Hypertriglyceridemic waist phenotype in primary health care: comparison of two cutoff points

Objective: We aimed to evaluate the prevalence of hypertriglyceridemic waist (HTGW) phenotype among users of primary health care using two different cutoff points used in the literature. Methods: We evaluated adults and elderly individuals of both sexes who attended the same level of primary health...

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Principais autores: Fayh, Ana Paula Trussardi, Braz, Marina Augusta Dias, Vieira, Jallyne Nunes, Gomes, Flayane Oliveira, Silva, Priscilla Rafaella da, Santos, Ohanna Thays de Medeiros, Rocha, Ilanna Marques Gomes da, Sousa, Iasmin Matias de
Formato: article
Idioma:English
Publicado em: Diabetes, Metabolic Syndrome And Obesity: Targets and Therapy
Assuntos:
Abdominal obesity
cardiovascular disease
dyslipidemia
cardiovascular risk
Endereço do item:https://repositorio.ufrn.br/handle/123456789/55614
https://doi.org/10.2147%2FDMSO.S143595
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Resumo:Objective: We aimed to evaluate the prevalence of hypertriglyceridemic waist (HTGW) phenotype among users of primary health care using two different cutoff points used in the literature. Methods: We evaluated adults and elderly individuals of both sexes who attended the same level of primary health care. HTGW phenotype was determined with measurements of waist circumference (WC) and triglyceride levels and compared using cutoff points proposed by the National Cholesterol Education Program – NCEP/ATP III (WC ≥102 cm for men and ≥88 cm for women; triglyceride levels ≥150 mg/dL for both sexes) and by Lemieux et al (WC ≥90 cm for men and ≥85 cm for women; triglyceride levels ≥177 mg/dL for both). Results: Within the sample of 437 individuals, 73.7% was female. The prevalence of HTGW phenotype was high and statistically different with the use of different cutoff points from the literature. The prevalence was higher using the NCEP/ATP III criteria compared to those proposed by Lemieux et al (36.2% and 32.5%, respectively, p<0.05). Individuals with the presence of the phenotype also presented alterations in other traditional cardiovascular risk markers. Conclusion: The HTGW phenotype identified high prevalence of cardiovascular risk in the population, with higher cutoff points from the NCEP/ATP III criteria. The difference in frequency of risk alerts us to the need to establish cutoff points for the Brazilian population

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