Association between Central Obesity and Biochemical Markers of Cardiometabolic Risk in Elderly Attended in Geriatric Ambulatory – Lagarto/SE
Ana Caroline de Souza Almeida
Carolina Cunha de Oliveira
Emanuelle Dias Costa
Adenilda Queiroz S. Deiró
Background: Central obesity, especially visceral adipose tissue (VAT), represents a health risk due to its endocrine and metabolic capacity, contributing to the development of the atherogenic profile and strongly associating with cardiovascular morbimortality.
Objective: To identify the association between central obesity and biochemical markers of cardiometabolic risk in elderly patients treated at a geriatric outpatient clinic in Lagarto-SE.
Method: This is a cross-sectional study of 159 elderly people of both sexes. Central adiposity was considered na independent variable, identified by measuring the Waist Circumference (WC). Total Cholesterol (TC), LDL-c, HDL-c, non-HDL-c, triglycerides, glycemia and Castelli I and II indices were considered dependent variables. Pearson's chi-square test was used to evaluate the association between central obesity and biochemical markers of cardiometabolic risk. Those with p < 0.20 were used in the bivariate regression analysis, adopting a 95% confidence interval.
Results: Mean age was 70.9 ± 7.5 years. Central obesity was present in 43.2% of males and 56.8% of females (p = 0.002). There was statistically significant association between HDL-c, HDL-C and Castelli I Index and central obesity. Individuals with central obesity are 2.48 and 3.13 times more likely to develop changes in HDL-C and Castelli I index, respectively.
Conclusion: There is an association between central obesity and biochemical markers of cardiometabolic risk in the elderly. (Int J Cardiovasc Sci. 2020; 33(3):245-251)
Keywords: Cardiovascular Diseases; Obesity; Metabolic Syndrome; Hypertension; Diabetes Mellitus; Risk Factors; Prevention and Control; Dyslipidemias; Life Style; Elderly.