Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

Fagundes, Luara Costa; Fernandes, Marcos Henrique; Brito, Thais Alves; Coqueiro, Raildo da Silva; Carneiro, José Ailton Oliveira

doi:10.1590/1413-81232018232.02862016

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Free Themes • Ciênc. saúde colet. 23 (2) • Feb 2018 • https://doi.org/10.1590/1413-81232018232.02862016 copy

Prevalence and factors associated with hypertriglyceridemic waist in the elderly: a population-based study

Prevalência e fatores associados à cintura hipertrigliceridêmica em idosos: um estudo de base populacional

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

To identify the prevalence and factors associated with hypertriglyceridemic waist (HW) in community-dwelling elderly people in northeast Brazil. Population-based cross-sectional study. Some 316 elderly (≥ 60 years) people of both sexes participated in this study. Data were collected using a questionnaire, based on that used in the Health, Welfare and Aging Study (SABE), in addition to blood tests, blood pressure measurements and anthropometric measurements. The hypertriglyceridemic waist condition was diagnosed using high values of triglycerides (≥ 150 mg/dl) and waist circumference increased ≥ 88 and ≥ 102 cm for women and men, respectively. Logistic regression analysis was used to compare the hypertriglyceridemic waist and associated factors, significance level of 5%. The prevalence of hypertriglyceridemic waist (HW) was 27.1%. The logistic regression model (OR) adjusted showed the condition of HW associated to the feminine sex (OR 4.19), to the insufficiently active elderly (OR 2.41) and with overweight (OR 4.06). A high prevalence (27.1%) of hypertriglyceridemic waist was observed, indicating the female sex, physical inactivity and overweight as key factors associated with hypertriglyceridemic waist in community-dwelling elderly people.

Key words
Elderly; Obesity; Hypertriglyceridemic waist

Variables		% response	N	%
Age group (years)		99.7
	60-69		115	36.5
	70-79		106	33.7
	≥ 80		94	29.8
Body mass index		95.3
	Underweight		87	28.9
	Normal		128	42.5
	Overweight		86	28.6
Marital status		100.0
	Single		52	16.5
	Living with partner		264	83.5
Literacy		100.0
	Yes		105	33.2
	No		211	66.8
Physical activity		98.1
	Insufficiently active		148	47.7
	Active		162	52.3
Intake of fruit and vegetables		98.7
	≥ 4 times a week		223	71.5
	< 4 times a week		89	28.5
Smoking		99.7
	Smoker		35	11.1
	Former-smoker		147	46.7
	Never smoked		133	42.2
Alcoholic beverages intake		99.7
	< 1 day/week		55	17.5
	≥ 1 day/week		260	82.5
Hypertension		96.8
	Yes		256	83.7
	No		50	16.3
Glycemia (mg/dL)		97.8
	< 100		251	81.2
	≥ 100		58	18.8
Total cholesterol (mg/dL)		97.2
	< 200		146	47.6
	≥ 200		161	52.4

Level	Variables		%	OR crude	IC95%	p-value
	Sex					< 0.001
		Female	38.3	3.85	2.16-6.87
		Male	13.9	1
	Age group (years)					0.218
		60-69	21.6	1
		70-79	32.0	1.71	0.92-3.15
1		≥ 80	28.2	1.42	0.74-2.74
	Marital status					0.101
		Single	18.0	0.54	0.24-1.17
		Living with partner	28.9	1
	Literacy					0.179
		Yes	32.0	1
		No	24.6	0.69	0.41-1.18
	Physical activity					0.024
		Insufficiently active	33.8	1.81	1.08-3.03
		Active	22.0	1
	Smoking					< 0.001
		Smoker	3.0	0.05	0.01-0.41
		Former-smoker	24.5	0.55	0.32-0.94
2		Never smoked	36.9	1
	Alcoholic beverages intake					0.313
		< 1 day/week	21.8	1
		≥ 1 day/week	28.4	1.42	0.71-2.85
	Intake of fruit and vegetables					0.015
		≥ 4 times a week	30.8	1
		< 4 times a week	17.4	0.47	0.25-0.90
	Body mass index					< 0.001
3		Underweight	2.3	0.08	0.02-0.35
		Normal	22.8	1
		Overweight	58.1	4.7	2.59-8.52
	Hypertension					< 0.001
		Yes	30,4	4.91	1.70-14.13
		No	8.2	1
	Glycemia (mg/dL)					0.006
4		≥ 100	42.6	2.39	1.29-4.42
		< 100	23.7	1
	Total Cholesterol (mg/dL)					0.011
		≥ 200	33.1	1.96	1.60-3.33
		< 200	20.1	1

Variables		OR adjusted	IC95%	p-value
Sex
	Female	4.19	2.31-7.59	< 0.001
	Male	1
Marital status
	Single	0.55	0.25-1.23	0.148
	Living with partner	1
Literacy
	Yes	1
	No	0.54	0.30-0.95	0.033
Physical activity
	Insufficiently active	2.41	1.34-4.34	0.003
	Active	1
Smoking
	Smoker	0.10	0.01-0.79	0.029
	Former-smoker	0.78	0.43-1.45	0.435
	Never smoked	1
Intake of fruit and vegetables
	≥ 4 times a week	1
	< 4 times a week	0.63	0.2-1.27	0.198
Body mass index.
	Underweight	0.07	0.02-0.32	0.001
	Normal	1
	Overweight	4.06	2.08-7.93	< 0.001
Hypertension
	Yes	2.82	0.82-9.71	0.101
	No	1

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[1] Collaborations

LC Fagundes, MH Fernandes and TA Brito participated in the design of the study and helped to draft the manuscript. RS Coqueiro and JAO Carneiro participated in the design of the study, performed the statistical analysis and helped to draft the manuscript. All authors read and approved the final manuscript to be published.