The correlation between anthropometric measurements and biochemical cardiovascular risk markers in the hypertensive
Asdrúbal Nóbrega Montenegro-Neto1, Mônica Oliveira da Silva-Simões, Ana C Dantas de Medeiros
1Universidade Estadual da Paraíba-UEPB, Brasil. netotraducao@hotmail.com
Insights
Hypertensive elderly individuals often show increased cardiovascular risk due to overweight and central obesity. Subclinical inflammation is also prevalent in this population, indicating additional risks.
Area of Science:
- Cardiology
- Geriatrics
- Public Health
Background:
- Hypertension is a significant risk factor for cardiovascular disease, particularly in the elderly.
- Anthropometric markers can indicate additional cardiovascular risk.
- The HIPERDIA program in Brazil focuses on managing hypertension in the elderly.
Purpose of the Study:
- To correlate anthropometric markers with cardiovascular risk in hypertensive elderly individuals.
- To assess the prevalence of overweight, obesity, and central obesity in this population.
- To identify subclinical inflammation as an additional cardiovascular risk factor.
Main Methods:
- A study involving 131 hypertensive elderly participants (aged 60-92) in Campina Grande, Brazil.
- Data collection included socioeconomic, demographic, lifestyle questionnaires, and anthropometric measurements.
- Statistical analyses comprised Pearson's correlation, descriptive statistics, Student's t-test, and one-way ANOVA.
Main Results:
- High prevalence of overweight (24.7% women, 14.7% men) and obesity (21.6% women, 11.8% men).
- Elevated waist-to-hip ratio (57.0% women, 26.5% men) and high abdominal circumference (95.9% women, 38.2% men) indicated central obesity.
- Among a subgroup (n=40), 27 subjects (67.5%) exhibited high C-reactive protein levels, suggesting subclinical inflammation.
Conclusions:
- Overweight and central obesity are prevalent in hypertensive elderly individuals, signaling increased cardiovascular risk.
- Subclinical inflammation, indicated by elevated C-reactive protein, is present in this population.
- Anthropometric markers and inflammation are valuable indicators of additional cardiovascular risk in hypertensive elderly patients.
Objectives:
This study was aimed at correlating anthropometric markers indicating additional cardiovascular risk in a hypertensive elderly population enrolled in the HIPERDIA programme in Campina Grande, Paraíba, Brazil, South America.
Methods:
The sample consisted of 131 hypertensive elderly people aged60 to 92 (25.9 % males and 74.1 % females). A socioeconomic, demographic, life-style questionnaire was used in the assessment. Information about anthropometry measurements and pathology frequency were also recorded via this questionnaire. Pearson's correlation, descriptive statistics, comparison between anthropometric variables by gender using Student's t-test and one-way ANOVA were used in the analysis for comparing groups by age(60 to 69, 70 to 79 and > 80 years).
Results:
14.7 % of men and 24.7 % of women were overweight and 11.8 % of men and 21.6 % of women were obese. 57.0 % of women and 26.5 % of men had inadequate values in waist-to-hip ratio analysis. 95.9 % of women and 52.9 % of men had high risk and 95.9 % of women and 38.2 % of men had high abdominal circumference values regarding waistline measurement. After selection (n=40) for correcting potential confounders, it was found that 27 subjects had high C-reactive protein values, an additional cardiovascular risk factor.
Conclusions:
The results suggested that additional cardiovascular risk could be demonstrated by the high prevalence of being overweight and central obesity presented by the population and the presence of subclinical inflammation amongst hypertensive ones.
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