Soto Rodríguez Anxela, García Soidán José Luis, Arias Gómez Mª Jesús, Leirós Rodríguez Raquel, Del Álamo Alonso Alberto, Pérez Fernández Mª Reyes
Escuela Universitaria de Enfermería. Complexo Hospitalario de Ourense. Universidad de Vigo.
Nutr Hosp. 2017 Jul 28;34(4):863-868. doi: 10.20960/nh.1085.
Cardiovascular diseases are the leading cause of death in women after menopause, since after this stage there are profound metabolic and hormonal changes which favor the development of metabolic syndrome. An increase in the percentage of visceral fat may be related to the onset of this syndrome.
To establish the relationship between visceral fat and parameters of the metabolic syndrome and to determine the optimal cut-off point for the variables related to obesity in women with a cardiovascular risk factor.
Cross-sectional descriptive study carried out in two urban health centers in Spain. We evaluated 320 women aged 45 to 60 years with hypertension, diabetes mellitus and/or dyslipidemia. Age, estrogenic activity, visceral fat and body fat measured through a bioimpedance device, body mass index, abdominal perimeter, systolic and diastolic blood pressure, triglycerides, high density lipoprotein, glucose and the presence or absence of syndrome metabolic were considered.
There is a significant correlation between visceral fat and all metabolic syndrome defining parameters (p < 0.05). The optimum cut-offs for obesity-related variables were visceral fat (8 kg), abdominal perimeter (93.5 cm), body mass index (26.9 kg/m2 ) and total body fat (24.3 kg).
Menopausal women showed more visceral fat. An association between visceral fat and the parameters that define the metabolic syndrome is observed. It would be advisable to perform a more complex research to study the utility of visceral fat as a possible screening parameter in the metabolic syndrome.
心血管疾病是绝经后女性的主要死因，因为在此阶段后会发生深刻的代谢和激素变化，这有利于代谢综合征的发展。内脏脂肪百分比的增加可能与该综合征的发病有关。
确定内脏脂肪与代谢综合征参数之间的关系，并确定有心血管危险因素的女性中与肥胖相关变量的最佳切点。
在西班牙的两个城市健康中心进行横断面描述性研究。我们评估了320名年龄在45至60岁之间患有高血压、糖尿病和/或血脂异常的女性。考虑了年龄、雌激素活性、通过生物阻抗装置测量的内脏脂肪和体脂肪、体重指数、腹围、收缩压和舒张压、甘油三酯、高密度脂蛋白、血糖以及是否存在代谢综合征。
内脏脂肪与所有代谢综合征定义参数之间存在显著相关性（p < 0.05）。与肥胖相关变量的最佳切点为内脏脂肪（8千克）、腹围（93.5厘米）、体重指数（26.9千克/平方米）和全身脂肪（24.3千克）。
绝经后女性显示出更多的内脏脂肪。观察到内脏脂肪与定义代谢综合征的参数之间存在关联。建议进行更复杂的研究，以研究内脏脂肪作为代谢综合征可能的筛查参数的效用。
