[The significance of some anthropometric parameters and parameters ensuing from them in assessing cardiovascular risk
Aniko Katona-Dureković1, Edita Stokić
1Alkaloid d.o.o. Beograd.
Introduction:
Current clinical practice requires simple and available tools for cardiovascular risk assessment in diabetic patients.
Material And Methods:
This study included 290 type 2 diabetics of both sexes. The following anthropometric parameters were measured: body mass index, waist circumference, sagittal abdominal diameter, while ensuing parameters included: waist-to-stature ratio(WSH), ratio of abdominal sagital diameter to height (SADH), and conicity index. Metabolic status was evaluated based on lipidograms and HbA1c, and of cardiovascular parameters blood pressure was measured.
Results:
Female patients were obese, with central accumulation of fat, elevated blood pressure and lipid disorders such as hypo-HDL cholesterolemia. The applied anthropometric parameters and indicators ensuing from them (WSH, SADH and conicity index), are reliable indicators of elevated blood pressure in diabetic patients.
Conclusion:
The obtained results showed negative correlation with HDL cholesterol in women, which indirectly indicates to development of hypertension, as one of the most common diabetic complications. Central accumulation of fat with dyslipidemic disorder, characteristic of metabolic syndrome, is of highest importance. Sagital abdominal diameter (SAD) and WSH showed the highest correlation with lipidograms in females, whereas BMI was the best indicator in males.
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