Association between waist-to-height ratio, isolated and combined morbidities and C-reactive protein in the elderly: a clinical-epidemiological study.

Autor: da Silva JP; Graduate Program in Nutritional Sciences, Center for Health Sciences/NIESN-Interdisciplinary Studies in Health and Nutrition, Federal University of Paraíba, Castelo Branco, João Pessoa, PB 58059-900, Brazil. jousianny@hotmail.com., Lima RP; Graduate Program in Nutritional Sciences, Center for Health Sciences/NIESN-Interdisciplinary Studies in Health and Nutrition, Federal University of Paraíba, Castelo Branco, João Pessoa, PB 58059-900, Brazil. raquelpatriciaal@hotmail.com., de Carvalho Pereira D; Graduate Program in Nutritional Sciences, Center for Health Sciences/NIESN-Interdisciplinary Studies in Health and Nutrition, Federal University of Paraíba, Castelo Branco, João Pessoa, PB 58059-900, Brazil. danicarvalhop@hotmail.com., de Oliveira Silva CS; Graduate Program in Nutritional Sciences, Center for Health Sciences/NIESN-Interdisciplinary Studies in Health and Nutrition, Federal University of Paraíba, Castelo Branco, João Pessoa, PB 58059-900, Brazil. suramajpa@hotmail.com., Gonçalves Mda C; Undergraduate Program in Nutrition, Center for Health Sciences, Federal University of Paraiba, João Pessoa, PB 58059-900, Brazil. raulceica@ig.com.br., Filho MB; Undergraduate Program in Mother and Child Health (IMIP), Institute Mother and Child Professor Fernando Figueira, Board of Research, Boa Vista, Recife, PE 50070-550, Brazil. malaquias.imip@gmail.com., Filizola RG; Undergraduate Program in Nutrition, Center for Health Sciences, Federal University of Paraiba, João Pessoa, PB 58059-900, Brazil. rosaliafilizola@gmail.com., de Moraes RM; Graduate Program in Decision Models and Health, Department of Statistics, Center of Exact and Natural Sciences, Federal University of Paraíba, João Pessoa, PB 58051-000, Brazil. ronei@de.ufpb.br., Asciutti LS; Department of Nutrition, Faculty of Medical Sciences, João Pessoa, João Pessoa, PB 58010-000, Brazil. luiza.asciutti@terra.com.br., de Carvalho Costa MJ; Undergraduate Program in Nutrition, Center for Health Sciences, Federal University of Paraiba, João Pessoa, PB 58059-900, Brazil. mjc.costa@terra.com.br.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2014 Sep 16; Vol. 11 (9), pp. 9595-606. Date of Electronic Publication: 2014 Sep 16.
DOI: 10.3390/ijerph110909595
Abstrakt: The aim of this study was to analyze the association between waist-to-height ratio (WHtR) and C-reactive protein (CRP) in the elderly (considering their most prevalent morbidities and lifestyles), to investigate the relationship between this anthropometric index and the presence of the most prevalent morbidities (isolated or combined), and to identify which morbidities (analyzed individually) would have greater associations with WHtR. This cross-sectional population-based epidemiological study of a stratified sampling comprised 170 elderly individuals between 60 and 90 years of age (both genders). Home visits were used to administer questionnaires and to perform anthropometric measurements and blood collection. The mean patient age was younger than 70 years, with women comprising the majority (69.41%) and with 90% of the patients presenting with inadequate WHtR. Hypertension was the most prevalent morbidity in this cohort (58.52%), and when analyzed in combination, hypertension plus obesity were the most frequently diagnosed morbidities (17.65%). Obesity, which was among the most prevalent comorbidities, was the only comorbidity combined with WHtR (p = 0.0019). Individuals with no morbidities had lower mean WHtR values compared with individuals with at least one morbidity (p = 0.0075). In the multiple linear regression model, it was identified that when individuals had one or more of the most prevalent comorbidities, the mean WHtR increased by 0.0415 (p = 0.0065). A correlation between WHtR and CRP (p = 0.0379) was also verified. Based on the relationships observed between WHtR (isolated or in combination, data unpublished) and CRP among the elderly, WHtR may represent a screening tool because it is a simple and effective anthropometric index.
Databáze: MEDLINE