Obesidad central, sarcopenia y conductas sedentarias en el riesgo cardiovascular por score Framingham y área total de placa carotídea

VIOLA, LORENA; ARMANDO, LUIS J.; ABALLAY, LAURA R.; GARCÍA, NÉSTOR HORACIO; CARRILLO, MARIANA N.; PÉREZ, HERNÁN A.; MUÑOZ, SONIA E.

Perspectivas en Nutrición Humana

Perspectivas en Nutrición Humana

Año: 2020 vol. 22 p. 139 - 150

0124-4108

Background: Cardiovascular diseases are the principal cause of morbidity and mortality worldwide. Obesity, sarco-penia, insufficient physical activity, and sedentary behaviors synergistically impact cardiovascular risk. Objective:Evaluate cardiovascular risk in relation to physical activity, sedentary behaviors, and body composition. Materials andMethods: Cross-sectional observational study in 95 total males and females. Cardiovascular risk was determinedusing the Framingham score, which corrects for total area of atherosclerotic plaque. Risk was also determined usingbody composition, anthropometry, bioimpedance and dynamometry as indirect indicators, physical activity, sedentarybehaviors, and a validated questionnaire. Descriptive, correlation and association analyses were conducted with95% confidence. Results: 95% of women and 98% of men presented with an elevated cardiovascular risk; 51.5%with obesity, 95.5% central obesity, and 47.3% with diminished muscular strength. Significant positive associationswere observed between cardiovascular risk and waist circumference (rho=0.26; p=0.024). There was no significantassociation between muscle strength and cardiovascular risk (rho=-0.21, p=0.065). Sedentary behavior increasedcardiovascular risk (OR=3.9; p=0.033). Conclusions: Central obesity and staying more than six hours per day in asitting position are factors associated with cardiovascular risk.