Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos

Background: Insulin plays a determinant role in the individual metabolic profile. Obesity, the most common cause of insulin resistance (IR), can be diagnosed by body mass index (BMI). Waist circumference (WC), specifically, measures accumulation of abdominal fat. The cardiovascular risk of an indivi...

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Autores principales:	Espinoza Z,Milagros, Ruiz F,Nelina, Barrios,Emilia, Reigosa,Aldo, Leal H,Ulises, González,Julio César
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2009
Materias:	Hypertriglyceridemia Insulin resistance Obesity
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000900006
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spelling	oai:scielo:S0034-988720090009000062009-11-09Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultosEspinoza Z,MilagrosRuiz F,NelinaBarrios,EmiliaReigosa,AldoLeal H,UlisesGonzález,Julio César Hypertriglyceridemia Insulin resistance Obesity Background: Insulin plays a determinant role in the individual metabolic profile. Obesity, the most common cause of insulin resistance (IR), can be diagnosed by body mass index (BMI). Waist circumference (WC), specifically, measures accumulation of abdominal fat. The cardiovascular risk of an individual is strongly related to a combination of abdominal obesity with hypertiiglyceridemia or hypertriglyceridemic waist (HTW). Aim To assess the metabolic profüe of cardovascular risk and RI according to BMI, WC and HTW in adult patients. Material and methods: Weight, height, BMI, blood pressure (BP), WC, HTW, blood glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides and insulin were assessed and IR calculated by the homeostasis model assessment (HOMA) in 63 females aged 46±11 years and 12 males aged 4 7± 10 years. Results: Differences in weight, WC, BP, lipids, glucose, insulin and HOMA, were observed as BMI increased. When patients were grouped according to WC, there were significant differences only in systolic pressure, triglycerides, insulin and HOMA. Individuals with HTW had a more adverse metabolic profüe than those without HTW or with only high WC. A multiple regression equation determined that body mass index, total cholesterol and diastolic blood pressure were independent predictors of insulin resistance. Conclusions: Patients with HTW displayed an unfavorable cardiac risk profile (Rev Méd Chile 2009; 137:1179-86).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.137 n.9 20092009-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000900006es10.4067/S0034-98872009000900006
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Hypertriglyceridemia Insulin resistance Obesity
spellingShingle	Hypertriglyceridemia Insulin resistance Obesity Espinoza Z,Milagros Ruiz F,Nelina Barrios,Emilia Reigosa,Aldo Leal H,Ulises González,Julio César Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
description	Background: Insulin plays a determinant role in the individual metabolic profile. Obesity, the most common cause of insulin resistance (IR), can be diagnosed by body mass index (BMI). Waist circumference (WC), specifically, measures accumulation of abdominal fat. The cardiovascular risk of an individual is strongly related to a combination of abdominal obesity with hypertiiglyceridemia or hypertriglyceridemic waist (HTW). Aim To assess the metabolic profüe of cardovascular risk and RI according to BMI, WC and HTW in adult patients. Material and methods: Weight, height, BMI, blood pressure (BP), WC, HTW, blood glucose, total cholesterol, HDL cholesterol, LDL cholesterol, triglycerides and insulin were assessed and IR calculated by the homeostasis model assessment (HOMA) in 63 females aged 46±11 years and 12 males aged 4 7± 10 years. Results: Differences in weight, WC, BP, lipids, glucose, insulin and HOMA, were observed as BMI increased. When patients were grouped according to WC, there were significant differences only in systolic pressure, triglycerides, insulin and HOMA. Individuals with HTW had a more adverse metabolic profüe than those without HTW or with only high WC. A multiple regression equation determined that body mass index, total cholesterol and diastolic blood pressure were independent predictors of insulin resistance. Conclusions: Patients with HTW displayed an unfavorable cardiac risk profile (Rev Méd Chile 2009; 137:1179-86).
author	Espinoza Z,Milagros Ruiz F,Nelina Barrios,Emilia Reigosa,Aldo Leal H,Ulises González,Julio César
author_facet	Espinoza Z,Milagros Ruiz F,Nelina Barrios,Emilia Reigosa,Aldo Leal H,Ulises González,Julio César
author_sort	Espinoza Z,Milagros
title	Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
title_short	Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
title_full	Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
title_fullStr	Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
title_full_unstemmed	Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
title_sort	perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos
publisher	Sociedad Médica de Santiago
publishDate	2009
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872009000900006
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Perfil metabólico de riesgo cardiovascular y resistencia a la insulina según índice de masa corporal, circunferencia de cintura y cintura hipertrigliceridémica en pacientes adultos

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