Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors

Abstract Background The hypertriglyceridemic waist (HW) phenotype is characterized by abdominal obesity and elevated blood triglycerides, indicating high cardiovascular risk in older adults. Objective To identify the prevalence and factors associated with HW in older adults. Method A cross-sectio...

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Main Authors: Yuri Silva de Souza, Lucas dos Santos, Débora Jesus da Silva, Raquel dos Santos Barbosa, Lélia Lessa Teixeira Pinto, Paulo da Fonseca Valença Neto, Cezar Augusto Casotti
Format: Article
Language:English
Published: Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro 2024-12-01
Series:Cadernos de Saúde Coletiva
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2024000400215&lng=en&tlng=en
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author Yuri Silva de Souza
Lucas dos Santos
Débora Jesus da Silva
Raquel dos Santos Barbosa
Lélia Lessa Teixeira Pinto
Paulo da Fonseca Valença Neto
Cezar Augusto Casotti
author_facet Yuri Silva de Souza
Lucas dos Santos
Débora Jesus da Silva
Raquel dos Santos Barbosa
Lélia Lessa Teixeira Pinto
Paulo da Fonseca Valença Neto
Cezar Augusto Casotti
author_sort Yuri Silva de Souza
collection DOAJ
description Abstract Background The hypertriglyceridemic waist (HW) phenotype is characterized by abdominal obesity and elevated blood triglycerides, indicating high cardiovascular risk in older adults. Objective To identify the prevalence and factors associated with HW in older adults. Method A cross-sectional epidemiological study was conducted with 223 older adults (mean age 71.80 ± 7.70 years) residing in Aiquara, Bahia, Brazil. HW was diagnosed by the presence of elevated waist circumference (women: ≥ 88 cm; men: ≥ 102 cm) in conjunction with hypertriglyceridemia (triglycerides ≥ 150 mg/dL). Poisson regression with robust variance was used for analysis, along with estimates of Prevalence Ratios (PR) and their respective 95% Confidence Intervals (CI). Results The prevalence of HW was 23.30%. Female sex (PR: 2.50; 95% CI: 1.35–4.63), marital status (separated or divorced) (PR: 2.30; 95% CI: 1.33-3.96), elevated non-HDL cholesterol (PR: 2.15; 95% CI: 1.37–3.49), and low HDL cholesterol (PR: 2.35; 95% CI: 1.49–3.72) presented a greater probability of HW. Additionally, low weight presented a lower probability of HW (PR: 0.17; 95% CI: 0.04–0.60). Conclusion A high prevalence of HW was identified, with positive associations with female sex, separated or divorced marital status, elevated non-HDL cholesterol, and low HDL cholesterol. Conversely, low weight showed an inverse association with HW.
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spelling doaj-art-1c34bcc1829f4070a80814dda88724932024-12-17T08:06:34ZengInstituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de JaneiroCadernos de Saúde Coletiva1414-462X2024-12-0132410.1590/1414-462x202432040610Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factorsYuri Silva de Souzahttps://orcid.org/0000-0003-3829-0421Lucas dos Santoshttps://orcid.org/0000-0002-8195-8856Débora Jesus da Silvahttps://orcid.org/0000-0001-8386-336XRaquel dos Santos Barbosahttps://orcid.org/0000-0002-7488-2312Lélia Lessa Teixeira Pintohttps://orcid.org/0000-0002-2923-6928Paulo da Fonseca Valença Netohttps://orcid.org/0000-0001-9777-5774Cezar Augusto Casottihttps://orcid.org/0000-0001-6636-8009Abstract Background The hypertriglyceridemic waist (HW) phenotype is characterized by abdominal obesity and elevated blood triglycerides, indicating high cardiovascular risk in older adults. Objective To identify the prevalence and factors associated with HW in older adults. Method A cross-sectional epidemiological study was conducted with 223 older adults (mean age 71.80 ± 7.70 years) residing in Aiquara, Bahia, Brazil. HW was diagnosed by the presence of elevated waist circumference (women: ≥ 88 cm; men: ≥ 102 cm) in conjunction with hypertriglyceridemia (triglycerides ≥ 150 mg/dL). Poisson regression with robust variance was used for analysis, along with estimates of Prevalence Ratios (PR) and their respective 95% Confidence Intervals (CI). Results The prevalence of HW was 23.30%. Female sex (PR: 2.50; 95% CI: 1.35–4.63), marital status (separated or divorced) (PR: 2.30; 95% CI: 1.33-3.96), elevated non-HDL cholesterol (PR: 2.15; 95% CI: 1.37–3.49), and low HDL cholesterol (PR: 2.35; 95% CI: 1.49–3.72) presented a greater probability of HW. Additionally, low weight presented a lower probability of HW (PR: 0.17; 95% CI: 0.04–0.60). Conclusion A high prevalence of HW was identified, with positive associations with female sex, separated or divorced marital status, elevated non-HDL cholesterol, and low HDL cholesterol. Conversely, low weight showed an inverse association with HW.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2024000400215&lng=en&tlng=enagingepidemiologyhypertriglyceridemiaabdominal obesity
spellingShingle Yuri Silva de Souza
Lucas dos Santos
Débora Jesus da Silva
Raquel dos Santos Barbosa
Lélia Lessa Teixeira Pinto
Paulo da Fonseca Valença Neto
Cezar Augusto Casotti
Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
Cadernos de Saúde Coletiva
aging
epidemiology
hypertriglyceridemia
abdominal obesity
title Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
title_full Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
title_fullStr Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
title_full_unstemmed Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
title_short Hypertriglyceridemic waist phenotype in older adults: prevalence and associated factors
title_sort hypertriglyceridemic waist phenotype in older adults prevalence and associated factors
topic aging
epidemiology
hypertriglyceridemia
abdominal obesity
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2024000400215&lng=en&tlng=en
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