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Vol 41 # 3
Vol 41 # 3
VOL. 41 No 3 - 2016-10-02

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VOL. 41 No 3 - 2016-10-02

Permetro de cintura aumentado y riesgo de diabetes

Richard Giovanni Buenda, Mnica Zambr ano, Alejandra Morales, Adriana Alejo, Laura Giraldo, Diana Gmez, Sonia Velandia, Sofa Mendoza

El permetro de cintura aumentado es un factor de riesgo cardiovascular, actualmente se tienen los puntos de corte segn Federacin Internacional de Diabetes (IDF) o por criterios latinoamericanos; no hay estudios en poblacin colombiana donde muestre la relacin entre permetro de cintura aumentado y el riesgo de diabetes. Este estudio pretende acercarse a mostrar la relacin entre permetro de cintura aumentado por criterios de IDF o latinoamericanos y el riesgo de diabetes. 

Metodologa: estudio de corte transversal donde se realiz anlisis multivariado mediante dos modelos: permetro de cintura aumentado por criterios de IDF y permetro de cintura por criterios latinoamericano y riesgo de diabetes, ajustado por edad, sexo colesterol HDL, e ndice de masa corporal (variables relevantes en el anlisis univariado) 

Resultados: se incluyeron 2200 pacientes, 30.45 % (670 pacientes) tienen diabetes tipo 2, de los cuales 90.72% tiene permetro de cintura aumentado por criterios de IDF, 76.65% por criterios latinoamericanos. Modelo 1 se hall como factores independientes asociados a diabetes: sexo masculino OR=1.30 (IC95% 1.05 -1.6, p=0.014) y permetro de cintura aumentado por criterios de IDF OR=1.44 (IC95% 1.02 2.04, p=0.038); como factor protector se observ el colesterol HDL OR= 0.97 (IC95% 0.96-0.98, p<0.001). En el modelo 2 se encontraron: sexo masculino OR=1.31 (IC95% 1.06 -1.61, p=0.01) y el permetro de cintura aumentado por criterios latinoamericanos OR=1.42 (IC95% 1.12-1.79, p=0,003); como factor protector el colesterol HDL OR= 0.97 (IC95% 0.96-0.98, p<0.001). 

Conclusin: el permetro aumentado por criterios de IDF o latinoamericanos parecen asociarse independiente con el riesgo de diabetes en poblacin colombiana 

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Increased waist circumference and risk of diabetes

Richard Giovanni Buenda, Mnica Zambr ano, Alejandra Morales, Adriana Alejo, Laura Giraldo, Diana Gmez, Sonia Velandia, Sofa Mendoza

Increased waist circumference is a cardiovascular risk factor. Currently the cutoffs are those that are in accordance with the International Diabetes Federation (IDF) or with Latin American standards; there are no studies in Colombian population showing the relationship between increased waist circumference and the risk of diabetes. This study aims an approach to show the relationship between increased waist circumference by IDF or Latin American criteria and the risk of diabetes. 

Methodology: cross-sectional study where multivariate analysis was performed using two models: increased waist circumference by IDF criteria and waist circumference by Latin American standards and risk of diabetes, adjusted for age, sex, HDL cholesterol and body mass index (variables significant in univariate analysis). 

Results: 2200 patients were included. 30.45% (670 patients) have type 2 diabetes; of these, 90.72% have increased waist circumference by IDF criteria, 76.65% by Latin American standards. Model 1 was found as independent factors associated with diabetes: male OR = 1.30 (95% CI 1.05 -1.6, p = 0.014) and increased waist circumference by IDF criteria OR = 1.44 (95% CI 1.02 - 2.04 enp = 0.038); HDL cholesterol OR = 0.97 (95% CI from 0.96 to 0.98, p <0.001) was observed as protective factor. In model 2 were found: Male Sex OR = 1.31 (95% CI 1.06 -1.61, p = 0.01) and increased waist circumference by Latin American standards OR = 1.42 (95% CI 1.12-1.79, p = 0.003); HDL cholesterol OR = 0.97 (95% CI from 0.96 to 0.98, p <0.001) was observed as protective factor. 

Conclusion: the perimeter increased by IDF or by Latin American criteria appear to be associated independently with the risk of diabetes in Colombian population  

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Palabras claves / Key Words
permetro de cintura, diabetes tipo 2, enfermedad cardiovascular, sndrome metablico, obesidad abdominalpermetro de cintura, diabetes tipo 2, enfermedad cardiovascular, sndrome metablico, obesidad abdominal
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