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Body fat distribution and its risk for cardiovascular events in 10 years

Brazilian Longitudinal Study of Adult Health (Elsa-Brasil)

Bibliographic Data

ID5167880
AuthorsBárbara Bruna Rodrigues De Oliveira (0000-0001-6726-9176, Universidade Federal do Ceará), Carolina Gomes Coelho (0000-0002-7294-3724, Universidade Federal de Minas Gerais), Sandhi Maria Barreto (0000-0001-7383-7811, Universidade Federal de Minas Gerais), Luana Giatti (0000-0001-5454-2460, Universidade Federal de Minas Gerais), Larissa Fortunato Araújo (0000-0001-6695-0365, Universidade Federal do Ceará)
Year2022
Volume38
Issue2
Pagese00346520-e00346520
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00346520
PMID35170706
OpenAlexW4211250404
SCIELO_PIDS0102-311X2022000205001
LanguageEN
References cited59

Body fat distribution seems to have different effects in cardiovascular diseases (CVD). We aimed to estimate the associations between lower limbs and trunk fat ratio and the 10-year CVD risk, and isolated risk factors in men and women. A total of 10,917 participants from ELSA-Brasil were eligible for this cross-sectional study. Associations between lower limb/trunk fat ratio with the percentage of 10-year CVD risk - according to the Framingham Risk Score - and its risk factors (systolic blood pressure, total cholesterol and HDL-cholesterol, diabetes, and use of antihypertensive medication) were performed using generalized linear models, linear and logistic regressions. All analyses were stratified by gender and adjustments were made by age, self-reported skin color, educational attainment, alcohol consumption, leisure physical activity, hypolipidemic drug use and, for women, menopausal status. In this study, 55.91% were women, with a mean age of 52.68 (SD = 6.57) years. A higher lower limb/trunk fat ratio was related to lower 10-year CVD risk, as well as a reduction in systolic blood pressure, total cholesterol, and antihypertensive drug use, also an increasing HDL-cholesterol in both genders, but this relationship was stronger in women. Besides, a protective relationship to diabetes was observed in women. Higher fat accumulation in the lower body, when compared to the trunk, seems to have a lower risk of CVD and associated risk factors - even in the presence of fat in the abdominal region - with women presenting lower risks than men

Abdominal fat · Alcohol consumption · Blood pressure · Body fat distribution · Diabetes mellitus · Framingham Heart Study · Logistic regression · Longitudinal study · Lower risk · Risk factor · Cancer Risks and Factors · Diabetes, Cardiovascular Risks, and Lipoproteins · HIV-related health complications and treatments

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    Open Access•Roberta Souza Freitas, Maria De Jesus Mendes Da Fonseca et al.•Cadernos de Saude Publica•2018

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