Introducao : As doencas cardiovasculares (DCV) compreendem a principal causa de morbimortalidade no mundo. Mulheres adultas que apresentam fatores de risco podem desenvolver a doenca cardiovascular precocemente. Estudos tem demonstrado a capacidade de alguns indicadores antropometricos na predicao do risco cardiovascular. Objetivos : Verificar a correlacao entre indice de massa corporal (IMC) e os indicadores antropometricos de risco cardiovascular. Metodos : Estudo transversal, realizado com 120 mulheres de 20 a 49 anos do municipio de Sao Jose de Ribamar (MA). Foram coletados dados socioeconomicos e demograficos, estilo de vida e antropometricos. Avaliou-se o IMC, circunferencia da cintura (CC), razao cintura estatura (RCest), razao cintura quadril (RCQ) e indice de conicidade (IC). Utilizou-se o teste de correlacao de Pearson entre IMC e indicadores antropometricos de risco cardiovascular. Resultados : Da amostra estudada, 60,0% das mulheres estavam com excesso de peso de acordo com o IMC, 70,8%, tinham risco para DCV por meio da CC, 60,8% pela RCest e 74,2% pelo IC. Quanto ao IMC e os indicadores antropometricos observou-se correlacao significativa: CC (p< 0,001, r= 0,47), RCQ (p< 0,001, r= 0,62), RCEst (p< 0,001, r= 0,85) e IC (p< 0,001, r= 0,52). Conclusao : Todos os indicadores antropometricos avaliados se mostraram moderadamente correlacionados com o IMC, com excecao da RCest que teve forte correlacao. Palavras-chave : Antropometria. Obesidade Abdominal. Doencas Cardiovasculares. Abstract Introduction : Cardiovascular diseases (CVD) comprise the leading cause of morbidity and mortality worldwide. Adult women who have risk factors may develop CVD early. Studies have shown the capacity of some anthropometric indicators to predict cardiovascular risks. Objectives : To investigate the correlation between body mass index (BMI) and cardiovascular risk anthropometric indicators. Methods : Cross-sectional study conducted with 120 women aged between 20-49 years old from Sao Jose de Ribamar, Maranhao, Brazil. Socioeconomic, demographic, lifestyle and anthropometric data were collected. BMI, waist circumference (WC), waist height (WHtR), waist hip ratio (WHR) and conicity index (CI) were evaluated. Pearson correlation test between BMI and cardiovascular risk anthropometric indicators were used. Results : In the study sample, 60% of women were overweight according to BMI, while CVD risk was observed in 70.8% of women according to WC, 60.8% according to WHtR and 74.2% according to CI. Regarding BMI and anthropometric indicators, significant correlation was observed, as follows: WC (p <0.001, r = 0.47), WHR (p <0.001, r = 0.62), WHtR (p <0.001, r = 0.85) and CI (p <0.001, r = 0.52). Conclusion : All the evaluated anthropometric indicators have proven to be moderately correlated with BMI, except for WHtR, which had strong correlation. Keywords : Anthropometry. Abdominal Obesity. Cardiovascular Diseases.

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Correlação entre o índice de massa corporal e indicadores antropométricos de risco cardiovascular em mulheres / correlation between body mass index and cardiovascular risk anthropometric indicators in women

Background: Obesity is very frequent in women with polycystic ovary syndrome (PCOS) and is associated with the increased cardiovascular risk. Objective: To associate anthropometric measurements body mass index (BMI), waist circumference (WC), waist to height ratio (WHtR), waist hip ratio (WHR), body fat percentage (BF%) with the following cardiovascular risk factors (CVRF): high blood pressure, lipid profile and fasting glucose changes among women with PCOS. Methods: Cross-section study conducted with 78 women with PCOS, diagnosed according to the Rotterdam Consensus. The following were measured: total cholesterol (TC), triglycerides (TG), LDL cholesterol (LCL-c) HDL cholesterol (HDL-c), fasting glucose and blood pressure (BP) in all patients, as well as anthropometric variables. Results: The prevalence of obesity was high when assessed by BMI (34.6%) and BF% (61.5%). The lipid profile was relevant in the sample, especially the decrease in HDL-c noted in 34.6% of the women. The BMI, WC and WHtR showed significant positive correlation with all CVRF analyzed in this study. Conclusions: presence of cardiovascular risk factors was high in the sample studied. The anthropometric indicators used in this study showed a good correlation to cardiovascular risks among women with PCOS. This suggests the feasibility of using these indicators in clinical evaluations in order to detect cardiovascular risks among these patients.

André do Lago Pinheiro

Papers

Marcadores de obesidade e risco cardiovascular em mulheres com síndrome dos ovários policísticos