Analyzes of Body Adiposity Index, waist to size ratio, waist to hip ratio, and Heart Score as a better clinical evaluation in postmenopause

Abstract

BACKGROUNDMenopause represents the end of the reproductive stage, and is linked to the increase in obesity and cardiovascular diseases incidence (NAMS, Menopause Glossary).Body mass Index is positive correlated with major vasomotor symptoms. The classic clinical evaluation of the menopausal women includes variables such as, weight, height, arterial pressure, intensity of the climacteric symptoms and familiar and personal antecedents for oncologic diseases. However, in recent years the reliability of BMI has been questioned; fact linked with the documented body modifications in postmenopause, supports the need to implement a better anthropometric and clinical evaluation.The heart score allow estimate total cardiovascular risk in apparently healthy individuals, and also can be use to estimate the complications of cardiovascular diseases. This risk estimation is based on the following risk factors: gender, age, smoking, systolic blood pressure and total cholesterol. Total punctuation of heart score greater than 1 indicates the rise of cardiovascular risk.The aim of this study was to analyze the adiposity index (BAI), waist to size ratio (WSR), waist to hip ratio (WHR), and heart score for a better clinical evaluation in posmenopausal women.MATERIALS AND METHODSA descriptive, observational, prospective, transversal, cohort study was carried out in 201 women who attend to climacteric clinic from “Hospital de la Mujer”, anthropometric and clinical data were collected, anthropometric indices was calculated and correlated with BMI, and the heart score was calculated considering the systolic blood pressure, age and smoking history of each patient.RESULTSThe mean age was 52.3±6.21 years, the average of the heart score was 2, the 25th and 75th percentiles were 2 and 3, respectively, it means that at least 75% of the women included, has elevated cardiovascular risk. Anthropometric indices are resumed in table 1. A positive correlation was found between BMI and anthropometric indices analyzed, the correlation values showed in table 2.CONCLUSIONOnly 25% of the patients has normal BMI. All patients had elevated values for the anthropometric indices. Positive correlation was found between BMI and Antrhopometric indices. All this facts suggest that the evaluation of the waist to hip ratio, waist to size ratio, body adiposity index and the circumferences of waist and hip together with the heart score allows to clinician to perform a better evaluation of cardiovascular risk in postmenopausal women than using BMI alone.The North American Menopause Society Menopause Glossary. Consulted online https://www.menopause.org/for‐women/menopause‐glossaryon2017.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.