.034). The associations between NC and cfPWV were significant (P = 0.02) among those with hypertension, but not significant among those without hypertension.ConclusionsOur data showed that high NC was associated with an increased risk of early stage atherosclerosis in Chinese adults, independent of other metabolic risk factors. Hypertension might modify the association between NC and cfPWV.

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“…30 Para a RCEst, a maioria da população estudada está em risco (81,7%), semelhante ao observado por Silva et al (96,3%). 31 Chagas et al 32 citam a forte correlação da RCEst com a gordura intra-abdominal, e sua associação com maior risco para DCV. Diversos estudos têm demonstrado que a RCEst é um bom discriminador de obesidade abdominal relacionada a fatores de risco cardiovascular, bem como de risco coronariano elevado (RCE).…”

Section: Discussionunclassified

Diagnóstico primário dos fatores de risco coronariano em idosos vinculados à estratégia saúde da família no interior do Rio Grande do Sul

Radtke¹,

Wichmann²,

Couto³

2016

Cinergis

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. RESUMOObjetivo: estimar a prevalência de fatores de risco de doença coronariana em idosos de um município no interior do Rio Grande do Sul. Método: para a realização do presente estudo, utilizou-se a tabela de risco coronariano proposta pela Michigan Heart Association. Realizou-se um estudo com abordagem epidemiológica, observacional e com delineamento transversal em uma amostra calculada de 115 idosos, de ambos os sexos, na faixa etária média de 69,86 ±7,7 anos. Os dados foram submetidos à análise descritiva, através da média, desvio padrão e identificação do percentual da ocorrên-cia do risco relativo, além disso, foi realizado o teste Mann-Whitney e o teste t pareado para comparação do risco coronariano entre as unidades de saúde e a frequência na dieta alimentar de alimentos ricos em gorduras saturadas e sódio. Resultados: o risco coronariano médio obtido foi de 31,23 ± 5,3 pontos, classificado pela Michigan Heart Association, como risco moderado. Não houve alteração significativa entre os sexos e as localidades, indicando que o risco coronariano é alto em todo território avaliado. A população apresentou dieta aterogênica, com consumo elevado de gordura saturada e sódio. De acordo com a ordem de prevalência, os fatores mais encontrados foram: percentual de gordura saturada na dieta, hereditariedade, sobrepeso, pressão arterial, sedentarismo e tabagismo respectivamente. Considerações finais: foram evidenciados casos de alto risco, alertando para a necessidade da elaboração e inserção de políticas de promoção de saúde, a fim de minimizar as possibilidades de ocorrência de eventos coronarianos, sobretudo em uma população idosa. Palavras-chave:

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Associação de diferentes medidas e índices antropométricos com a carga aterosclerótica coronariana

Abstract: Background: The association between anthropometric parameters and atherosclerotic burden is not well established and few studies have addressed this issue.

Cited by 18 publications

References 21 publications

Association between anthropometric measures of obesity and subclinical atherosclerosis in Bangladesh

Association between anthropometric measures of obesity and subclinical atherosclerosis in Bangladesh

Neck circumference and early stage atherosclerosis: the cardiometabolic risk in Chinese (CRC) study

Diagnóstico primário dos fatores de risco coronariano em idosos vinculados à estratégia saúde da família no interior do Rio Grande do Sul

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