Obesidad y riesgo de infarto de miocardio en una muestra de varones europeos. El índice cintura-cadera sesga el riesgo real de la obesidad abdominal

Abstract

Martín-Castellanos A, Cabañas Armesilla MD, Barca Durán FJ, Martín Castellanos P, Gómez Barrado JJ. Obesidad y riesgo de infarto de miocardio en una muestra de varones europeos. El índice cintura-cadera sesga el riesgo real de la obesidad abdominal. AbstractBackground: Obesity is a coronary risk factor associated to myocardial infarction although waist to-hip-ratio has shown higher predictive power. Objective: The aim of this study was a Receiver Operating Characteristic anthropometric analysis in infarcted males to identify the strength of association for simple measurements, obesity and indicators such as, waist to-hip-ratios, waist to-height-ratios and conicity index. Methods: Case-control study of myocardial infarction in European males. One hundred and twelve cases and 112 controls aged 30-74 years were enrolled. We measured weight, height, waist circumference, umbilical waist circumference and hip circumference. We calculated various anthropometric indicators. We obtained the areas under the ROC curves, the odds ratio and correlations for measurements and anthropometric indicators. . The correlations for waist to-height-ratios and conicity index were strong (all r ≥ 0.85; p < 0.001). Conclusions: Waist and height are measurements of associated independent risk. Hip circumference does no show discriminatory power. Obesity and waist-ratios are associated to myocardial infarction with different strength. Between other indicators, general obesity is more weakly associated. Waist to-hip-ratios present the best ROC curves but it occur information bias of their predictive power of risk. Umbilical waist to-height-ratio and conicity index present high discriminatory power and the best anthropometric risk correlations that support its use for the identifi cation of obesity as risk factor associated to myocardial infarction and in all strategies for coronary health promotion.

Sex hormones, aging and cardiometabolic syndrome

“…Mean waist circumference on average is higher in men compared to women (~ 95 cm in men vs. ~ 83 cm in women in the Tromso Study) [32], but more women are diagnosed with elevated waist circumference than men. This is an important discrepancy as waist to hip ratio in men is more highly clinically correlative with myocardial infarction than obesity as a general factor [33], indicating that waist circumference improvement, i.e., visceral adiposity, may be of particular importance in men to prevent cardiometabolic risk rather than weight loss alone.…”

Estilos de vida y cronotipo de estudiantes universitarios en Popayán-Colombia

“…Cabe notar que el riesgo moderado predomina en los hombres, lo que se asocia con los estudios nacionales 26,27 e internacionales 28 donde se confirma que el perímetro de cintura es un indicador importante para determinar el riesgo cardiovascular, por su asociación con la grasa visceral 29 . Éste es considerado un órgano endocrino importante al cual deberá realizarse un seguimiento y vincularlo a futuro con otros parámetros bioquímicos; teniendo en cuenta que los hombres tienen una distribución de la grasa corporal con predominio en el área abdominal, esto propicia un estado de inflamación que conlleva a un estrés oxidativo, disfunción endotelial y ateroesclerosis 30 .…”

Anthropometric parameters, glycemia level and chronotype of adults from Popayan-Colombia

“…One of the parameters evaluated was circumference of the waist, measured on the largest circumference that passes anteriorly through the navel and laterally through the upper edge of the iliac crests (Martín-Castellanos et al, 2017). From these direct measurements, waist-hip ratio was established, which according to WHO classification determines risk for men, greater than 0.90, and for women, greater than 0.80 (Paternina-de la Ossa et al, 2018).…”