Clinical Aspects of Central Obesity at a Public Clinic

Abstract

Background: The relation between central obesity epidemic and food consumption strategies has drawn attention towards understanding its complexity. The aim of our study is to evaluate clinical and nutritional aspects of women with central obesity in Salvador, Bahia. Methods: The study was done in 89 adult women with waist circumference > 84 cm after individualized outpatient consultations for 48 months (2012-2015). Direct interviews were performed with the application of three R24h recalls to evaluation of food consumption in relation to macronutrients, fiber and energy. The biochemical variables were determined in the blood collected with a 12-h fasting period. Results: There was a significant reduction in the waistline circumference baseline and final values, associated to a reduction in body fat percentage and a significant increase in body water. A significant reduction was observed in the consumption of carbohydrates in parallel to an increase in the consumption of fibers and 55 times in the percentage of consumption of lipids, in addition to a significant reduction in the baseline and final values of glycosylated hemoglobin, fasting glycemia and low-density lipoprotein cholesterol (LDL-C). Conclusions: It was observed that outpatient care with emphasis in the quality of the diet was capable of reducing anthropometric and clinical variables attributed to the development of illnesses associated with central obesity.