Prevalence of central obesity according to different definitions in normal weight adults of two cross-sectional studies in Panama

Mendoza, Roger Montenegro; Velásquez, Ilais Moreno; Fontes, Flávia; Quintana, Hedley

doi:10.1016/j.lana.2022.100215

Cited by 12 publications

(14 citation statements)

References 39 publications

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“…The ENSPA study has been described previously [ 17 , 18 , 19 , 20 ]. Briefly, between June and December 2019, participants who had been living in their households for at least six months were invited to participate in the study, which comprised a long questionnaire, anthropometric and blood pressure measurements, and blood sampling.…”

Section: Methodsmentioning

confidence: 99%

Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019

Mendoza

Roa

Fontes

et al. 2023

IJERPH

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Physical inactivity (PI) has been described as an independent risk factor for a large number of major non-communicable diseases and is associated with an increased risk of premature death. Additionally, sedentary behaviour has been associated with increased overall mortality. We estimated the national prevalence of PI and sedentary behaviour using the Global Physical Activity Questionnaire version 2. Using unconditional logistic regressions, the possible risk factors for PI were assessed. Over half of the people included in this study (54.9%; 95% CI: 54.1–57.3%) were physically inactive, with the median time spent engaged in sedentary behaviour being 120 min per day. Statistically significant associations with PI were observed with regard to sex, living area, and alcohol consumption. PI prevalence in Panama was elevated and showed a sex difference (women: 64.7%, 95% CI: 63.7–66.7%; men: 43.4%, 95% CI: 41.5–47.5%). According to our analysis of three-domain-related physical activities, the main contribution to the total estimated energy expenditure of physical activity/week came from the transport domain, followed by the work/household domain, and the least significant contributor was consistently the domain of exercise- and sports-related physical activities.

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Section: Methodsmentioning

confidence: 99%

Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019

Mendoza

Roa

Fontes

et al. 2023

IJERPH

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“…The sampling design was calculated using population projection for 2019 using data from the latest two National Censuses (2000 and 2010). A detailed description of ENSPA is published in its website in the Spanish language [ 14 ] and in previous studies [ 16 , 17 ].…”

Section: Methodsmentioning

confidence: 99%

“…All anthropometric measurements were described previously [ 14 , 16 , 17 ]. In brief, the participant’s weight was assessed using a portable digital scale and their height was assessed using a portable stadiometer.…”

Section: Methodsmentioning

confidence: 99%

Medication Adherence in Hypertensive Individuals in Panama 2019: A National Cross-Sectional Study

et al. 2022

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Poor medication adherence is a public health concern leading to a large burden of cardiovascular disease among persons with hypertension. Using data from 3281 persons with diagnosed hypertension (N = 622,581) from the Panamanian National Health Survey (ENSPA) collected in 2019, we assessed the national prevalence of low-moderate medication adherence in hypertensive individuals using the 4-scale Morisky Medication Adherence Scale (4-MMAS) and identifying gender-specific associated factors. Multivariate logistic regression models were used to estimate the association between possible risk factors and low-moderate medication adherence with odds ratios (OR) and 95% confidence intervals (95% CI) stratified by gender. The national prevalence of low-moderate medication adherence was 78.2% (95% CI: 74.7–81.0%); in men it was 74.4% (95% CI: 67.5–80.3%) and in women it was 81.4% (78.4–84.0%). In women, low-moderate medication adherence was associated with living in indigenous area (OR: 5.15; 95% CI: 1.40–18.98), educational level (OR no formal education: 0.77, 95% CI 0.28–2.14; OR for primary education: 0.76, 95% CI 0.38–1.56; OR for secondary education: 0.90, 95% CI 0.48–1.70; Higher education as reference), increased BMI (normal as reference, OR for overweight: 1.35, 95% CI: 0.73–2.50, OR for obesity: 1.65, 95% CI: 0.90–3.03) and medical diagnosis of anxiety/depression (OR: 4.89, 95% CI: 1.36–17.49). However, in men, it was associated with having secondary education (OR: 2.94; 95% CI: 1.03–8.36), currently smoking (OR: 16.74, 95% CI: 1.83–152.70), taking antihypertensive medication with denial of hypertension diagnosis (OR: 4.35, 95% CI: 1.11–17.11) and having less than three annual check-ups (OR for no health check-ups: 2.97, 95% CI: 0.63–13.88; OR for 1–2 check-ups: 1.61, 95% CI: 0.78–3.32: three or more health check-ups: reference). Time since diagnosis was inversely associated with low-moderate adherence. This study assesses for the first time the national prevalence of low-moderate medication adherence among hypertensive individuals in Panama. Low-moderate medication adherence is an important public health issue that should be addressed to achieve blood pressure control in patients diagnosed with hypertension, taking into account gender-specific factors.

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“…[ 13 ] A waist circumference of >88 cm in women and >102 cm in men were categorized as obese. [ 14 ] A cut-off blood pressure >135/85 mm/Hg was categorized as hypertensive. Fasting blood sugar more than 110 mg/dL, Triglycerides with >150 mg/dL, and LDL >130 mg/dL were the used cut-off to define raised levels of these analytes.…”

Section: Methodsmentioning

confidence: 99%

Socio-demographic determinants of cardiovascular risk in rural population of Central India

Waghmare

Deshmukh

Kumar

et al. 2022

Journal of Family Medicine and Primary Care

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A BSTRACT Introduction: Raising trend of cardiovascular diseases (CVD) in developing countries created a platform for exploring the sociodemographic nexus in search of underlying cause. Aim and Objectives: The precise aim of the study is to detect any possible association of social determinants and metabolic derangement with CVDs risk, particularly focusing on comparative analysis of the data to decipher the most significant factor(s), if any among the studied parameters contributing toward prediction of such cardiometabolic risk in linked with insulin resistance. Results: In the present study, it was found that 2% of the studied population had high risk, and 13.3% had intermediate risk of developing cardiovascular events in next 10 years. Results also showed that estimated CVD risk was significantly higher in males with central obesity and age more >60 years as key determinants showing more insulin resistance at lower cut-off. Conclusion: This study also strongly suggests need to revise the cut-off values for HOMA index in defining insulin resistance to rural population with active the life style and need of redefining new targeted preventive health care planning.

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Prevalence of central obesity according to different definitions in normal weight adults of two cross-sectional studies in Panama

Cited by 12 publications

References 39 publications

Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019

Physical Inactivity and Sedentary Behaviour among Panamanian Adults: Results from the National Health Survey of Panama (ENSPA) 2019

Medication Adherence in Hypertensive Individuals in Panama 2019: A National Cross-Sectional Study

Socio-demographic determinants of cardiovascular risk in rural population of Central India

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