Variações de indicadores de adiposidade e sua relação com distúrbios cardiometabólicos em população rural

AUTOR(ES)
DATA DE PUBLICAÇÃO

2009

RESUMO

Obesity is worldwide recognized as an important public health matter and it is associated to metabolic and hemodynamic disorders. Evidences have shown waist circumference (WC) as a better predictor of dyslipidemia and cardiovascular risk, while others believe that BMI as the major factor for developing these disorders. The objective was to evaluate associations between changes of anthropometric indicators with dyslipidemia and blood pressure values in a rural population of Brazil. Population based study in a rural community followed 207 individuals aged between 18 and 75 years-old (101 women and 106 men) across 4 years. Demographic, lifestyle, anthropometric, biochemical and hemodynamic characteristics was assessed in 2004 and 2008. Multivariate linear regression was used to evaluate the effect of BMI and WC changes (2004-2008) over serum lipids and blood pressure levels. Mean age was 44 years-old. Overweight and obesity prevalences were 22.2% and 6.8%, respectively, in 2008. Thirty-eight percent of the total population was classified as hypertensive objects. Mean values for BMI and WC were increased, overweight and obesity were significantly higher among women. Mean of weight gain along the study was 1,7 kg, BMI increased in general 0.72 kg/m2 and WC, 2.15 cm. BMI and WC changes were directly associated to systolic and diastolic blood pressure. Age and BMI changes were associated to total cholesterol, LDL cholesterol and LDL/HDL ratio. No significant association was found with HDL cholesterol. The rural population studied shown obesity as an important public health matter. BMI changes were shown as an independent predictor for metabolic disorders and for increased diastolic blood pressure, while changes in WC were an independent predictor for systolic blood pressure. Changes of both obesity indexes BMI and WC in four years were presented as potencial effects on cardiometabolic disturbances.

ASSUNTO(S)

antropometria decs masculino decs enfermagem decs obesidade/complicações decs dissertações acadêmicas decs adiposidade decs enfermagem teses questionários decs idoso decs dislipidemias decs população rural decs feminino decs doenças cardiovasculares decs meia-idade decs hipertensão decs fatores de risco decs adulto decs humanos decs

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