Keywords
antropometría
índice de masa corporal
perímetro abdominal
indicadores antropométricos
factores de riesgo de enfermedades crónicas
Chronic disease
anthropometry
body mass index
waist circumference
anthropometric indicators
chronic disease risk factors
How to Cite
Abstract
Introduction: Excess weight in individuals at a general and/or abdominal level are important indicators in the occurrence of chronic diseases, therefore, their determination contributes significantly to public health, in order to control or reduce it for the good of the population. Objective: Establish the relationship between anthropometric risk variables for chronic diseases in users of a primary care center. Methodology: The research was quantitative, analytical, retrospective due to data sources and transversal. 1149 users treated at the Patrona Health Center of Chota, Peru, were investigated. Anthropometric measurements by sex and age were extracted from the health facility's database. The bivariate statistical analysis was performed using cross tables with absolute and relative frequencies, Kendall's Tau-c and Spearman's Rho, with p<0.05 significance. Results: 52.2% were overweight or obese, 64.3% had high or very high abdominal circumference, the combination of high BMI and abdominal circumference was found in 44.8% of users, in 26.4% of young people, 61.8% of adults, 24.4% of older adults, 51.3% of women and 27.9% of men. The relationship between anthropometric measurements was statistically significant (p<0.001). Conclusions: The relationship between anthropometric risk variables for chronic diseases was statistically significant in all established relationships, which denotes a high or very high risk of acquiring chronic non-communicable diseases in users, therefore, the massification of preventive-promotional activities in lifestyles must be incorporated into the portfolio of health services.
References
Abbasifard, M., Bazmandegan, G., Ostadebrahimi, H., Amiri, M., & Kamiab, Z. (2023). General and central obesity prevalence in young adult: a study based on the Rafsanjan youth cohort study. Sci Rep, 13(1), 17259. https://doi.org/10.1038/s41598-023-44579-5.
Abiri, B., Ahmadi, A. R., Amini, S., Akbari, M., Hosseinpanah, F., Madinehzad, S. A., Hejazi, M., Rishehri, A. P., Naserghandi, A., & Valizadeh, M. (2023). Prevalence of overweight and obesity among Iranian population: a systematic review and meta-analysis. J Health Popul Nutr, 42(1), 70. https://doi.org/10.1186/s41043-023-00419-w
Al-Chalabi, S., Syed, A. A., Kalra, P. A., & Sinha, S. (2024). Mechanistic Links between Central Obesity and Cardiorenal Metabolic Diseases. Cardiorenal Med, 14(1), 12-22.
https://doi.org/10.1159/000535772.
Aparco, J. P., & Cárdenas-Quintana, H. (2022). Correlation and agreement between the body mass index and abdominal perimeter with the waist-to-height ratio in peruvian adults aged 18 to 59 years. Rev Peru Med Exp Salud Publica, 39(4), 392-399.
https://doi.org/10.17843/rpmesp.2022.394.11932.
Arteaga, J.M., Latorre-Santos, C., Ibáñez-Pinilla, M., Ballesteros-Cabrera, M.D.P., Barón, L.Y., Velosa, S.A., Trillos, C.E., Duque, J.J., Holguín, A., & Eslava-Schmalbach, J.H. (2024). Prevalence of Type 2 Diabetes, Overweight, Obesity, and Metabolic Syndrome in Adults in Bogotá, Colombia, 2022-2023: A Cross‑Sectional Population Survey. Ann Glob Health, 90(1), 67. https://doi.org/10.5334/aogh.4539
Boutari, C., DeMarsilis, A., & Mantzoros, C. S. (2023). Obesity and diabetes. Diabetes Res Clin Pract, 202, 110773. https://doi.org/10.1016/j.diabres.2023.110773.
Centro de Salud Patrona de Chota. (2024). Base de datos enero – febrero 2024. Servicio de Atención a la Persona Adulta y Adulta Mayor.
Chen, D., Feng, J., He, H., Xiao, W., & Liu, X. (2024). Classification, Diagnosis, and Treatment of Obesity-Related Heart Diseases. Metab Syndr Relat Disord, 22(3), 161-169. https://doi.org/10.1089/met.2023.0134.
Delpino, F. M., Dos Santos Rodrigues, A. P., Petarli, G. B., Machado, K. P., Flores, T. R., Batista, S. R., & Nunes, B. P. (2023). Overweight, obesity and risk of multimorbidity: A systematic review and meta-analysis of longitudinal studies. Obes Rev, 24(6), e13562. https://doi.org/10.1111/obr.13562.
Dicken, S.J., & Batterham, R.L. (2024). Ultra-processed Food and Obesity: What Is the Evidence? Curr Nutr Rep, 13(1), 23-38. https://doi.org/10.1007/s13668-024-00517-z.
Efazati, N., Hoseini Tavassol, Z., Khalagi, K., Mahmudimanesh, M., Tabatabaei-Malazy, O., Khalili, D., Ejtahed, H. S., Abbasi Sharghi, S., Farzadfar, F., Ostovar, A., Larijani, B., & Hasani-Ranjbar, S. (2023). General and abdominal obesity trends in the Iranian adult population from 2004 to 2021. J Diabetes Metab Disord, 22(2), 1745-1761.
https://doi.org/10.1007/s40200-023-01310-5.
Forero Torres, A. Y., & Forero, L. C. (2023). Comparison between anthropometric measurements and indices to evaluate general and abdominal obesity, Colombia ENSIN 2015. Biomedica, 43(Sp. 3), 88-98. https://doi.org/10.7705/biomedica.7011.
Galindo, J. (2015). El concepto de riesgo en las teorías de Ulrich Beck y Niklas Luhmann. Acta Sociológica, 67, 141–164.
https://www.sciencedirect.com/science/article/pii/S0186602815000262#bbib0020
Kamińska, M. S., Lubkowska, A., Panczyk, M., Walaszek, I., Grochans, S., Grochans, E., & Cybulska, A. M. (2023). Relationships of Body Mass Index, Relative Fat Mass Index, and Waist Circumference with Serum Concentrations of Parameters of Chronic Inflammation. Nutrients, 15(12), 2789. https://doi.org/10.3390/nu15122789.
León-Figueroa, D.A., Aguirre-Milachay, E., Barboza, J.J., & Valladares-Garrido, M.J. (2024). Prevalence of hypertension and diabetes mellitus in Peruvian patients with chronic kidney disease: a systematic review and meta-analysis. BMC Nephrol, 25(1), 160. https://doi.org/10.1186/s12882-024-03595-x.
Liu, B., Li, L., Cui, H., Zhao, Q., & Chen, S. (2024). Analysis of the global burden of CKD-T2DM in young and middle-aged adults in 204 countries and territories from 2000 to 2019: A systematic study of the global burden of disease in 2019. Diabetes Res Clin Pract, 217, 111884. https://doi.org/10.1016/j.diabres.2024.111884.
Mallik, R., Carpenter, J., & Zalin, A. (2023). Assessment of obesity. Clin Med (Lond), 23(4), 299-303. https://doi.org/10.7861/clinmed.2023-0148.
Mambrini, S. P., Menichetti, F., Ravella, S., Pellizzari, M., De Amicis, R., Foppiani, A., Battezzati, A., Bertoli, S., & Leone, A. (2023). Ultra-Processed Food Consumption and Incidence of Obesity and Cardiometabolic Risk Factors in Adults: A Systematic Review of Prospective Studies. Nutrients, 15(11), 2583. https://doi.org/10.3390/nu15112583.
Mauldin, K., Pignotti, G.A.P., & Gieng, J. (2024). Measures of nutrition status and health for weight-inclusive patient care: A narrative review. Nutr Clin Pract, 39(4), 751-771.
https://doi.org/10.1002/ncp.11158.
Ministerio de Salud del Perú. (2012). Guía técnica para la valoración nutricional antropométrica de la persona adulta. MINSA, Instituto Nacional de Salud. Disponible en:
https://alimentacionsaludable.ins.gob.pe/sites/default/files/2017-02/GuiaAntropometricaAdulto.pdf
Muntefering, C., Fitzpatrick, M., Johnson, K., & Fields, B. (2023). Primary prevention interventions for adults at-risk of obesity: An international scoping review. Prev Med, 171, 107498. https://doi.org/10.1016/j.ypmed.2023.107498.
Nussbaumerova, B., & Rosolova, H. (2023). Obesity and Dyslipidemia. Curr Atheroscler Rep, 25(12), 947-955. https://doi.org/10.1007/s11883-023-01167-2.
Organización Panamericana de la Salud. (2023). La OPS insta a hacer frente a la obesidad, principal causa de enfermedades no transmisibles en las Américas. OPS, OMS. Disponible en:
Ostrominski, J. W., & Powell-Wiley, T. M. (2024). Risk Stratification and Treatment of Obesity for Primary and Secondary Prevention of Cardiovascular Disease. Curr Atheroscler Rep, 26(1), 11-23. https://doi.org/10.1007/s11883-023-01182-3.
Palacios, S., Chedraui, P., Sánchez-Borrego, R., Coronado, P., & Nappi, R.E. (2024). Obesity and menopause. Gynecol Endocrinol, 40(1), 2312885.
https://doi.org/10.1080/09513590.2024.2312885.
Pasdar, Y., Rezaeian, S., Mohammadi, E., Khosravi Shadmani, F., Shahnazi, N., Najafi, F., Nazar, M. M., & Darbandi, M. (2024). The interaction between general or abdominal obesity and hypertension on the risk of type 2 diabetes mellitus: a cross-sectional analysis in Iranian adults from the RaNCD cohort study. BMC Public Health, 24(1), 752. https://doi.org/10.1186/s12889-024-18290-7.
Pedroso, C. F., Pereira, C. C., Cavalcante, A. M. R. Z., & Guimarães, R. A. (2023). Magnitude of risk factors for chronic noncommunicable diseases in adolescents and young adults in Brazil: A population-based study. PLoS One, 18(10), e0292612.
https://doi.org/10.1371/journal.pone.0292612.
Phuc, T. T., Duc, T. Q., Quynh Chi, V. T., & Quang, P. N. (2023). The prevalence of excess weight among Vietnamese adults: A pooled analysis of 58 studies with more 430 thousand participants over the last three decades. Nutr Health, 29(3), 443-452.
https://doi.org/10.1177/02601060221129440.
Ra, J. S. (2023). Factors associated with the combination of general and abdominal obesity in middle-aged and older Korean women: a cross-sectional study. Osong Public Health Res Perspect, 14(5), 379-387. https://doi.org/10.24171/j.phrp.2023.0089.
Roy-Highley, E., & Briggs, A. D. (2023). A clinician's guide to obesity prevention in the UK. Clin Med (Lond), 23(4), 292-298. https://doi.org/10.7861/clinmed.2023-0150.
Salerno, P.R.V.O, Qian, A., Dong, W., Deo, S., Nasir, K., Rajagopalan, S., & Al-Kindi, S. (2024). County-level socio-environmental factors and obesity prevalence in the United States. Diabetes Obes Metab, 26(5), 1766-1774. https://doi.org/10.1111/dom.15488.
Soták, M., Clark, M., Suur, B.E., & Börgeson, E. (2025). Inflammation and resolution in obesity. Nat Rev Endocrinol, 21(1), 45-61.
https://doi.org/10.1038/s41574-024-01047-y.
Traczyk, I., Kucharska, A., Sińska, B.I., Panczyk, M., Samel-Kowalik, P., Kłak, A., Raciborski, F., Wyleżoł, M., Samoliński, B., & Szostak-Węgierek, D. (2024). Prevalence of Overweight, Obesity, and Abdominal Obesity in Polish Adults: Sociodemographic Analysis from the 2016-2020 National Health Program. Nutrients, 16(23), 4248.
https://doi.org/10.3390/nu16234248.
Uddenberg, E.R., Safwan, N., Saadedine, M., Hurtado, M.D., Faubion, S.S., & Shufelt, C.L. (2024). Menopause transition and cardiovascular disease risk. Maturitas, 185, 107974. doi: https://doi.org/10.1016/j.maturitas.2024.107974.
Wang, S., Shi, S., Huang, Y., Huang, H., & Zhong, V. W. (2024). Severity of abdominal obesity and cardiometabolic diseases in US adults. Public Health, 227, 154-162.
https://doi.org/10.1016/j.puhe.2023.12.010.
Xia, X., Chen, S., Tian, X., Xu, Q., Zhang, Y., Zhang, X., Li, J., Wang, P., Wu, S., & Wang A. (2024). Roles of general and central adiposity in cardiometabolic multimorbidity: revisiting the obesity paradox using a multistate model. Obesity (Silver Spring), 32(4), 810-821. https://doi.org/10.1002/oby.23980.
Yang, X., Hao, X., Liu, M., Hu, Y., Wang, X., & Liu, Y. (2024). The prevalence of obesity and relationship between obesity indicators and chronic diseases in Northern Shaanxi, China. Endokrynol Pol, 75(1), 71-82. https://doi.org/10.5603/ep.96227
Zhang, X., Ha, S., Lau, H. C., & Yu, J. (2023). Excess body weight: Novel insights into its roles in obesity comorbidities. Semin Cancer Biol, 92, 16-27.
https://doi.org/10.1016/j.semcancer.2023.03.008.
Zhang, Y., Li, Y., Peila, R., Wang, T., Xue, X., Kaplan, R.C., Dannenberg, A.J., Qi, Q., & Rohan, T.E. (2024). Associations of Lifestyle and Genetic Risks with Obesity and Related Chronic Diseases in the UK Biobank: A Prospective Cohort Study. Am J Clin Nutr, 119(6), 1514-1522. https://doi.org/10.1016/j.ajcnut.2024.04.025
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