Marcadores de obesidad asociados a albuminuria en un centro de atención primaria de Lima, Perú
Name:
Publisher version
View Source
Access full-text PDFOpen Access
View Source
Check access options
Check access options
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Issue Date
2017-06xmlui.metadata.dc.contributor.email
[email protected]
Metadata
Show full item recordCitation
Marcadores de obesidad asociados a albuminuria en un centro de atención primaria de Lima, Perú 2017, 64 (6):295 Endocrinología, Diabetes y NutriciónPublisher
Elsevier DoymaJournal
Endocrinología, Diabetes y NutriciónDOI
10.1016/j.endinu.2017.03.012Additional Links
http://linkinghub.elsevier.com/retrieve/pii/S2530016417301234Abstract
Objective To evaluate the association between three obesity markers, body mass index (BMI), abdominal circumference (AC), waist to height ratio (WHtR), and albuminuria in adults seen in a primary health care center specialized in chronic diseases in Lima, Perú. Methods A cross-sectional, descriptive, retrospective study in adults who attended a primary health care center specialized in chronic diseases in 2011. Patients were divided into four categories: healthy subjects and patients with high blood pressure, with type 2 diabetes mellitus (T2DM), and with both diseases (HBP + T2DM). The main outcome was presence of albuminuria, defined as urine albumin levels higher than 30 mg/day. Exposure variables included the following obesity markers: body mass index (BMI), waist-to-height ratio (WHtR), and abdominal circumference (AC). Other covariates considered included sex and age. Crude and adjusted Poisson regressions were performed to estimate prevalence ratios (PRs) and their respective 95% confidence intervals (95% CIs). Areas under the curve were calculated for each indicator, stratified by sex. Results Data from 1,214 patients, 41% of them male, were analyzed, and albuminuria was found in 14.2%. Albuminuria was found to be associated to AC and WHtR, but not to BMI. All three parameters assessed had similar areas under the curve. The optimum cut-off points found for BMI and AC in females were higher than conventional (32.7 kg/m2 and 93 cm respectively), while the values in males were lower than conventional (27.9 kg/m2 and 100 cm respectively). For WHtR, however, the optimum cut-off point was higher in both sexes. The higher index in females was for BMI, followed by AC and WHtR. In males, the higher index was for WHtR, followed by AC and BMI. Conclusions AC and WHtR were found to be directly associated to albuminuria, while BMI was not associated to albuminuria. Areas under the curve were similar for all three markers. The optimum cut-off points for BMI and AC were higher than the conventional ones in females and lower in males.Type
info:eu-repo/semantics/articleRights
info:eu-repo/semantics/restrictedAccessLanguage
spaDescription
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.ISSN
25300164ae974a485f413a2113503eed53cd6c53
10.1016/j.endinu.2017.03.012
Scopus Count
Collections