Obesidade abdominal no ELSA-Brasil: construção de padrão-ouro latente e avaliação da acurácia de indicadores diagnósticos

Eickemberg, Michaela; Amorim, Leila Denise Alves Ferreira; Almeida, Maria da Conceição Chagas de; Pitanga, Francisco José Gondim; Aquino, Estela M. L.; Fonseca, Maria de Jesus Mendes da; Matos, Sheila Maria Alvim

doi:10.1590/1413-81232020258.20992018

Cited by 29 publications

(14 citation statements)

References 21 publications

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“…Evidence shows differences in the progression of CIMT and adiposity due to the ethnicity/ skin color. 37 The cut-off points used in this study incorporated the differences between gender and ethnicity/skin color 20 and, perhaps because of that, no effect modification was detected.…”

Section: Discussionmentioning

confidence: 99%

“…The indicators were categorized in the presence and absence of abdominal adiposity, according to the cut-off points defined by Eickemberg et al., 20 Respectively, the following values were used for white, brown and black individuals: WC: men 89.9 cm; 90.2 cm and 91.7 cm; women 80.4 cm; 82.7 cm and 85.4 cm; WHR: men 0.92; 0.92 and 0.90; women 0.82; 0.83 and 0.84; C index: men 1.24; 1.24 and 1.24; women 1,20; 1.22 and 1.19; LAP: men 29.81; 32.39 and 33.08; women 22,64; 30.27 and 27.12; VAI: men 1.74; 2.08 and 1.68; women 1.44; 2.16 and 1.65. We chose to use the term "adiposity" instead of obesity for the five indicators, considering that LAP and VAI reflect the function of visceral fat, and not only the accumulation of abdominal fat, such as WC, WHR and C index.…”

Section: Methodsmentioning

confidence: 99%

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Indicators of Abdominal Adiposity and Carotid Intima-Media Thickness: Results from the Longitudinal Study of Adult Health (ELSA-Brazil)

Eickemberg¹,

Amorim²,

Almeida³

et al. 2018

Arquivos Brasileiros De Cardiologia

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BackgroundAbdominal adiposity is a risk factor for cardiovascular disease.ObjectiveTo determine the magnitude of the association between abdominal adiposity, according to five different indicators, and the carotid intima-media thickness (CIMT).MethodsData from 8,449 participants aged 35 to 74 years from the ELSA-Brazil study were used. The effect of waist circumference (WC), waist-to-hip ratio (WHR), conicity index (C index), lipid accumulation product (LAP) and visceral adiposity index (VAI) on CIMT were evaluated. Data were stratified by gender and analyzed using multivariate linear and logistic regressions. A significance level of 5% was considered.ResultsParticipants with CIMT > P75 showed a higher frequency of abdominal adiposity (men >72% and women >66%) compared to those with CIMT < P75. Abdominal adiposity was associated with the mean CIMT, mainly through WC in men (0.04; 95%CI: 0.033; 0.058). The abdominal adiposity identified by the WC, WHR, LAP, and VAI indicators in women showed an effect of 0.02 mm on the CIMT (WC: 0.025, 95%CI: 0.016, 0.035; WHR: 0.026, 95%CI: 0.016, 0.035; LAP: 0.024, 95%CI: 0.014; 0.034; VAI: 0.020, 95%CI: 0.010, 0.031). In the multiple logistic regression, the abdominal adiposity diagnosed by WC showed an important effect on the CIMT in both genders (men: OR = 1.47, 95%CI: 1.22-1.77, women: OR = 1.38; 95%CI: 1.17-1.64).ConclusionAbdominal adiposity, identified through WC, WHR, LAP, and VAI, was associated with CIMT in both genders, mainly for the traditional anthropometric indicator, WC.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Indicators of Abdominal Adiposity and Carotid Intima-Media Thickness: Results from the Longitudinal Study of Adult Health (ELSA-Brazil)

Eickemberg¹,

Amorim²,

Almeida³

et al. 2018

Arquivos Brasileiros De Cardiologia

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“…O padrão de distribuição de gordura corporal diverge entre as raças conforme os fatores correlacionados ao perfil socioeconômico, biológico e cultural (Eickemberg et al 2020). Na amostra da pesquisa, não ser da raça branca apresentou significância estatística, sendo composta em sua maior parte pela raça parda, contrapondo-se parcialmente a literatura, que demonstra a prevalência de obesidade abdominal superior em homens brancos (69,9%) e mulheres pardas (63,3%), justificado pela menor concentração de gordura visceral nos descendentes de negros, quando comparados à raça branca (Eickemberg et al 2020). Entretanto, homens e mulheres de descendência negra possuem pré-disposição para um maior acúmulo de tecido adiposo quando comparados aos brancos (Katzmarzyk et al 2010), corroborando o resultado dessa pesquisa.…”

Section: Discussionunclassified

Obesidade abdominal em adultos: Prevalência e fatores associados

Sasaki

Christinelli

Stevanato

et al. 2021

RSD

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A obesidade abdominal está associada a um aumento exponencial no risco de morbimortalidade, visto que o padrão de distribuição de gordura corporal é o fator de risco mais significativo em processos mórbidos do que a obesidade generalizada. Estimar a prevalência de obesidade abdominal e identificar os fatores associados. Estudo piloto, descritivo transversal, com abordagem quantitativa. A amostra por conveniência foi constituída por 50 indivíduos com idade entre 18 a 50 anos. Inicialmente foi realizada avaliação antropométrica dos participantes e posteriormente a aplicação de um questionário para definir o perfil e hábitos da população com circunferência da cintura alterada (≥ 88cm para mulheres ou ≥ 102 cm para homens). Os dados foram analisados por meio de estatística descritiva e regressão linear utilizando-se o software Epi Info™. Dentre os participantes 58% (n=29) apresentaram obesidade abdominal. As variáveis que apresentaram significância (p-valor ≤ 0.05) com a obesidade abdominal foram: ser casado, não ser da raça branca, ter 8 anos ou mais de escolaridade; ter IMC indicativo de sobrepeso e obesidade generalizada e não consumir bebida alcóolica. A obesidade abdominal bem como a obesidade generalizada, constitui-se como um grande desafio a ser trabalhado pelos profissionais da saúde, considerando que uma fração significativa da população se encontra nessa circunstância. Nessa perspectiva, a prevenção e o controle da obesidade abdominal devem prover ações que auxiliem os indivíduos na adoção de estilo de vida saudável.

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“…In a review article, Cabieses et al 25 discussed the indicators most commonly used in the construction of sensitive approximations for the definition of social position, emphasizing the relevance of the development of multidimensional measures of social position. Because of the limitations of body mass index (BMI), as an imprecise method of measuring body adiposity 26 , the most used index to classify anthropometric status, alternative methods and indicators has been proposed to measure body adiposity and anthropometric status with more accuracy for the use in screening for cardiometabolic risk 26,27,28 . Therefore, we tried to apply the construct definition as part of analytical strategy to describe the anthropometric status.…”

Section: Introductionmentioning

confidence: 99%

Social position and anthropometric status among adults in the ELSA-Brasil study: a latent class analysis

et al. 2021

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The objective of the present study was to evaluate the association between social position and anthropometric status in women and men Brazilian adult. This was a cross-sectional study that used baseline data collected from 2008 to 2010 for the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, in Portuguese), in the six major Brazilian state capital cities. A total of 15,105 active and retired civil servants aged from 35 to 74 years. Two latent variables were defined by latent class analysis, social position and anthropometric status. Both constructs and the analyses were separately evaluated by sex. Associations were assessed using multivariate logistic regression analysis with adjustment for age, self-reported skin color/race, and marital status. Around 44% of the women and 26% of the men were classified as overweight or obese. Social position tended to be lower in women (43.2%) and higher among men (40.4%). Heavier women were more likely to be black and brown-skinned, whereas slimmer women were more likely to be white. After adjustment, women’s weight increased as social position decreased (OR = 1.52; 95%CI: 1.36-1.70), whereas in men weight decreased as social position decreased (OR = 0.87; 95%CI: 0.76-0.99). Social position affected the anthropometric status of women and men differently, with body patterns also being affected by ethnicity/skin color, showing the potentiality of taking the intersectional perspective when investigating the possible social determinants of the phenomenon.

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Obesidade abdominal no ELSA-Brasil: construção de padrão-ouro latente e avaliação da acurácia de indicadores diagnósticos

Cited by 29 publications

References 21 publications

Indicators of Abdominal Adiposity and Carotid Intima-Media Thickness: Results from the Longitudinal Study of Adult Health (ELSA-Brazil)

Indicators of Abdominal Adiposity and Carotid Intima-Media Thickness: Results from the Longitudinal Study of Adult Health (ELSA-Brazil)

Obesidade abdominal em adultos: Prevalência e fatores associados

Social position and anthropometric status among adults in the ELSA-Brasil study: a latent class analysis

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