Anthropometric Indicators to Determine the Obesity and its Relations with the Cardiometabolic Risk

• Main Authors: Raúl Cedeño Morales, Maricel Castellanos González, Mikhail Benet Rodríguez, Luis Mass Sosa, Carlos Mora Hernández, Jorge Carlos Parada Arias
• Format: Article
• Language: Spanish
• Published: Universidad de las Ciencias Médicas de Cienfuegos 2015-02-01
• Series: Revista Finlay
• Subjects: antropometría; obesidad; enfermedades cardiovasculares; factores de riesgo; circunferencia de la cintura
• Online Access: http://revfinlay.sld.cu/index.php/finlay/article/view/247

<strong>Background:</strong> it has become a controversy if obesity per se is an independent cardiometabolic risk factor it self or it influences like a contributing element of other factors, specially hypertension, insulin resistance and dislipidemias. <strong><br />Objective:</strong> determining which of the anthropometric parameters used to quantify obesity is more associated to the cardiometabolic risk factors. <strong><br />Methods:</strong> a correlational and descriptive study in 105 workers of the Medical Sciences University of Cienfuegos from June 2011 to July 2013. There were operationalized like clinical variables: measurement of the abdominal waist, index of corporal mass, cutaneous crease and blood pressure; and like variables of laboratory: total cholesterol, HDL cholesterol, glucemia and tri-glycerides. It was calculated the correlation coefficient of Pearson with 95 % confidence interval. <strong><br />Results:</strong> it was evidenced a light increment of total cholesterol in individuals of the masculine sex at expense of HDL, without modifications in the rest of the variables. In no obese individuals a bigger propensity to the cardiometabolic risk was observed. The index of greasy mass did not show significant correlation with the rest of anthropometric parameters. There is a narrow correlation among individuals with altered abdominal waist and the criteria established for the diagnosis of metabolic syndrome. <br /><strong>Conclusions:</strong> the perimeter of waist constitutes a parameter of essential measure in the obese patient's evaluation, independently of the IMC, since it has been demonstrated a positive association between abdominal obesity and cardiometabolic risk.