scholarly journals ASSOCIATION BETWEEN FOOD CONSUMPTION AS PREDICTOR OF CARDIOVASCULAR RISK AND WAIST CIRCUMFERENCE INCREASE IN TEENAGERS

2015 ◽  
Vol 25 (3) ◽  
pp. 319
Author(s):  
Gustavo Carreiro Pinasco ◽  
Janine Pereira da Silva ◽  
Patrícia Casagrande Dias de Almeida ◽  
Valmin Ramos Da Silva ◽  
Bárbara Farias De Arruda ◽  
...  
Keyword(s):  
Public Schools ◽  
Cardiovascular Risk ◽  
Waist Circumference ◽  
Dietary Intake ◽  
Metropolitan Region ◽  
Abdominal Circumference ◽  
P Value ◽  
Adequate Food ◽  
Increased Risk ◽  
Chi Squared

Introduction: the eating habits of young people have changed significantly over the last few decades. Teenagers tend to have less than desirable intake of fruits, vegetables, dairy products and wholegrain products, and higher intake of foods high in saturated and trans fats, leading to increased waist circumference and consequent increased risk of cardiovascular disease. Objective: to analyse the relationship between dietary intake as predictor of and increased abdominal circumference in teenagers. Methods: a cross-sectional study was conducted in a sample of 818 teenagers aged between 10 and 14 years, of both genders, enrolled in state public schools in the metropolitan region of Vitória, Espirito Santo, Brazil, from August 2012 to October 2013. Waist circumference (WC) measurements were carried out in duplicate and the arithmetic mean was calculated. The dietary intake was identified from a simplified food questionnaire containing foods whose consumption is high or that present excessive risk of coronary heart disease in teenagers. The statistical analysis was done through Pearson’s chi-squared test. Results: a proportion of 55.9% of the sample had an adequate food intake, 15.6% a high intake and 28.5% an excessive intake. Among teenagers who had an adequate, high and excessive dietary intake, 5.6% (N = 46), 1.1% (N = 9) and 2.6% (N = 21) had increased WC, respectively. The result of the chi-squared test indicated no association between dietary intake as predictor of cardiovascular risk and WC, p-value = 0.576. Conclusion: there was no association between dietary intake presenting cardiovascular risk and increased waist circumference.

scholarly journals Correlation Between Anthropometric Parameters And Biochemical Markers Of Cardiovascular Risk In Chronic Renal Patients On Hemodialysis

2021 ◽  
pp. 26
Author(s):  
Keyword(s):  
Vitamin D ◽  
Cardiovascular Risk ◽  
Waist Circumference ◽  
Biochemical Markers ◽  
Serum Vitamin ◽  
Height Ratio ◽  
Anthropometric Parameters ◽  
Increased Risk ◽  
Vitamin D Levels ◽  
Waist Height Ratio

Objective: To correlate anthropometric parameters and biochemical markers of cardiovascular risk in chronic renal patients undergoing hemodialysis. Methods: Cross-sectional observational study, carried out at the Instituto de Medicina Integral Professor Fernando Figueira – Imip (Recife-PE), from July to October 2018. Anthropometric parameters were analyzed: The anthropometric measurements used were waist circumference (WC) and waist-height ratio (WHT), sociodemographic data (sex and base disease) and biochemical parameters (HDL, LDL, Total Cholesterol, Triglycerides, Vitamin D, phosphorus, calcium, potassium and parathyroid hormone). Results: Fifty-nine patients with CKD were evaluated in a regular HD program. and males (54.2%). The majority of the population had an undetermined disease (44.1%). Regarding anthropometry, it was observed that there was a predominance in the change in waist circumference (57.6%) and waist/height ratio (59.3%). Regarding the biochemical profile, through pearson’s correlation, it was observed that there was a significant positive association of WC and WHT with phosphorus (ρ*=0.305 and 0.329). In the correlation of WC and WHT with vitamin D, it was seen that as these anthropometric indices increase, vitamin D decreases, making this correlation significant (ρ*=-0.435 and -0.368). Conclusion: It can be concluded that most patients presented inadequate nutritional status, as well as decreased serum vitamin D levels and changes in serum phosphorus levels. These changes may result in increased risk for cardiovascular events in this population.

Abdominal obesity and risk for esophageal cancer: A nationwide population-based cohort study of South Korea.

2020 ◽  
Vol 38 (4_suppl) ◽  
pp. 446-446
Author(s):  
Dong Ho Lee ◽  
Jae Ho Cho ◽  
Cheol Min Shin ◽  
Kyungdo Han ◽  
Hyuk Yoon ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Cohort Study ◽  
Waist Circumference ◽  
South Korea ◽  
Abdominal Obesity ◽  
Population Based ◽  
Dependent Manner ◽  
Increased Risk ◽  
Chi Squared ◽  
The Relationship

446 Background: The relationship between overall obesity, as measured by body mass index (BMI), and risk of esophageal squamous cell carcinoma (ESCC) has been reported, and it has a negative correlation. However, the relationship with abdominal obesity, as measured by waist circumference, may be different. We investigated the association between abdominal obesity and ESCC. Methods: Retrospective cohort study with 22,809,722 individuals who had undergone regular health check-ups provided by the National Health Insurance Corporation between 2009 and 2012 (median follow-up period was 6.4 years) in South Korea. Abdominal obesity was defined as a waist circumference over 90 cm for men and 85 cm for women. We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) using Chi-squared test and Cox proportional hazard model adjusted for confounding factors. Primary outcome was newly developed esophageal cancer. Results: After adjusting for BMI, abdominal obesity increased the risk of ESCC (HR 1.29, 95% CI 1.23–1.36). Waist circumference is associated with increased risk of ESCC in a dose-dependent manner ( P for trend < 0.0001). We analyzed individuals divided into five categories of BMI. Among individuals with overweight (BMI 23–24.9 kg/m2) and obese I (BMI 25–29.9 kg/m2), abdominal obesity was a risk factor associated with developing ESCC (HR 1.22, 95% CI 1.11–1.34; HR 1.28, 95% CI 1.18–1.39, respectively). Conclusions: Abdominal obesity, not BMI itself, is associated with an increased risk for ESCC. Therefore, reducing abdominal obesity may affect decreasing the development of ESCC.

scholarly journals Prevalence of obesity and cardiovascular risk in patients with HIV/AIDS in Porto Alegre, Brazil

2012 ◽  
Vol 56 (2) ◽  
pp. 137-141 ◽  
Author(s):  
Andrea Francis Kroll ◽  
Eduardo Sprinz ◽  
Suzete Carbonell Leal ◽  
Maria da Graça Labrêa ◽  
Sérgio Setúbal
Keyword(s):  
Body Mass Index ◽  
Cardiovascular Risk ◽  
Antiretroviral Therapy ◽  
Waist Circumference ◽  
Overweight And Obesity ◽  
Porto Alegre ◽  
Increased Risk ◽  
Prevalence Of Obesity ◽  
Anthropometric Assessment ◽  
Hiv Aids

OBJECTIVE: The aim of this study was to discover the prevalence of overweight, obesity and cardiovascular risk in our HIV/AIDS outpatients according to sex, antiretroviral therapy and other variables. SUBJECTS AND METHODS: Patients underwent an anthropometric assessment. Body mass index and waist circumference were used to classify their nutritional status and their cardiovascular risk. RESULTS: The majority of the 345 patients (58.8%) were males. Obesity was detected in 8.3% of them; 34.2% were overweight, and 5.2% malnourished. Near half of them (51.3%) had some cardiovascular risk, with increased risk in 24.6% of them, and substantially increased risk in 26.7% of them. CONCLUSIONS: Overweight and obesity were highly prevalent. Women were more frequently obese (OR = 3.53; IC 95%, 1.47 < OR < 8.69), and their cardiovascular risk was often higher (OR = 6.97; IC 95%, 4.16 < OR < 11.76). The prevalence of obesity and cardiovascular risk did not change according to antiretroviral therapy or other variables.

scholarly journals High blood pressure levels and cardiovascular risk among Munduruku indigenous people

2021 ◽  
Vol 29 ◽  
Author(s):  
Neuliane Melo Sombra ◽  
Hanna Lorena Moraes Gomes ◽  
António Manuel Sousa ◽  
Gilsirene Scantelbury de Almeida ◽  
Zilmar Augusto de Souza Filho ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
Waist Circumference ◽  
Arterial Hypertension ◽  
Indigenous People ◽  
P Value ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Significance Level

Objective: to identify the risk factors associated with prehypertension and arterial hypertension among Munduruku indigenous people in the Brazilian Amazon. Method: a cross-sectional study carried out with 459 Munduruku indigenous people selected by means of stratified random sampling. Sociodemographic variables, habits and lifestyles, anthropometric data, fasting glucose and lipid profiles were evaluated. An automatic device calibrated and validated to measure blood pressure was used. The analyses of the data collected were carried out in the R software, version 3.5.1. For continuous variables, the Kruskall-Wallis test was used; for the categorical ones, Fischer’s Exact. The significance level was set at 5% and p-value≤0.05. Results: the prevalence of altered blood pressure levels was 10.2% for values suggestive of hypertension and 4.1% for pre-hypertension. The risk of prehypertension among indigenous people was associated with being male (OR=1.65; 95% CI=0.65-4.21) and having a substantially increased waist circumference (OR=7.82; 95% CI=1.80-34.04). Regarding the risk for arterial hypertension, it was associated with age (OR=1.09; 95% CI=1.06-1.12), with increased waist circumference (OR=3.89; 95% CI=1.43-10, 54) and with substantially increased waist circumference (OR=5.46; 95% CI=1.78-16.75). Conclusion: among Munduruku indigenous people, men were more vulnerable to developing hypertension; age and increased waist circumference proved to be strong cardiovascular risk factors.

scholarly journals Dietary intake of adolescents compared with the Brazilian Food Guide and their differences according to anthropometric data and physical activity

2015 ◽  
Vol 18 (4) ◽  
pp. 798-808 ◽  
Author(s):  
Carla Cristina Enes ◽  
Betzabeth Slater
Keyword(s):  
Physical Activity ◽  
Public Schools ◽  
Waist Circumference ◽  
Dietary Intake ◽  
Food Habits ◽  
Food Group ◽  
Anthropometric Data ◽  
Physically Active ◽  
Food Frequency ◽  
Sport Activities

ABSTRACT: Objective: To assess the dietary intake of adolescents compared with the Brazilian Food Guide and to explore their differences according to anthropometric data and physical activity. Methods: A total of 476 adolescents from public schools of Piracicaba, SP, Brazil participated in this study. A semi-quantitative food frequency questionnaire was used to estimate food group intake of adolescents. Height, weight and waist circumference of all participants were measured. Physical activity pattern was determined by questioning about participation in regular sport activities. Results: The prevalence of overweight was 36.1% and 60% were not physically active. 7.8, 7.1, 6.3, and 0.2% of adolescents consumed vegetables, fruits, milk and derivatives, and cereals, respectively, according to recommendations. About 55 and 79% of adolescents consumed excessively oils/fats and sugar/sweets, respectively. Physically active adolescents consumed more cereals, fruits, vegetables, milk and derivatives, and meats and eggs. Conclusion: Most adolescents did not follow the food group recommendations and those who were physically active have healthier food habits.

scholarly journals Usual Dietary Fiber Intake in US Adults with Diabetes: NHANES 2013–2018

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1061-1061
Author(s):  
Derek Miketinas ◽  
Wesley Tucker ◽  
Mindy Patterson ◽  
Crystal Douglas
Keyword(s):  
Dietary Intake ◽  
Dietary Fiber ◽  
P Value ◽  
Fiber Intake ◽  
Total Dietary Fiber ◽  
Funding Sources ◽  
Dietary Fiber Intake ◽  
Diabetes Status ◽  
Increased Risk ◽  
Usual Intake

Abstract Objectives The objective of this study was to quantify usual total dietary fiber intake in US adults and to examine whether intake differed by diabetes status (normoglycemic, prediabetic, diabetic). Methods Data from the National Health and Nutrition Examination Survey (NHANES) cycles 2013 – 2018 were used to estimate US adults’ usual dietary fiber intake. Adults (&gt; 19y) who were not pregnant and provided at least 1 day of dietary intake were included for analysis. Diabetes status was determined using the diabetes section of the personal interview as well as participants’ hemoglobin A1c (HbA1c). Adults who reported that they had diabetes or had an HbA1c ≥6.5% were classified as having diabetes. Those who indicated they had prediabetes or had a HbA1c between 5.7%--6.4% were classified as having prediabetes. Those who indicated they never had diabetes or had an HbA1c &lt; 5.7% were classified as normoglycemic. Usual dietary intake was calculated using the National Cancer Institute method. Dietary intake of fiber supplements was not included in the analyses. Independent samples t-tests were used to compare mean intake across sub-populations. A P-value &lt; 0.01 was considered statistically significant. Results The eligible sample consisted of 14,640 adults (51.3% female) with 17.4% and 26.4% classified as having diabetes and prediabetes, respectively. Approximately 7.4% of US adults met the adequate intake (AI) for fiber: 14 g/1000 kcal. Females reported greater usual intake of total dietary fiber compared to males (9.9 ± 0.12 vs 8.7 ± 0.12 g/1000 kcal; P &lt; 0.0001). Adults with diabetes reported greater dietary fiber intake compared to those without diabetes for men (9.6 ± 0.20 vs 8.6 ± 0.12 g/1000 kcal; P &lt; 0.0001) and women (10.3 ± 0.21 vs 9.7 ± 0.14 g/1000 kcal; P &lt; 0.01). However, the proportion of adults who met the AI for fiber was low for all men (8.6% with diabetes vs 4.3% without diabetes; P &lt; 0.001) and women (11.5% with diabetes vs 8.0% without diabetes; P = 0.012). Conclusions Usual intake of total dietary fiber was poor overall, and most US adults failed to meet the AI. Although total dietary fiber intake varied across diabetes categories and was highest among participants with diabetes, intake was inadequate among all groups. Inadequate dietary fiber intake may result in increased risk for other chronic diseases in an already at-risk population. Funding Sources None.

Micropapillary Thyroid Carcinoma and Hashimoto's Thyroiditis

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P40-P40
Author(s):  
Michael Navid Pakdaman ◽  
Michael P Hier ◽  
Martin J Black ◽  
Michael Tamilia ◽  
Richard J Payne
Keyword(s):  
Thyroid Carcinoma ◽  
Hashimoto’S Thyroiditis ◽  
Statistical Significance ◽  
Hashimoto's Thyroiditis ◽  
P Value ◽  
Exact Test ◽  
Increased Risk ◽  
Chi Squared ◽  
Pathology Reports ◽  
The Relationship

Objective An increase in papillary thyroid carcinoma in patients with Hashimoto's thyroiditis has been described. We have yet to find literature discussing a relationship with micropapillary thyroid carcinoma(MPC). Our objective is (1) to assess the relationship between Papillary Microcarcinoma and Hashimoto's Thyroiditis in thyroids without malignant disease, (2) compare effect of the presence of Hashimoto's on prognostic factors in patients. Methods Pathology reports were reviewed for consecutive patients undergoing total thyroidectomy over a 6-year period from 2002 to 2007. Patients with benign pathologies were included. Patients with MPC and no other malignancy were also included. This lead to a cohort of 314 patients. Statistical significance was calculated using Fisher's exact test and a chi-squared analysis. Results Out of the 314 patients, 98 were positive for Hashimoto's thyroiditis on biopsy of the removed thyroid. 58% of the patients with Hashimoto's thyroiditis had an incidental MPC, as compared to 42% of patients where Hashimoto's was not found. Additionally, in Hashimoto patients, 61% of the MPCs were multifocal versus 43% multifocal in the non-Hashimoto group (p-value <0.05 in each comparison). Bilaterality of MPC was also increased in patients with Hashimoto's (22% vs 39%). Conclusions Patients with Hashimoto's thyroiditis in this study had an incidence of MPC of 58%, which is significantly greater than the 42% in those without. Hashimoto's was also associated with an increased risk of bilaterality and multifocality. Studies are needed to further corroborate these findings.

Meta-analysis for cardiovascular risk stratification based on noninvasive left anterior descending velocity reserve

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
E Fountas ◽  
A Djordjevic-Dikic ◽  
B Beleslin ◽  
V Voudris ◽  
G Athanassopoulos
Keyword(s):  
Cardiovascular Risk ◽  
Risk Stratification ◽  
Prospective Studies ◽  
Meta Analysis ◽  
Suspected Coronary Artery Disease ◽  
Systematic Research ◽  
P Value ◽  
Cardiovascular Risk Stratification ◽  
Established Risk Factor ◽  
Increased Risk

Abstract Introduction Left anterior descending velocity reserve (LADVR) by transthoracic echocardiography (TTE) has been proposed for cardiovascular risk stratification in observational prospective studies. Aim of the current study was to interrogate the prognostic consistency and coherence of the existing LADVR data by the means of meta-analysis of relevant studies. Methods A systematic research through electronic databases was performed for prospective studies with patients with known or suspected coronary artery disease (CAD) who had LADVR data. The exposure was abnormal values of LADVR as defined in each study and the outcome was the occurrence of cardiovascular event or death (CE-D). Statistical index considered were the risk ratio (RR) for CE-D of patients with abnormal vs. normal LADVR, as obtained from Cox proportional hazard models. A meta-analysis of these studies using random-effects model was performed to evaluate the pooled prognostic value of abnormal LADVR. Results Fifteen studies with 13050 patients (59.7% male; mean age 64.2 years; mean follow-up 25.1 months) were included in this meta-analysis. Every study used adjustments for every established risk factor for CE-D (age, hypertension, diabetes, dyslipidemia, smoking habits, wall motion abnormalities during stress echo). The abnormal value of LADVR was associated with an increased risk of CE-D (RR=3.33, 95% CI: 2.54–4.37, p-value &lt;0.001). Moderate heterogeneity was observed between studies (Q=35.83, p-value=0.001, I2=60.9%) which was further investigated with sensitivity analysis, subgroup analysis and meta-regression. Conclusions Meta-analytic data for the cardiovascular risk stratification based on dichotomous LADVR data provide robust evidence for efficient prognostic yield. The current results support the broader clinical application of the LADVR. LADVR meta-analysis forestplot Funding Acknowledgement Type of funding source: None

scholarly journals Tumor Necrosis Factor alpha 238 G/A polymorphism and its relation to severity and cardiovascular risk in psoriasis

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
M H ElSayed ◽  
S E Ahmed ◽  
K Ali ◽  
N N ElKhazragy ◽  
M S Attia
Keyword(s):  
Cardiovascular Risk ◽  
P Value ◽  
Necrosis Factor Alpha ◽  
Immune Mediated ◽  
Increased Risk ◽  
Tnf Α ◽  
Significant Difference ◽  
Inflammatory Processes ◽  
Factor Alpha ◽  
Necrosis Factor

Abstract Background Psoriasis is known as chronic immune-mediated inflammatory skin disease affecting about 3% of the world’s population. Cytokine gene polymorphism attracted considerable interest as they have been found to alter gene transcription thereby influencing inflammatory processes in response to various diseases. Subjects A total of 50 psoraitic patients and 50 controls were genotyped for TNF–α −238G/A polymorphism by using polymerase chain reaction. ECG and lipid profile were done to assess cardiovascular risk. Results Polymorphism of TNF–α −238 was not found to be associated with an increased risk for psoriasis (p value 0.98). There is significant difference between cases and controls as regard systolic and diastolic blood pressure . Conclusion Our findings suggest that there is no association between TNF alpha polymorphism and risk of psoriasis in Egyptian psoraitic patients.

scholarly journals OP0192 INCIDENT GOUT AND RISK OF FIRST-TIME ACUTE CORONARY SYNDROME: A PROSPECTIVE, POPULATION-BASED, COHORT STUDY IN SWEDEN

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 115.1-116
Author(s):  
P. Drivelegka ◽  
L. T. H. Jacobsson ◽  
U. Lindström ◽  
K. Bengtsson ◽  
M. Dehlin
Keyword(s):  
Risk Factors ◽  
Acute Coronary Syndrome ◽  
Cardiovascular Risk ◽  
General Population ◽  
Cardiovascular Risk Factors ◽  
Population Based ◽  
P Value ◽  
Coronary Syndrome ◽  
Increased Risk ◽  
First Time

Background:Gout is associated with an increased risk of cardiovascular disease (CVD), but it is not clear whether this risk is intrinsic to gout itself or to underlying comorbidities. Although the impact of gout on CVD has been studied previously, the results have been conflicting and studies from European countries are scarce.Objectives:To investigate the risk of first-time acute coronary syndrome (ACS) in patients with incident gout in western Sweden, compared to the general population.Methods:Using data from the population-based health care database VEGA, we identified all patients with incident gout diagnosis at either primary or specialized health care units in western Sweden, in the period 2007– 2017 (20,287 cases; mean age, 65.6 years; 67.4% males). Cases regarded as incident, if they did not have any recorded diagnosis of gout in the previous seven years. For each case, up to five controls matched on age, sex, and county at the date of first gout diagnosis were identified from the census register (84,240 controls). Cases and controls with prior history of ischemic heart disease were excluded. The follow-up began at the first diagnosis of gout, and ended at the earliest of an ACS event, emigration, death, or 31 December 2017. To estimate the risk of first-time ACS, we used incident rate (IR) and univariable and multivariable Cox regression analysis with adjustments for the following cardiovascular risk factors: the diagnoses of hypertension, diabetes, hyperlipidemia, obesity, renal disease, heart failure, cardiomyopathy, psoriasis, chronic obstructive pulmonary disease, alcoholism, cancer, cerebrovascular, and atherosclerotic disease, as well as for the dispensed prescriptions of statins, anticoagulants, anti-hypertensive, anti-diabetic, anti-hyperlipidemic, anti-obesity, and vasodilator drugs.Results:The IR of first-time ACS was 9.0 events per 1,000 person-years in the gout cohort, compared to 6.3 in the control cohort. The IRs were lower for women than men, both in the gout (IR, 8.2 vs 9.4) and in the control cohort (IR, 5.0 vs 7.0). Univariable analysis showed that patients with gout have a higher risk of first-time ACS, as compared to the general population (Figure 1, Table 1), but the increased risk is largely diminished after adjustments for cardiovascular risk factors (Table 1).Table 1.Risk of first-time ACS in patients with incident gout, as compared to the general population.Unadjusted HR95% CIp-valueAdjusted HR95% CIp-valueACS Overall1.431.32-1.55<.00011.151.05-1.240.0013 Men1.351.23-1.48<.00011.121.02-1.230.0230 Women1.631.41-1.89<.00011.211.03-1.410.0207Figure 1.Event-free survival curve for patients with gout and controls during the follow-up, where event is first-time acute coronary syndrome.Conclusion:Patients with incident gout have a 43% higher risk of first-time ACS, as compared to the general population. This increased risk is largely explained by the increased occurrence of comorbidities in gout, but there is still a modestly increased risk that may be due to gout related factors. Our results underline the importance of cardiovascular risk assessment and the need for appropriate management of the underlying cardiovascular risk factors in patients with gout.Disclosure of Interests:None declared

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