Abstract
To identify the prevalence and factors associated with hypertriglyceridemic waist (HW) in community-dwelling elderly people in northeast Brazil. Population-based cross-sectional study. Some 316 elderly (≥ 60 years) people of both sexes participated in this study. Data were collected using a questionnaire, based on that used in the Health, Welfare and Aging Study (SABE), in addition to blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist condition was diagnosed using high values of triglycerides (≥ 150 mg/dl) and waist circumference increased ≥ 88 and ≥ 102 cm for women and men, respectively. Logistic regression analysis was used to compare the hypertriglyceridemic waist and associated factors, significance level of 5%. The prevalence of hypertriglyceridemic waist (HW) was 27.1%. The logistic regression model (OR) adjusted showed the condition of HW associated to the feminine sex (OR 4.19), to the insufficiently active elderly (OR 2.41) and with overweight (OR 4.06). A high prevalence (27.1%) of hypertriglyceridemic waist was observed, indicating the female sex, physical inactivity and overweight as key factors associated with hypertriglyceridemic waist in community-dwelling elderly people.
Highlights
The hypertriglyceridemic waist (HW) condition is a phenotype characterized by the simultaneous association of increased waist circumference and hypertriglyceridemia[1]
The evaluation of the hypertriglyceridemic waist phenotype can be used in clinical practice as a screening approach to identify individuals with an increased probability of having the atherogenic metabolic triad: fasting hyperinsulinemia, hyperapolipoprotein B and a high concentration of small LDL (Low density lipoprotein cholesterol) particles[4]
Considering the absence of population-based research regarding hypertriglyceridemic waist in the elderly, this study aimed to identify the prevalence and factors associated with hypertriglyceridemic waist in elderly residents in a community in the northeast of Brazil
Summary
The hypertriglyceridemic waist (HW) condition is a phenotype characterized by the simultaneous association of increased waist circumference (abdominal obesity) and hypertriglyceridemia[1]. The evaluation of the hypertriglyceridemic waist phenotype can be used in clinical practice as a screening approach to identify individuals with an increased probability of having the atherogenic metabolic triad: fasting hyperinsulinemia, hyperapolipoprotein B and a high concentration of small LDL (Low density lipoprotein cholesterol) particles[4]. This phenotype can reliably identify patients with an increased cardiometabolic risk profile[5], as well as being low cost[2]. The hypertriglyceridemic waist is related with physical inactivity, skin color, family income, intake of fats and high BMI (body mass index)[7]
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