Cargando…

IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?

BACKGROUND: The increased prevalence of obesity has led to a significant increase in the occurrence of metabolic syndrome, a recognized risk factor for increased morbidity and mortality from cardiovascular diseases. Hyperglycemia or type 2 diabetes mellitus, dyslipidemia and arterial hypertension ar...

Descripción completa

Detalles Bibliográficos
Autores principales: MALAFAIA, Andressa Bressan, NASSIF, Paulo Afonso Nunes, LUCAS, Ricardo Wallace das Chagas, GARCIA, Rodrigo Ferreira, RIBEIRO, José Guilherme Agner, PROENÇA, Laura Brandão DE, MATTOS, Maria Eduarda, ARIEDE, Bruno Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735133/
https://www.ncbi.nlm.nih.gov/pubmed/35019122
http://dx.doi.org/10.1590/0102-672020210003e1610
_version_ 1784628163050995712
author MALAFAIA, Andressa Bressan
NASSIF, Paulo Afonso Nunes
LUCAS, Ricardo Wallace das Chagas
GARCIA, Rodrigo Ferreira
RIBEIRO, José Guilherme Agner
PROENÇA, Laura Brandão DE
MATTOS, Maria Eduarda
ARIEDE, Bruno Luiz
author_facet MALAFAIA, Andressa Bressan
NASSIF, Paulo Afonso Nunes
LUCAS, Ricardo Wallace das Chagas
GARCIA, Rodrigo Ferreira
RIBEIRO, José Guilherme Agner
PROENÇA, Laura Brandão DE
MATTOS, Maria Eduarda
ARIEDE, Bruno Luiz
author_sort MALAFAIA, Andressa Bressan
collection PubMed
description BACKGROUND: The increased prevalence of obesity has led to a significant increase in the occurrence of metabolic syndrome, a recognized risk factor for increased morbidity and mortality from cardiovascular diseases. Hyperglycemia or type 2 diabetes mellitus, dyslipidemia and arterial hypertension are its main components. Since 2015, international guidelines have recognized the benefits of bariatric surgery in each isolated factor of this syndrome. AIM: To evaluate the impact of Roux-en-Y gastric bypass in this syndrome comparing pre- and postoperative periods with laboratory analysis and to compare waist/height ratio and BMI in relation to the determination of the cardiometabolic risk profile. METHODS: A retrospective study was carried out, selecting 80 patients undergoing Roux-en-Y gastric bypass. Total cholesterol, HDL, LDL, triglycerides, fasting glucose, glycated hemoglobin, insulin, body mass index (BMI), vitamin D, vitamin B12, waist circumference and waist/height ratio in three periods were analyzed: the preoperative period from 1 to 6 months, postoperative from 1 to 6 months and postoperative from 1 to 2 years. RESULTS: There was an improvement in all parameters of the clinical analyses. The preoperative BMI had a mean value of 39.8, in the preoperative period from 1 to 6 months, the values ​​dropped to 33.2 and in the postoperative period of 1 year, the mean was 26. The perimeter mean values ​​of 118.5 preoperatively, 105.2 postoperatively from 1 to 6 months and 90.3 postoperatively from 1 to 2 years. Waist/height ratio was 0.73, 0.65 and 0.56 in pre, post 1 to 6 months and 1 to 2 years respectively. CONCLUSION: Roux-en-Y gastric bypass improves metabolic syndrome and waist-to-height ratio is superior to BMI in the assessment of the cardiometabolic risk profile.
format Online
Article
Text
id pubmed-8735133
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Colégio Brasileiro de Cirurgia Digestiva
record_format MEDLINE/PubMed
spelling pubmed-87351332022-01-21 IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE? MALAFAIA, Andressa Bressan NASSIF, Paulo Afonso Nunes LUCAS, Ricardo Wallace das Chagas GARCIA, Rodrigo Ferreira RIBEIRO, José Guilherme Agner PROENÇA, Laura Brandão DE MATTOS, Maria Eduarda ARIEDE, Bruno Luiz Arq Bras Cir Dig Original Article BACKGROUND: The increased prevalence of obesity has led to a significant increase in the occurrence of metabolic syndrome, a recognized risk factor for increased morbidity and mortality from cardiovascular diseases. Hyperglycemia or type 2 diabetes mellitus, dyslipidemia and arterial hypertension are its main components. Since 2015, international guidelines have recognized the benefits of bariatric surgery in each isolated factor of this syndrome. AIM: To evaluate the impact of Roux-en-Y gastric bypass in this syndrome comparing pre- and postoperative periods with laboratory analysis and to compare waist/height ratio and BMI in relation to the determination of the cardiometabolic risk profile. METHODS: A retrospective study was carried out, selecting 80 patients undergoing Roux-en-Y gastric bypass. Total cholesterol, HDL, LDL, triglycerides, fasting glucose, glycated hemoglobin, insulin, body mass index (BMI), vitamin D, vitamin B12, waist circumference and waist/height ratio in three periods were analyzed: the preoperative period from 1 to 6 months, postoperative from 1 to 6 months and postoperative from 1 to 2 years. RESULTS: There was an improvement in all parameters of the clinical analyses. The preoperative BMI had a mean value of 39.8, in the preoperative period from 1 to 6 months, the values ​​dropped to 33.2 and in the postoperative period of 1 year, the mean was 26. The perimeter mean values ​​of 118.5 preoperatively, 105.2 postoperatively from 1 to 6 months and 90.3 postoperatively from 1 to 2 years. Waist/height ratio was 0.73, 0.65 and 0.56 in pre, post 1 to 6 months and 1 to 2 years respectively. CONCLUSION: Roux-en-Y gastric bypass improves metabolic syndrome and waist-to-height ratio is superior to BMI in the assessment of the cardiometabolic risk profile. Colégio Brasileiro de Cirurgia Digestiva 2022-01-05 /pmc/articles/PMC8735133/ /pubmed/35019122 http://dx.doi.org/10.1590/0102-672020210003e1610 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Article
MALAFAIA, Andressa Bressan
NASSIF, Paulo Afonso Nunes
LUCAS, Ricardo Wallace das Chagas
GARCIA, Rodrigo Ferreira
RIBEIRO, José Guilherme Agner
PROENÇA, Laura Brandão DE
MATTOS, Maria Eduarda
ARIEDE, Bruno Luiz
IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title_full IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title_fullStr IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title_full_unstemmed IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title_short IS THE WAIST/HEIGHT RATIO A BETTER PARAMETER THAN BMI IN DETERMINING THE CARDIOMETABOLIC RISK PROFILE OF OBESE PEOPLE?
title_sort is the waist/height ratio a better parameter than bmi in determining the cardiometabolic risk profile of obese people?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8735133/
https://www.ncbi.nlm.nih.gov/pubmed/35019122
http://dx.doi.org/10.1590/0102-672020210003e1610
work_keys_str_mv AT malafaiaandressabressan isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT nassifpauloafonsonunes isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT lucasricardowallacedaschagas isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT garciarodrigoferreira isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT ribeirojoseguilhermeagner isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT proencalaurabrandaode isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT mattosmariaeduarda isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople
AT ariedebrunoluiz isthewaistheightratioabetterparameterthanbmiindeterminingthecardiometabolicriskprofileofobesepeople