Abstract
Background: Obesity with BMI body mass index = 40kg / m² is called Massive obesity (MO) according to the WHO, is a recognized risk factor of cardiovascular mortality. It is not known whether there is a metabolic risk gradient (MRC) above the threshold of 40kg / m². Objective: To classify metabolic abnormalities based on higher BMI. Methods: This is a cross-sectional study involving 230 patients followed for MO. These patients were divided into 3 groups (G) according to their BMI (G1: 40 <BMI <44.9; G2: 45 <BMI <49.9; G3: BMI> 50). The assessment focused on the age, gender, blood pressure (TAs and TAd), dyslipidemia (HDL = 0.4 g / l and / or TG = 1.5 g / l) treated or no, glycemic control (fasting glycemia and / or OGTT 75). Results: The mean age was 46 years with no differences between the 3 G. This is 76% women. The prevalence of an abnormality in carbohydrate tolerance was not different between the 3 G (p = 0.49). Apart from a known HTA, the BPs differed between the 3 G (in mm Hg G1: 122 ± 11; G2: 128 ± 15; G3: 133 ± 10, p = 0.028), unlike the BP (G1: 67 ± 10; G2: 70 ± 10; G3 73 ± 12, NS).
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