IJCS | Volume 33, Nº3, May / June 2020

DOI: https://doi.org/10.36660/ijcs.20190055 Introduction Cardiometabolic risk factors (RF) have been widely studied nowadays, with special focus on central obesity, excessive weight, dyslipidemia, Systemic Arterial Hypertension (SAH), insulin resistance and Diabetes Mellitus (DM). 1-4 Central obesity, especially visceral adipose tissue (VAT), represents a health risk due to its metabolic and endocrine capacity, contributing to the development of an atherogenic profile, in addition to being strongly associated with cardiovascular morbidity and mortality. 5,6 Roriz et al., 7 highlight that metabolic changes that promote the onset of chronic diseases are more related with visceral adipose tissue than with excessive weight, and that these conditions increase the need for drug treatment and interfere in the quality of life of individuals. 245 ORIGINAL ARTICLE International Journal of Cardiovascular Sciences. 2020; 33(3):245-251 Mailing Address: Carolina Cunha de Oliveira Fundação Universidade Federal de Sergipe - Departamento de Nutrição - Avenida Governador Marcelo Déda, 13. Postal Code: 49400-000, Centro, Lagarto Sergipe, SE - Brazil E-mail: carol_cunh@yahoo.com.br Association between Central Obesity and Biochemical Markers of Cardiometabolic Risk in Elderly Attended in Geriatric Ambulatory – Lagarto/SE Ana Caroline de Souza Almeida, 2 Carolina Cunha de Oliveira, 1 E manuelle Dias Costa, 2 A denilda Queiroz S. Deiró 2 Universidade Federal de Sergipe, 1 Sergipe, SE – Brazil Universidade Federal da Bahia, 2 Salvador, BA – Brazil Manuscript received on February 25, 2019; reviewed on May 26,2019; accepted on July 30,2019. Abstract Backgroud: 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 an 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.