Values of abdominal perimeter and waist-hip ratio in patients with hypertension
Keywords:
hypertension, waist circumference, waist-hip ratio, secondary health careAbstract
Introduction: Hypertension constitutes a problem of public health in almost all over the world. Among the risk factors associated with it, the accumulation of fat is notable, which can, in turn, establish risks and determine comorbidities and mortality associated with this nosological entity.
Objective: To determine the variations in the values of the abdominal perimeter and waist-hip ratio in patients with hypertension, according to selected epidemiological and clinical variables.
Methods: A descriptive, prospective and cross-sectional study was carried out on 221 patients with hypertension, belonging to doctor's office 19 of Josué País García Teaching Polyclinic in Santiago de Cuba municipality, from June, 2019 to December, 2020.
Results: There was a prevalence of the female sex and the 65-74 age group (28.5%). The anthropometric indicators, abdominal perimeter and waist-hip ratio, had values that exceeded the established normal parameters for both sexes. The calculation of the abdominal perimeter revealed a predominance of obesity in the female sex, while it was classified as increased in the male sex.
Conclusions: The values of the waist-hip ratio and abdominal perimeter exceeded those classified by the World Health Organization as high risk of presenting the disease in both sexes.
Downloads
References
2. Doyle SK, Chang AM, Levy P, Rising KL. Achieving health equity in hypertension management through addressing the social determinants of health. Curr Hypertens Rep. 2019;21(8):58.
3. Cuba. Ministerio de Salud Pública, Dirección de Registros Médicos y Estadísticas de Salud. Anuario estadístico de salud 2020. La Habana: MINSAP; 2021 [citado 08/02/2023]. Disponible en: https://files.sld.cu/bvscuba/files/2021/08/Anuario-Estadistico-Espa%c3%b1ol-2020-Definitivo.pdf
4. Gerdts E, Sudano I, Brouwers S, Borghi C, Bruno RM, Ceconi C, et al. Sex differences in arterial hypertension. Eur Heart J. 2022 [citado 08/02/2023];43(46):4777-88. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9726450/
5. Asociación Latinoamericana de Diabetes. Guías ALAD sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en Evidencia Edición 2019. Rev ALAD. 2019 [citado 18/02/2021]. Disponible en: https://www.revistaalad.com/guias/5600AX191_guias_alad_2019.pdf
6. Jackson SE, Llewellyn CH, Smith L. The obesity epidemic–Nature via nurture: A narrative review of high-income countries. SAGE Open Med. 2020 [citado 18/02/2021];8. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222649/
7. Xia JY, Lloyd Jones DM, Khan SS. Association of body mass index with mortality in cardiovascular disease: new insights into the obesity paradox from multiple perspectives. Trends in Cardiovascular Medicine. 2019 [citado 18/02/2021];29(4):220-25. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1050173818301695
8. Barrio Deler R, López Galán E, Pereira Despaigne OL, Fornaris Lias Y, del Pozo Vega R, Sánchez Echavarría ME. Asociación entre indicadores antropométricos nutricionales y factores de riesgo cardiovascular en pacientes diabéticos tipo 2. CorSalud. 2022 [citado 18/02/2023];14(4):358-68. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/809/1520
9. Susano Páez JA. Riesgo cardiovascular empleando la índice cintura cadera en adolescentes [tesis]. Veracruz: Universidad veracruzana; 2022 [citado 08/02/2023]. Disponible en: http://148.226.24.32:8080/bitstream/handle/1944/52289/SusanoPaezJulian.pdf
10. Yang YC, Walsh CE, Johnson MP, Belsky DW, Reason M, Curran P, et al. Life-course trajectories of body mass index from adolescence to old age: Racial and educational disparities. PNAS. 2021 [citado 08/02/2023];118(17):e2020167118. Disponible en: https://www.pnas.org/doi/10.1073/pnas.2020167118
11. Alfonzo Guerra JP. Hipertensión arterial en la atención primaria de salud. La Habana: ECIMED; 2009 [citado 08/02/2023]. Disponible en: http://www.bvs.sld.cu/libros/hipertension_arterial/completo.pdf
12. Huaman Carhuas L, Bolaños Sotomayor N. Sobrepeso, obesidad y actividad física en estudiantes de enfermería pregrado de una universidad privada. Enferm Nefrol. 2020 [citado 22/02/2023];23(2):184-90. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S2254-28842020000200008
13. Dal Canto E, Ceriello A, Rydén L, Ferrini M, Hansen TB, Schnell O, et al. Diabetes as a cardiovascular risk factor: An overview of global trends of macro and micro vascular complications. Eur J Prev Cardiol. 2019;26(2_suppl):25-32.
14. Barrio Deler R, López Galán E, Pereira Despaigne OL, Fornaris Lias Y, del Pozo Vega R, Sánchez Hechavarría ME. Asociación entre indicadores antropométricos nutricionales y factores de riesgo cardiovascular en pacientes con diabetes mellitus tipo 2. CorSalud. 2022 [citado 22/02/2023];14(4):358-68. Disponible en: https://revcorsalud.sld.cu/index.php/cors/article/view/809/1520
15. Beanett JC, Plum F. Cecil. Tratado de Medicina Interna. 20 ed. Vol 1. México D.F.: McGraw-Hill; 1998. p. 294 – 310.
16. Sánchez Obando LM. Relación de la circunferencia de cintura con los criterios diagnósticos de diabetes en trabajadores universitarios [tesis]. Bogotá: Universidad Nacional de Colombia; 2020 [citado 15/10/2022]. Disponible en: https://repositorio.unal.edu.co/bitstream/handle/unal/77840/1026280444.2020.pdf?sequence=1&isAllowed=y
17. Han TS, Van Leer EM, Seidell JC, Lean MEJ. Waist circumference action levels in the identification of cardiovascular risk factors: prevalence study in a random sample. BMJ. 1995 [citado 15/10/2022];311:1401-5. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2544423/pdf/bmj00620-0025.pdf
18. Pouliot MC, Després JP, Lemieux S, Moorjani S, Bouchard C, Tremblay A, et al. Waist circumference and abdominal sagittal diameter: best simple antrhopometric indexes of abdominal viseral adipose tissue acumulation and related cardiovascular risk in men and women. Am J Cardiol. 1994;73(7):460-8.
19. Lago Santiesteban YA, Labrada Tapia DÁ, Breijo Puente A, Lago Santiesteban D, Sosa García D. Factores de riesgo y lesiones macrovasculares en pacientes con diabetes mellitus tipo 2. Multimed (Bayamo). 2021 [citado 15/10/2022];25(6). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1028-48182021000600011
20. Miguel-Betancourt M, Vázquez-González LA, Marcha-Bruzón M, Cue-López CR, Curbelo- Videra W, Mason-Mayford A. Riesgo cardiovascular en estudiantes de medicina del municipio Puerto Padre de Las Tunas. Univ Méd Pinareña. 2020 [citado 15/10/2022];16(3):e546. Disponible en: https://revgaleno.sld.cu/index.php/ump/article/view/546/pdf
Published
How to Cite
Issue
Section
License
All the articles can be downloaded or read for free. The journal does not charge any amount of money to the authors for the reception, edition or the publication of the articles, making the whole process completely free. Medisan has no embargo period and it is published under the license of Creative Commons, International Non Commercial Recognition 4.0, which authorizes the copy, reproduction and the total or partial distribution of the articles in any format or platform, with the conditions of citing the source of information and not to be used for profitable purposes.