scholarly journals Obesidade e associação de indicadores antropométricos com fatores de risco em professores

2017 ◽  
Vol 19 (6) ◽  
pp. 720-729
Author(s):  
Rômulo José Mota Júnior ◽  
Renata Aparecida Rodrigues Oliveira ◽  
Mayse Faria Fialho Resende ◽  
Luciana Moreira Lima ◽  
Sylvia Do Carmo Castro Franceschini ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Central Obesity ◽  
Low Density Lipoprotein ◽  
Explanatory Power ◽  
Density Lipoprotein ◽  
Abdominal Circumference ◽  
Fat Percentage ◽  
Cross Sectional ◽  
Anthropometric Indicators ◽  
Private Network

The aim of this study was to verify general and central obesity, as well as the association of anthropometric indicators with cardiovascular risk factors (CvRF) in teachers of the private network of Viçosa-MG. A cross-sectional observational study was conducted with 150 teachers. Body mass index (BMI), conicity index (CI), body adiposity index (BAI), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), waist circumference (WC), abdominal circumference (AC) and body fat percentage (%BF); systolic blood pressure (SBP) and diastolic blood pressure (DBP); glycemia (GL), total cholesterol (TC), high density lipoprotein (HDL-C), low density lipoprotein (LDL-C) and triglycerides (TG) were evaluated. The prevalence of general and central obesity was calculated in addition to the simple linear regression to verify the association of anthropometric indicators between themselves and with CvRF. General and central obesity was identified in 19% and 17% of teachers respectively. The best associations between anthropometric indicators were between BMI and WHtR (R² = 0.81), WHtR and AC (R² = 0.78) and BMI and AC (R² = 0.76), all of which were positive. Between anthropometric indicators and CvRF, the best associations were found between WHtR and TG (R² = 0.25), AC and SBP (R² = 0.18) and WHR and HDL-c (R² = 0.19), the first two associations being positive and the last negative. It was concluded that approximately one in five teachers presented obesity. The general obesity indicator, BMI, was positively associated with anthropometric indicators and with most CvRF. However, central obesity indicators presented greater explanatory power on CvRF. 

scholarly journals The Correlation between Lipoprotein-Associated Phospholipase A2 and Atherosclerosis (ox-LDL) in Centrally Obese Men

2012 ◽  
Vol 4 (2) ◽  
pp. 101
Author(s):  
Priscilla Dian Ari ◽  
Ellis Susanti ◽  
Ilhamjaya Patellongi
Keyword(s):  
Phospholipase A2 ◽  
Central Obesity ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Oxidized Phospholipids ◽  
Cross Sectional ◽  
Ldl Particles ◽  
Sandwich Enzyme Immunoassay ◽  
Hydrolysis Of

BACKGROUND: Obesity is closely associated with atherosclerosis. Obesity and atherosclerosis are closely associated with inflammatory disease. Atherosclerosis constitutes a multifactorial disorder affecting the arterial wall, which is initiated by dyslipidemia and excerbated by inflammation. Plasma levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) and oxidized low density lipoprotein (ox-LDL) have been identified as risk factors for cardiovascular disease.  Lp-PLA2 is the sole enzyme responsible for the hydrolysis of oxidized phospholipids (oxPL) on LDL particles in atherosclerosis plaque. Plasma level of oxLDL is associated with inflammation and plays an important role in the development of atherosclerosis. The aim of this study was to assess the correlation between Lp-PLA2 and atherosclerosis (oxLDL) in centrally obese men.METHODS: This was a cross-sectional study involving 71 men with central obesity with waist circumference >90 cm, aged 30-60 years old. Lp-PLA2 measurement was done by sandwich enzyme immunoassay. oxLDL measurement was done by ELISA method. RESULTS: Results of this study showed that central obesity correlated positively with oxLDL (r=0.258; p=0.040) and Lp-PLA2 >422 ng/mL correlated positively with oxLDL (r=0.331; p=0.042).CONCLUSIONS: We conclude that there is a correlation of Lp-PLA2 with atherosclerosis (oxLDL) in men with central obesity.KEYWORDS: obesity, Lp-PLA2, oxLDL, atherosclerosis

Quality of Care in Patients with Type 2 Diabetes in Iran: A 5-year retrospective study

2019 ◽  
Author(s):  
yahya bayazidi ◽  
Majid Davari ◽  
Abbas Kebriaeezadeh ◽  
Bagher Larijani ◽  
Alireza Esteghamati ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Type 2 Diabetes ◽  
Quality Of Care ◽  
Hemoglobin A1c ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional ◽  
Private And Public

Abstract Background The object of this study was to evaluate the quality of care indicators (process- and outcome-related) in patients with type 2 diabetes using patient-level data during the last 5 years in Iran, in private and public diabetes centers in five provinces (Tehran, Isfahan, Yazd, Mazandaran, and Kurdistan).Method Our study was a cross-sectional study carried out on patients with type 2 diabetes at 13 diabetes centers (private and public). Annual tests for hemoglobin A1C, serum lipid (LDL) and screening for nephropathy (urine protein or urine albumin quantitative test) were used to evaluate process-related and hemoglobin A1C, blood pressure and lipids levels were used to assess outcome-related outcomes.Findings Among 1976 patients, 54% were women with an average of 15 years of diabetes duration and approximately 83% of patients were obese or overweight. About 9% of patients had a hemoglobin A1C test every three months. The values obtained were favorable for controlling lipid profile but less than standard for screening for nephropathy and only about 30% of patients were within the optimal range for simultaneous control of process-related indicators. Findings for outcome- related indicators show that the achievement of blood glucose, blood pressure, and low-density lipoprotein targets were 31, 49 and 70%, respectively and concurrent achievement was 13.8% in the last year.Conclusion The performance of the health system has much room for improvement and diabetes control programs have not been favorable in any of the provinces studied and have not led to optimal control.

scholarly journals Hubungan antara Kadar Low Density Lipoprotein dengan Tekanan Darah Sistolik saat Puncak Exercise pada Personil Kepolisian Daerah Sulawesi Tenggara (The Relationship between Low Density Lipoprotein Levels and Systolic Blood Pressure during Peak Exercise of Police Personnel in Southeast Sulawesi)

MEDULA ◽  
2020 ◽  
Vol 7 (2) ◽  
Author(s):  
Dina Fitriana ◽  
Hilma Yuniar ◽  
Jamaluddin Jamaluddin
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Peak Exercise ◽  
P Value ◽  
Low Density ◽  
Cross Sectional ◽  
Police Personnel ◽  
The Relationship

Background: Systolic blood pressure during exercise is the blood pressure as measured by aneroid sphygmomanometer at the peak exercise (treadmill), namely when the subject has experienced fatigue or heart rate has reached > 85% of Maximum Heart Rate. Purpose:This research purpose is to determine the relationship between LDL level and systolic blood pressure at the exercise peak of  police personnel in Southeast Sulawesi. Methods: This research used analytical-observasional study with cross sectional aproach. The independent variables used in this research are LDL level while the dependent variables was systolic blood pressure during the peak exercise. Research location is in Maxima Laboratory Kendari.The subjects of this study were 95 people based on the inclusion and exclusion criteria that selected by Purposive Sampling method. Data collection was gained by taking the secondary data and was processed by using statistical test data of Independent T-test with a significance p-value <0.05. Result: The result of bivariate analysis showed that there was a relationship between LDL level and systolic blood pressure at the exercise peak on the police personnel in Southeast Sulawesi with a p-value = 0,000 (<0.05). Conclusion: This study can be conlcuded that there was a relationship between LDL level and systolic blood pressure at the peak exercise of police personnel in Southeast Sulawesi.Keywords: low density lipoprotein, systolic blood pressure, peak exercise. ABSTRAKLatar belakang : Puncak tekanan darah sistolik pada saat exercise adalah tekanan darah sistolik yang diukur dengan menggunakan sfignomanometer air raksa pada saat puncak exercise, dimana subyek sudah mengalami kelelahan atau denyut jantung telah mencapai 85% dari denyut jantung maximal. Tujuan: Tujuan penelitian ini adalah untuk mengetahui hubungan antara kadar LDL plasma dengan tekanan darah sistolik pada puncak exercise pada personil Kepolisian Daerah Sulawesi Tenggara. Metode: penelitian ini merupakan penelitian analitik-observasional dengan metode cross sectional. variabel independen adalah kadar LDL plasma dan dependen variabel adalah tekanan darah sistol pada puncak exercise. penelitian dilakukan di Laboratorium Klinik Maxima Kendari. sebanyak 95 sampel penelitian yang memenuhi kriteria inklusi dan eksklusi diambil dengan metode purposive sampling. Data tekanan darah saat puncak exercise dan kadar LDL plasma diambil dari data sekunder rekam medik pasien. Data kemudian dianalisa dengan uji statistik Independent T-test dan bermakna bila nilai p <0,05. Hasil: Analisa statistik menunjukkan adanya hubungan antara kadar LDL plasma dengan tekanan darah sistolik pada puncak exercise pada personil POLDA Sulawesi Tenggara, dengan nilai p=0,000. Simpulan : Pada penelitian ini dapat disimpulkan bahwa terdapat hubungan antara kadar LDL plasma dengan tekanan darah sistolik pada puncak exercise pada personil POLDA Sulawesi Tenggara.Kata Kunci: low density lipoprotein, tekanan darah sistolik, puncak exercise

scholarly journals Glycaemic, blood pressure and low-density lipoprotein-cholesterol control among patients with diabetes mellitus in a specialised clinic in Botswana: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026807 ◽  
Author(s):  
Julius Chacha Mwita ◽  
Joel M Francis ◽  
Bernard Omech ◽  
Elizabeth Botsile ◽  
Aderonke Oyewo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Blood Pressure ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Low Density ◽  
Sectional Study ◽  
Low Density Lipoprotein Cholesterol ◽  
Cross Sectional ◽  
Patients With Diabetes

ObjectiveControl of glycaemic, hypertension and low-density lipoprotein-cholesterol (LDL-C) among patients with type 2 diabetes mellitus (T2DM) is vital for the prevention of cardiovascular diseases. The current study was an audit of glycaemic, hypertension and LDL-C control among ambulant patients with T2DM in Botswana. Also, the study aimed at assessing factors associated with attaining optimal glycaemic, hypertension and LDL-C therapeutic goals.DesignA cross-sectional study.SettingA specialised public diabetes clinic in Gaborone, Botswana.ParticipantsPatients with T2DM who had attended the clinic for ≥3 months between August 2017 and February 2018.Primary outcome measureThe proportion of patients with optimal glycaemic (HbA1c<7%), hypertension (blood pressure <140/90 mm Hg) and LDL-C (<1.8 mmol/L) control.ResultsThe proportions of patients meeting optimal targets were 32.3% for glycaemic, 54.2% for hypertension and 20.4% for LDL-C. Age≥ 50 years was positively associated with optimal glycaemic control (adjusted OR [AOR] 5.79; 95% CI 1.08 to 31.14). On the other hand, an increase in diabetes duration was inversely associated with optimal glycemic control (AOR 0.91; 95% CI 0.85 to 0.98). Being on an ACE inhibitor was inversely associated with optimal hypertension control (AOR 0.35; 95% CI 0.14 to 0.85). Being female was inversely associated with optimal LDL-C control (AOR 0.24; 95% CI (0.09 - 0.59).ConclusionPatients with T2DM in Gaborone, Botswana, presented with suboptimal control of recommended glycaemic, hypertension and LDL-C targets. These findings call for urgent individual and health systems interventions to address key determinants of the recommended therapeutic targets among patients with diabetes in this setting.

scholarly journals Habitual Combined Exercise Protects against Age-Associated Decline in Vascular Function and Lipid Profiles in Elderly Postmenopausal Women

2020 ◽  
Vol 17 (11) ◽  
pp. 3893
Author(s):  
Elizabeth J. Pekas ◽  
John Shin ◽  
Won-Mok Son ◽  
Ronald J. Headid ◽  
Song-Young Park
Keyword(s):  
Blood Pressure ◽  
Physical Fitness ◽  
Postmenopausal Women ◽  
Vascular Function ◽  
Muscular Strength ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Walking Distance ◽  
Fat Percentage ◽  
Postmenopausal Status

Postmenopausal status is associated with increased risks for cardiovascular diseases (CVD). This study investigated differences in vascular function, lipids, body composition, and physical fitness in elderly postmenopausal women active in combined resistance and aerobic exercise (CRAE) training for 1 year versus a sedentary cohort of similar-in-age counterparts. Elderly postmenopausal women performing habitual CRAE training for 1 year (age ~75 year; CRAE, n = 57) and elderly sedentary postmenopausal women (age ~78 year; SED, n = 44) were recruited. Arterial stiffness (brachial-to-ankle pulse-wave velocity, baPWV), blood pressure, blood lipids, anthropometrics, 2-min walking distance, and muscular strength were assessed for both groups. There were significant differences for baPWV, systolic blood pressure, low-density lipoprotein, and body fat percentage, which were significantly lower (p < 0.05) in CRAE vs. SED, and both 2 min walking distance and muscular strength were significantly greater (p < 0.05) in CRAE vs. SED. These results indicate that elderly postmenopausal women participating in habitual CRAE training may have better protection against risks for CVD and have better physical fitness compared to SED counterparts.

scholarly journals Screening Cardiovascular Risk Factors of Diabetes Patients in the Primary Diabetes Clinics

2020 ◽  
Author(s):  
Lingwang An ◽  
Yanlei Wang ◽  
Chenxiang Cao ◽  
Tao Chen ◽  
Yonghong Zhang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Diabetes Care ◽  
Glycosylated Hemoglobin ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Ascvd Risk ◽  
Atherosclerotic Cardiovascular Diseases

Abstract Aim:To evaluate the atherosclerotic cardiovascular diseases (ASCVD) risk factors in type 2 diabetes (T2DM) patients from the primary diabetes clinics for further comprehensive intervention in China.Methods:A cross-sectional study was conducted in 5 primary diabetes chain hospitals in Beijing, Lanzhou, Harbin, Chengdu and Taiyuan in continuous patients with T2DM from March 2016 to December 2019. The data collected at the first visit were analyzed, and proportions of patients reached the targets (glycosylated hemoglobin (HbA1C) < 7%, blood pressure < 130 / 80mmHg, and low-density lipoprotein cholesterol (LDL-C) < 2.6mmol/l) were calculated. The differences among different hospitals, different treatment and numbers of aggregated ASCVD risk factors were compared.Results:A total of 20,431 participants, including 11,363 men (55.6%), with an average age of (59.4 ± 10.4) years were enrolled. Nearly 95% diabetes had one or more ASCVD risk factors other than hyperglycemia. The control rates of HbA1C, blood pressure, and LDL-C were 26.5%, 27.9%, and 42.6%, respectively. Only 4.1% patients achieved all 3 targets. Diabetes duration, family history and overweight/obesity were associated with the number of aggregated ASCVD risk factors. And the patients with short duration, no overweight/obesity, not smoking, less ASCVD risk factors and lived in Chengdu were associated with a higher control rates.Conclusions:In confront of poor control status, global management of ASCVD risk factors including weight loss and smoking stopping must be emphasized in the primary diabetes care settings.Highlights:The prevalence of ASCVD risk factors was high and control rates were low in the primary diabetes care hospitals in China.Overweight/obesity, smoking and resident area were associated with the aggregated ASCVD risk factors and worse control.Trial registration:Current ClinicalTrial.gov protocol ID NCT03707379. Date of Registration: October 16, 2018.https://clinicaltrials.gov

Effects of eight weeks exercise training on serum levels of adropin in male volleyball players

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Abdulmecit Afşin ◽  
Eren Bozyılan ◽  
Ramazan Asoğlu ◽  
Fethi Yavuz ◽  
Aykut Dündar
Keyword(s):  
Blood Pressure ◽  
Exercise Training ◽  
Body Fat ◽  
Low Density Lipoprotein ◽  
Exercise Program ◽  
Density Lipoprotein ◽  
Serum Levels ◽  
Lipoprotein Cholesterol ◽  
Fat Percentage ◽  
Volleyball Players

Abstract Objectives To evaluate the effects of an eight week exercise program on the lipid profile in serum, serum levels of adropin, systolic blood pressure (SBP), and diastolic blood pressure (DBP) in male volleyball players. Methods Sixteen healthy male volleyball players participated in this study. Subjects performed eight weeks of aerobic and resistance training, and body mass index (BMI), body fat ratio, total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), adropin, SBP, and DBP values were measured at the start (untrained) and end (trained) of training. Non-HDL-C was calculated by subtracting HDL-C from TC. Results Body fat percentage and BMI values decreased significantly after eight weeks of exercise training. There was a statistically significant decrease in the post-test values of LDL-C, TG, non-HDL-C, and DBP compared to pre-test measurements. There was a significant increase in the trained levels of adropin and HDL-C compared to untrained levels. Pearson’s correlation analyses revealed a negative and significant relationship between changes in DBP and adropin levels before and after exercise. Conclusions Eight weeks of exercise training decreased LDL-C, TG, non-HDL-C, and DBP and an increased serum levels of adropin in male volleyball players.

scholarly journals Hubungan Indeks Masa Tubuh dan Lingkar Perut dengan Low Density Lipoprotein pada Pasien Penyakit Jantung Koroner di Poliklinik Jantung RSUP Dr. M. Djamil Padang

2015 ◽  
Vol 4 (3) ◽  
Author(s):  
Medika Prasetya ◽  
Fadil Oenzil ◽  
Yerizal Karani
Keyword(s):  
Body Mass Index ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Cross Sectional Study ◽  
Abdominal Circumference ◽  
Low Density ◽  
Sectional Study ◽  
Cross Sectional

Abstrak Berat badan dengan Indeks Masa Tubuh (IMT) lebih dari 30 kg/m2  pada laki-laki dan wanita akan meningkatkan risiko Penyakit Jantung Koroner (PJK) 4 kali lipat. Tingginya proporsi penyakit kardiovaskuler pada etnikMinangkabau/Padang diperkirakan berkaitan dengan tingginya prevalensi dislipidemia. Tujuan penelitian ini adalah mengetahui hubungan IMT dan Lingkar perut (LP) dengan kadar Low density Lipoprotein (LDL) pada pasien penyakit Jantung Koroner di Poliklinik Jantung RSUP Dr M Djamil Padang. Penelitian ini mengunakan rancangan analitik dengan pendekatan cross sectional study dengan mengumpulkan data primer berupa tinggi badan, berat badan, dan lingkar perut dan data sekunder berupa kadar LDL dari rekam medik pasien. Populasi studi adalah semua penderita jantung koroner dengan LDL diatas normal yang berusia 20 tahun sampai 64 tahun lebih yang berasal dari Kabupaten/Kota Propinsi Sumatera Barat  telah  berobat di Poliklinik Jantung Rumah Sakit Dr M. Djamil pada bulan Mei tahun 2012 serta bersedia berpartisipasi dalam penelitian.  LP yang tidak normal 20 orang (54,1%) yang kadar LDL tinggi. Hasil statistik diperoleh nilai p=0,02 yang berarti ada perbedaan proporsi kadar LDL tinggi antara responden LP  tidak normal  dengan kadar LDL tinggi. Dari hasil analisis diperoleh pula nilai OR = 2,64, artinya LPresponden yang tidak normal mempunyai peluang 2,64 kali untuk kadar LDL tinggi  dibandingkan responden yang LP normal. Kesimpulan penelitian ini adalah tidak ada hubungan yang signifikan IMT dengan kadar LDL. Yang menunjukan adanya hubungan adalah antara LP dengan kadar LDL tinggi.Kata kunci: IMT, LP, penyakit jantung koroner Abstract Weight gain by Body Mass Index (BMI) over 30 kg/m2 both in men and women will increase 4-fold risk of Coronary Heart Disease (CHD). The high proportion of cardiovascular disease in ethnic Minangkabau/Padangassociated to higher prevalence of dyslipidemia.  The objective of this study was to determine the relationship of BMI (body mass index) and abdominal circumference (LP) to high levels of low-density lipoproteins (LDL) in patients with CHD in the Heart Clinic Dr M Djamil Padang in May in 2012. The design of this study was a cross-sectional study tocollect primary data such as height, weight, and abdominal circumference, but LDL data got from medical records. The study population was all patients with coronary heart disease with normal LDL above 20 years old to 64 years who came from County/City of West Sumatra had been treated at the clinic Dr M. Djamil Heart Hospital in May of 2012, and are willing to participate in the study. Abnormal LP 20 people (54.1%) were high LDL levels. The statistical results obtained by  p=0.02, it can be concluded that there is a difference between the proportion of high LDL levels to highLDL levels. From the results obtained by the analysis of the value of OR = 2.64, meaning the LP respondents who do not normally have the opportunity to LDL levels of 2.64 times higher than the normal LP respondents. In this study there was no significant association with BMI levels of LDL.  that there is a relationship between the LP with high LDL. Keywords: BMI, LP, Coronary Heart Disease

scholarly journals Different anthropometric indicators of central obesity can predict hypertension in older adults

2019 ◽  
Vol 37 (3) ◽  
Author(s):  
Vilmary S Novaes ◽  
Rafael S Passos ◽  
Ícaro J. S. Ribeiro ◽  
Ivna V Freire ◽  
Ludmila Schettino ◽  
...  
Keyword(s):  
Older Adults ◽  
Roc Curve ◽  
Central Obesity ◽  
Demographic Data ◽  
Roc Curves ◽  
The Elderly ◽  
Discriminatory Power ◽  
Abdominal Circumference ◽  
Cross Sectional ◽  
Anthropometric Indicators

Objective: to investigate the association between hypertension and anthropometric indicators of central obesity, obtained from two anatomical sites in older adults.Methodology: cross-sectional study that involved 145 older adults, from whom socioeconomic and demographic data and anthropometric indicators of central obesity (waist circumference [CC] and abdominal circumference [CA]) were obtained, which were considered independent variables. A logistic regression model was used to analyze associations and for the discriminatory power of the cut-off points of the hypertension anthropometric indicators, receiver operating characteristic (ROC) curve was performed. Comparisons were made between ROC curves, with the aim of identifying significant differences in the discriminatory power of the anthropometric indicators studied.Results: out of the 145 individuals, 79 were females (54%) and 66 males (46%). Results showed a high prevalence of arterial hypertension in men (69,7%) and women (73,4%). Both CC and CA were significantly associated with hypertension in both genders. Parameters of the ROC curve revealed that both anthropometric indicators of central obesity exhibit good discriminatory power for hypertension in the studied population. The cut-off point for CC was > 83,2 cm for men and > 82,6 cm for women; while for CA it was > 85,1 cm and > 85,4 cm for men and women, respectively.Conclusion: CA and CC are significantly associated with hypertension in both genders, and there is no superiority between them to predict hypertension in the elderly population.

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