Department of Physical Education, Associate Graduate Program in Physical Education UEM/UEL, Health Sciences Center, State University of Maringa, Maringa 87020-900, Parana, Brazil.
Healthy Active Living and Obesity Research Group, Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON K1H 8L1, Canada.
Int J Environ Res Public Health. 2023 Jun 30;20(13):6263. doi: 10.3390/ijerph20136263.
The epidemic of obesity worldwide has been recognized as a very important challenge. Within its complexity, the identification of higher-risk patients is essential, as it is unsustainable to offer access to treatment to all people with obesity. Several new approaches have recently been presented as important tools for risk stratification. In this research, we applied several of these tools in a cross-sectional study involving adults with obesity classes I, II, III, and super-obesity. The participants had their cardiometabolic risk profiles assessed. The study included adults with obesity aged 18 to 50 years ( = 404), who were evaluated using anthropometric, body composition, hemodynamic, physical fitness, and biochemical assessments. These variables were used to identify the prevalence of risk factors for cardiometabolic diseases according to the classes of obesity by gender and age group. The results showed high prevalence of risk factors, especially among the upper classes of obesity (BMI > 35 kg/m) using single parameters as the waist circumference, with almost 90% above the cut-off point. For smaller numbers such as Glycated Hemoglobin, however, the prevalence was around 30%. Indexes such as the atherogenic index of plasma (AIP) had the highest prevalence, with 100% of the male participants identified as being at increased risk for cardiovascular disease.
全球肥胖症的流行已被认为是一个非常重要的挑战。在其复杂性中，识别高风险患者至关重要，因为为所有肥胖患者提供治疗是不可持续的。最近提出了一些新方法，作为风险分层的重要工具。在这项研究中，我们在一项涉及 I 级、II 级、III 级和超级肥胖的成年人的横断面研究中应用了其中的一些工具。研究参与者的心脏代谢风险状况进行了评估。该研究包括年龄在 18 至 50 岁之间的肥胖成年人（n=404），他们接受了人体测量、身体成分、血液动力学、身体适应性和生化评估。这些变量用于根据性别和年龄组的肥胖程度来确定心血管疾病风险因素的患病率。结果显示，风险因素的患病率很高，尤其是使用腰围等单一参数的肥胖程度较高的等级（BMI＞35kg/m2），几乎 90%的人超过了临界点。然而，对于糖化血红蛋白等数量较少的指标，患病率约为 30%。血浆致动脉粥样硬化指数（AIP）等指数的患病率最高，100%的男性参与者被认为患有心血管疾病的风险增加。
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