A razão cintura estatura e circunferência da cintura como marcadores de risco cardiometabólico entre idosos: um estudo comparativo

Abstract

The aim of this study was to compare Waist Circumference (WC) and Waist to Height Ratio (WHR) as markers of risk among the elderly. A total of 159 elderly individuals (≥ 60 years) of both sexes and enrolled in activities offered by three community groups for seniors were evaluated. They were interviewed to characterize the living conditions, occurrence of diseases, use of medications and behaviors. The anthropometric evaluation was based on measures of weight, height and WC, as well as evaluation of Body Mass Index and WHR. The multinomial logistic regression was used to determine the factors associated with WC and WHR separately, with Odds Ratio (OR) and 95% Confidence Intervals (95%CI) estimated. Inadequate WC and WHR values were found in 75.5% and 84.9% of the participants, respectively, and the prevalence of elevated WC was significantly higher in females (p <0.017). The elevated WC was independently associated with female, lower level of education, self-reported hypertension and higher median number of diseases. The elevated WHR was independently associated with lower education levels and self-reported hypertension. Self-reported depression was associated with a reduction in the occurrence of both, elevated WC and WHR. The CC was more sensitive as a marker of risk for cardiometabolic disease than the WHR in this group.