Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus
Cardiovascular diseases are among the main causes of death in Brazil and worldwide. The literature indicates the hypertriglyceridemic waist phenotype (HTWP) as an accessible alternative for the identification of cardiovascular and metabolic risk. The present study aimed to identify the prevalence an...
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Language: | English |
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Cambridge University Press
2021-01-01
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Series: | Journal of Nutritional Science |
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Online Access: | https://www.cambridge.org/core/product/identifier/S2048679021000719/type/journal_article |
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author | Luiza Delazari Borges Luma de Oliveira Comini Laura Camargo de Oliveira Heloísa Helena Dias Emily de Souza Ferreira Clara Regina Santos Batistelli Glauce Dias da Costa Tiago Ricardo Moreira Rodrigo Gomes da Silva Rosângela Minardi Mitre Cotta |
author_facet | Luiza Delazari Borges Luma de Oliveira Comini Laura Camargo de Oliveira Heloísa Helena Dias Emily de Souza Ferreira Clara Regina Santos Batistelli Glauce Dias da Costa Tiago Ricardo Moreira Rodrigo Gomes da Silva Rosângela Minardi Mitre Cotta |
author_sort | Luiza Delazari Borges |
collection | DOAJ |
description | Cardiovascular diseases are among the main causes of death in Brazil and worldwide. The literature indicates the hypertriglyceridemic waist phenotype (HTWP) as an accessible alternative for the identification of cardiovascular and metabolic risk. The present study aimed to identify the prevalence and factors associated with HTWP in individuals diagnosed with arterial hypertension (AH) and/or diabetes mellitus type 2 (DM2). A cross-sectional study was conducted with individuals diagnosed with AH and/or DM2. The study data were collected through semi-structured interviews containing socio-demographic information, lifestyle, health care, in addition to anthropometric assessment, blood pressure measurement and biochemical blood tests. The prevalence of HTWP was estimated and bivariate and multivariate logistic regression was used to assess the factors associated with HTWP. Of the 788 individuals analysed, 21⋅5 % had the HTWP. In the adjusted model, the following variables remained associated with a greater chance of presenting HTWP: sex, age, body mass index (BMI) and very-low-density lipoprotein (VLDL). Being female increased the chance of HTWP by 7⋅7 times (OR 7⋅7; 95 % CI 3⋅9, 15⋅2). The one-year increase in age increased the chance of HTWP by 4 % (OR 1⋅04; 95 % CI 1⋅02, 1⋅06). The addition of 1 mg/dl of VLDL-c increased the chance of HTWP by 15 % (odds ratio (OR) 1⋅15; 95 % confidence interval (CI) 1⋅12, 1⋅18), as well as the increase of 1 kg/m2 in the BMI increased the chance of this condition by 20 % (OR 1⋅20; 95 % CI 1⋅15, 1⋅27). The prevalence of HTWP was associated with females, older age, higher BMI, higher VLDL-c and risk waist/height ratio. |
first_indexed | 2024-04-10T04:42:49Z |
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id | doaj.art-55beb512e4294e2387bf159791f3d85f |
institution | Directory Open Access Journal |
issn | 2048-6790 |
language | English |
last_indexed | 2024-04-10T04:42:49Z |
publishDate | 2021-01-01 |
publisher | Cambridge University Press |
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series | Journal of Nutritional Science |
spelling | doaj.art-55beb512e4294e2387bf159791f3d85f2023-03-09T12:38:46ZengCambridge University PressJournal of Nutritional Science2048-67902021-01-011010.1017/jns.2021.71Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitusLuiza Delazari Borges0https://orcid.org/0000-0002-9399-255XLuma de Oliveira Comini1Laura Camargo de Oliveira2Heloísa Helena Dias3Emily de Souza Ferreira4https://orcid.org/0000-0003-4451-0611Clara Regina Santos Batistelli5Glauce Dias da Costa6Tiago Ricardo Moreira7Rodrigo Gomes da Silva8Rosângela Minardi Mitre Cotta9Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilDepartament of Nursing and Medicine, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilClinical Director of the Hemodialysis Service, São João Batista Hospital, Viçosa, Minas Gerais, BrazilDepartment of Nutrition and Health, Federal University of Viçosa, Viçosa, Minas Gerais, BrazilCardiovascular diseases are among the main causes of death in Brazil and worldwide. The literature indicates the hypertriglyceridemic waist phenotype (HTWP) as an accessible alternative for the identification of cardiovascular and metabolic risk. The present study aimed to identify the prevalence and factors associated with HTWP in individuals diagnosed with arterial hypertension (AH) and/or diabetes mellitus type 2 (DM2). A cross-sectional study was conducted with individuals diagnosed with AH and/or DM2. The study data were collected through semi-structured interviews containing socio-demographic information, lifestyle, health care, in addition to anthropometric assessment, blood pressure measurement and biochemical blood tests. The prevalence of HTWP was estimated and bivariate and multivariate logistic regression was used to assess the factors associated with HTWP. Of the 788 individuals analysed, 21⋅5 % had the HTWP. In the adjusted model, the following variables remained associated with a greater chance of presenting HTWP: sex, age, body mass index (BMI) and very-low-density lipoprotein (VLDL). Being female increased the chance of HTWP by 7⋅7 times (OR 7⋅7; 95 % CI 3⋅9, 15⋅2). The one-year increase in age increased the chance of HTWP by 4 % (OR 1⋅04; 95 % CI 1⋅02, 1⋅06). The addition of 1 mg/dl of VLDL-c increased the chance of HTWP by 15 % (odds ratio (OR) 1⋅15; 95 % confidence interval (CI) 1⋅12, 1⋅18), as well as the increase of 1 kg/m2 in the BMI increased the chance of this condition by 20 % (OR 1⋅20; 95 % CI 1⋅15, 1⋅27). The prevalence of HTWP was associated with females, older age, higher BMI, higher VLDL-c and risk waist/height ratio.https://www.cambridge.org/core/product/identifier/S2048679021000719/type/journal_articleArterial hypertensionCardiovascular diseaseDiabetes mellitusHypertriglyceridemic waist phenotypePrimary health care |
spellingShingle | Luiza Delazari Borges Luma de Oliveira Comini Laura Camargo de Oliveira Heloísa Helena Dias Emily de Souza Ferreira Clara Regina Santos Batistelli Glauce Dias da Costa Tiago Ricardo Moreira Rodrigo Gomes da Silva Rosângela Minardi Mitre Cotta Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus Journal of Nutritional Science Arterial hypertension Cardiovascular disease Diabetes mellitus Hypertriglyceridemic waist phenotype Primary health care |
title | Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus |
title_full | Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus |
title_fullStr | Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus |
title_full_unstemmed | Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus |
title_short | Hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and/or diabetes mellitus |
title_sort | hypertriglyceridemic waist phenotype and associated factors in individuals with arterial hypertension and or diabetes mellitus |
topic | Arterial hypertension Cardiovascular disease Diabetes mellitus Hypertriglyceridemic waist phenotype Primary health care |
url | https://www.cambridge.org/core/product/identifier/S2048679021000719/type/journal_article |
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