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...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: Cambridge University Press 2021-01-01
Series:Journal of Nutritional Science
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S2048679021000719/type/journal_article
_version_ 1811155916935921664
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
format Article
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
record_format Article
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
work_keys_str_mv AT luizadelazariborges hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT lumadeoliveiracomini hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT lauracamargodeoliveira hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT heloisahelenadias hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT emilydesouzaferreira hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT clarareginasantosbatistelli hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT glaucediasdacosta hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT tiagoricardomoreira hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT rodrigogomesdasilva hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus
AT rosangelaminardimitrecotta hypertriglyceridemicwaistphenotypeandassociatedfactorsinindividualswitharterialhypertensionandordiabetesmellitus