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Different anthropometric indicators of central obesity can predict hypertension in older adults
Diferentes indicadores antropométricos de obesidad central pueden predecir la hipertensión en ancianos
Diferentes indicadores antropométricos de obesidade central podem predizer a hipertensão em idosos
DOI:
https://doi.org/10.15446/av.enferm.v37n3.77165Keywords:
Aging, Anthropometry, Obesity, Hypertension (en)Envejecimiento, Antropometría, Obesidad, Hipertensión (es)
Envelhecimento, Antropometria, Obesidade, Hipertensão (pt)
Objective: to investigate the association between hypertension and anthropometric indicators of central obesity, obtained from two anatomical sites in older adults.
Methodology: cross-sectional study that involved 145 older adults, from whom socioeconomic and demographic data and anthropometric indicators of central obesity (waist circumference [CC] and abdominal circumference [CA]) were obtained, which were considered independent variables. A logistic regression model was used to analyze associations and for the discriminatory power of the cut-off points of the hypertension anthropometric indicators, receiver operating characteristic (ROC) curve was performed. Comparisons were made between ROC curves, with the aim of identifying significant differences in the discriminatory power of the anthropometric indicators studied.
Results: out of the 145 individuals, 79 were females (54%) and 66 males (46%). Results showed a high prevalence of arterial hypertension in men (69,7%) and women (73,4%). Both CC and CA were significantly associated with hypertension in both genders. Parameters of the ROC curve revealed that both anthropometric indicators of central obesity exhibit good discriminatory power for hypertension in the studied population. The cut-off point for CC was > 83,2 cm for men and > 82,6 cm for women; while for CA it was > 85,1 cm and > 85,4 cm for men and women, respectively.
Conclusion: CA and CC are significantly associated with hypertension in both genders, and there is no superiority between them to predict hypertension in the elderly population.
Objetivo: investigar la asociación entre hipertensión e indicadores antropométricos de obesidad central, obtenidos de dos sitios anatómicos en adultos mayores.
Metodología: estudio transversal que incluyó a 145 adultos mayores, de los cuales se obtuvieron datos socioeconómicos y demográficos e indicadores antropométricos de obesidad central (circunferencia de cintura [CC] y circunferencia abdominal [CA]), que fueron considerados variables independientes. Se utilizó un modelo de regresión logística para analizar las asociaciones y para el poder discriminatorio de los puntos de corte de los indicadores antropométricos de hipertensión, se realizó curva de receiver operating characteristic (ROC). Se hicieron comparaciones entre las curvas ROC, con el objetivo de identificar diferencias significativas en el poder discriminatorio de los indicadores antropométricos estudiados.
Resultados: de los 145 individuos 79 eran del sexo femenino (54 %) y 66 del masculino (46 %). Los resultados mostraron una alta prevalencia de hipertensión arterial en hombres (69,7 %) y mujeres (73,4 %). Tanto CC como CA se asociaron significativamente a la hipertensión en ambos sexos. Los parámetros de la curva ROC revelaron que ambos indicadores antropométricos de obesidad central exhiben un buen poder discriminatorio para la hipertensión en la población estudiada. El punto de corte para la CC fue > 83,2 cm para hombres y de > 82,6 cm para mujeres; mientras que para CA fue > 85,1 cm y > 85,4 cm para hombres y mujeres, respectivamente.
Conclusión: CA y CC están significativamente asociadas a la hipertensión en ambos sexos, y no hay superioridad entre ellas para predecir la hipertensión en la población anciana.
Objetivo: investigar a associação entre hipertensão e indicadores antropométricos de obesidade central obtidos de dois sítios anatômicos em idosos.
Metodologia: estudo transversal incluindo 145 idosos, dos quais foram obtidos dados socioeconômicos e demográficos e indicadores antropométricos de obesidade central (circunferência de cintura [CC] e cirfunferência de abdominal [CA]), que foram considerados como variáveis independentes. Um modelo de regressão logística foi utilizado para analisar as associações, além do poder discriminatório e os pontos de corte para a hipertensão dos indicadores antropométricos, que foram obtidos a partir dos parâmetros da curva Receiver Operating Characteristic (ROC). Comparações entre as curvas ROC foram realizadas, objetivando identificar diferença significativa no poder discriminatório dos indicadores antropométricos estudados.
Resultados: Entre os 145 indivíduos, 79 eram do sexo feminino (54 %) e 66 do masculino (46 %). Os resultados mostraram uma alta prevalência de hipertensão arterial entre homens (69,7 %) e mulheres (73,4 %). Tanto a CA quanto a CC foram associadas à hipertensão em ambos os sexos.de maneira significativa. Os parâmetros da curva ROC indicaram que ambos os indicadores antropométricos da obesidade central exibiram um bom poder discriminatório para a hipertensão na população estudada. O ponto de corte para a CC foi > 83,2 cm para homens e > 82,6 cm para mulheres, enquanto para CA foi > 85,1 cm e > 85,4 cm para homens e mulheres, respectivamente.
Conclusão: as CA e CC estão significativamente associadas à hipertensão em ambos os sexos e não há superioridade entre elas para prever a hipertensão na população idosa.
References
(1) Burgos MS, Burgos LT, Camargo MD, Franke SIR, Prá
D, Da Silva AMV et al. Relationship between anthropometric
measures and cardiovascular risk factors in children
and adolescents. Arq Bras Cardiol. 2013;1(4):288-96.
Available from: http://doi.org/10.5935/abc.20130169
(2) Gialamas A, Kinnell A, Mittinty MN, Davison B, Singh
G, Lynch J. Association of anthropometric measures
and cardiovascular risk factors in children and adolescents:
findings from the aboriginal birth cohort study.
Li Y, editor. PLoS One. 2018;13(6):e0199280. Available
from: https://doi.org/10.1371/journal.pone.0199280
(3) Gravina CF, Franken R, Wenger N, De Freitas EV,
Batlouni M, Rich M et al. II Diretrizes em Cardiogeriatria
da Sociedade Brasileira de Cardiologia. Arq Bras
Cardiol. 2010;95(3):e16-76. Available from:
http://doi.org/10.1590/S0066-782X2010002100001
(4) Harvey A, Montezano AC, Touyz RM. Vascular
biology of ageing: implications in hypertension. J
Mol Cell Cardiol. 2015;83:112-21. Available from: DOI:
https://doi.org/10.1016/j.yjmcc.2015.04.011
(5) Tanaka H, Dinenno FA, Seals DR. Reductions in
central arterial compliance with age are related to
sympathetic vasoconstrictor nerve activity in healthy
men. Hypertens Res. 2017;40(5):493-5. Available
from: http://www.nature.com/articles/hr2016182
(6) Siqueira BJ, Markman-Filho BF, Silva OB. Teste ergométrico em idosos. Geriatr Gerontol. 2011;5(1):40-5. Available from:
http://www.ggaging.com/details/264/pt-BR
(7) García-Esquinas E, García-García FJ, León-Muñoz LM, Carnicero JA, Guallar-Castillón P, González-Colaço M et al. Obesity, fat distribution, and risk of frailty in two population-based cohorts of older adults in Spain. Obesity. 015;23(4):847-55. Available from: DOI: https://doi.org/10.1002/oby.21013
(8) Nobre T, Lucena F, Leite P, Figueroa D. Obesidade
abdominal: revisão crítica das técnicas de aferição e
dos pontos de corte de indicadores antropométricos
adotados no Brasil. Cien Saude Colet. 2014 [cited 2018
nov. 26];19(6):1741-54. Available from: DOI:
http://doi.org/10.1590/1413-81232014196.15012013
(9) Rossi AP, Fantin F, Caliari C, Zoico E, Mazzali G, Zanardo
M et al. Dynapenic abdominal obesity as predictor of
mortality and disability worsening in older adults: a 10-year
prospective study. Clin Nutr. 2016;35(1):199-204. Available
from: DOI: https://doi.org/10.1016/j.clnu.2015.02.005
(10) Rosato V, Bosetti C, Talamini R, Levi F, Montella
M, Giacosa A et al. Metabolic syndrome and the risk
of breast cancer in postmenopausal women. Ann
Oncol. 2011;22(12):2687-92. Available from: DOI:
https://doi.org/10.1093/annonc/mdr025
(11) Nunes CNM, Minicucci MF, Farah E, Fusco D, Azevedo
PS, Paiva SAR et al. Impacto de diferentes métodos
de avaliação da obesidade abdominal após síndromes
coronarianas agudas. Arq Bras Cardiol. 2014;103(1):19-
Available from: http://doi.org/10.5935/abc.20140073
(12) Henriques AD, Tonet-Furioso AC, Machado-Silva W, Freitas WM, Quaglia LA, Santos SN et al. Apoliprotein E genotype is associated with apoliprotein B plasma levels but not with coronary calcium score in very elderly individuals in primary care setting. Gene. 2014;539(2):275-8. Available from: DOI:
https://doi.org/10.1016/j.gene.2014.01.077
(13) IBGE. Conheça cidades e estados do Brasil. 2012. Available from: http://www.ibge.gov.br/cidadesat/topwindow.htm?1
(14) Hanley JA, McNeil BJ. A method of comparing the areas
under receiver operating characteristic curves derived from the same cases. Radiology. 1983;148(3):839-43. Available from: http://doi.org/10.1148/radiology.148.3.6878708
(15) Nazare J-A, Smith J, Borel A-L, Aschner P, Barter P, Van Gaal L et al. Usefulness of measuring both body mass index and waist circumference for the estimation of visceral adiposity and related cardiometabolic risk profile (from the INSPIRE ME IAA Study). Am J Cardiol. 2015;115(3):307-15. Available from: DOI:
https://doi.org/10.1016/j.amjcard.2014.10.039
(16) De Oliveira CC, Roriz AKC, Ramos LB, Gomes-Neto M. Indicators of adiposity predictors of metabolic syndrome in the elderly. Ann Nutr Metab. 2017;70(1):9-15. Available from: DOI: https://doi.org/10.1159/000455333
(17) Wang Q, Xu L, Li J, Sun L, Qin W, Ding G et al. Association
of anthropometric indices of obesity with hypertension in Chinese elderly: an analysis of age and gender differences. Int J Environ Res Public Health. 2018;15(4):801-14. Available from: DOI: https://doi.org/10.3390/ijerph15040801
(18) Moraes SA de, Checchio MV, Freitas ICM de, Moraes SA de, Checchio MV, Freitas ICM de. O efeito independente da obesidade central sobre a hipertensão arterial em adultos residentes em Ribeirão Preto, SP, 2007. Projeto EPIDCV. Rev Bras Epidemiol. 2015;18(1):157-73. Available from: DOI:
http://dx.doi.org/10.1590/1980-5497201500010013
(19) Munaretti DB, Barbosa AR, Marucci M de FN, Lebrão ML. Hipertensão arterial referida e indicadores antropométricos de gordura em idosos. Rev Assoc Med Bras. 2011;57(1):25-30. Available from: DOI:
https://doi.org/10.1590/S0104-42302011000100011
(20) Shen C, Zhou Z, Lai S, Tao X, Zhao D, Dong W et al. Urban-rural-specific trend in prevalence of general and central obesity, and association with hypertension in Chinese adults, aged 18-65 years. BMC Public Health. 2019;19(1):661-8. Available from: DOI: https://doi.org/10.1186/s12889-019-7018-4
(21) Barroso TA, Marins LB, Alves R, Gonçalves ACS, Barroso SG, Rocha G de S et al. Association of central obesity with the incidence of cardiovascular diseases and risk factors. Int J Cardiovasc Sci. 2017;30(5):416-24. Available from: DOI:
http://doi.org/10.5935/2359-4802.20170073
(22) Kawarazaki W, Fujita T. The role of aldosterone in obesity-related hypertension. Am J Hypertens. 2016;29(4):415-23. Available from: DOI: https://doi.org/10.1093/ajh/hpw003
(23) Seravalle G, Grassi G. Obesity and hypertension. Pharmacol Res. 2017;122:1-7. Available from: DOI: https://doi.org/10.1016/J.PHRS.2017.05.013
(24) Alves VV, Ribeiro LFP, Barros R, Gadelha SR, Santos SC. Circunferências medidas em diferentes locais do tronco e fatores de risco cardiometabólico. Rev Bras Cineantropometria e Desempenho Hum. 2011;13(4):250-6. Available from: DOI:
https://doi.org/10.5007/1980-0037.2011v13n4p250
(25) Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. Diretrizes brasileiras de obesidade 2016. São Paulo: Abeso; 2016. 188 p.
(26) Woo J, Ho S, Yu A, Sham A. Is waist circumference a useful measure in predicting health outcomes in the elderly? Int J Obes. 2002;26(10):1349-55. Available from: http://doi.org/10.1038/sj.ijo.0802080
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