Introducción: La obesidad central es hoy día el mayor factor de riesgo para la enfermedad cardiovascular en general y para la enfermedad coronaria. Objetivo: Establecer la asociación de la circunferencia de la cintura con el riesgo cardiometabólico en una población de adultos asintomáticos. Método: se realizó un estudio descriptivo observacional, de casos y control, donde se incluyeron 585 adultos asintomáticos de enfermedad coronaria con edades entre 40 y 65 años pertenecientes al Policlínico “Diego Tamayo”, ubicado en el Municipio Habana Vieja, entre Julio de 2011 y Enero de 2012. Se incluyeron variables sociodemográficas (edad y sexo), clínicas (tabaquismo, hipertensión arterial, presión arterial sistólica y diastólica y número de factores de riesgo), antropométricas (obesidad y circunferencia de la cintura) y hemoquímicas (glicemia, colesterol total y triglicéridos). Resultados: Las mujeres mostraron un porcentaje significativamente mayor de aumento de la circunferencia de la cintura (p=0.003). Los pacientes con aumento de la circunferencia de la cintura fueron significativamente más obesos (p<0.001), hipercolesterolémicos (p=0.039) e hipertrigliceridémicos (p=0.002). En los pacientes con aumento de la circunferencia de la cintura, aquellos con cintura hipertrigliceridémica fueron significativamente más disglucémicos (p=0.019), hipertensos (p=0.045) y con mayor factores de riesgo cardiometabólico (p=0.049).  Conclusiones: En adultos asintomáticos, el aumento de la circunferencia de la cintura indica un mayor riesgo cardiometabólico y, para aquellos con obesidad abdominal, la cintura hipertrigliceridémica representa un subgrupo de mayor riesgo.

Palabras Clave: Circunferencia de la cintura, riesgo cardiometabólico, cintura hipertrigliceridémica.

 

    Títle: Hypertriglyceridemics waist and cardiometabolic risk on a population of “Diego Tamayo” Policlinic 

•    Authors: Abdel del Busto Mesa,¹ Julio Oscar Cabrera Rego,² Osmín Castañeda Chirino,³ Ricardo Gutiérrez Saavedra.4

¹ First Degree specialist in MGI. First Degree specialist in Endocrinology. Medical Emergencies Master. Instructor Teacher. Dr. Miguel Enríquez Hospital.       

² First Degree specialist in MGI. First Degree specialist in Cardiology. Medical Emergencies Master. Instructor Teacher. Dr. Miguel Enríquez Hospital.

³ First Degree specialist in MGI. First Degree specialist in Cardiology. Dr. Miguel Enríquez Hospital.

⁴ First Degree specialist in MGI. “Diego Tamayo” Policlinic.
•    Institutions: Dr. Miguel Enríquez  Hospital and “Diego Tamayo” Policlinic.
•    Phone: 6403155
•    e-mail:  abdel@infomed.sld.cu
•    Country: Cuba

Abstract.

Introduction: Central obesity is nowadays an important risk factor of cardiovascular disease, especially coronary artery disease. Objective: To establish the association of waist circumference with cardiometabolic risk in a population of asymptomatic adults. Method: We conducted a cross-sectional, case-control study, which included 585 asymptomatic adults, aged between 40 and 65 years old, living in the health catchment area attended at the primary care level at "Diego Tamayo" Policlinic, located in Old Havana Municipality, between July 2011 and January 2012. Demographic (age and sex), clinical (smoking habit, arterial hypertension, systolic and diastolic arterial pressure and number of risk factors), anthropometric (obesity and waist circumference) and hemochemical variables (fasting glucose, total cholesterol and triglycerides) were included. Results: Women had a percentage of waist circumference increase significantly greater when compared with man (p= 0.003). Those with waist circumference increase were significantly more obese (p <0.001), hypercholesterolemics (p= 0.039) and hypertriglyceridemics (p= 0.002). In the group of waist circumference increase, those with hypertriglyceridemic waist were significantly more dysglucemics (p= 0.019), hypertensive (p= 0.045) and with more cardiometabolic risk factors (p= 0.049). Conclusions: In asymptomatic adults, waist circumference increase indicates higher cardiometabolic risk and, for those with abdominal obesity, hypertriglyceridemic waist represents a subgroup of higher risk.

Key Words: Waist circumference, cardiometabolic risk, hypertriglyceridemic waist.