[The distribution of adipose tissue and the metabolic profile in hypertensive and normotensive adults].
BACKGROUND
This study aimed to evaluate the Quetelet Body Mass Index (BMI), and specific anthropometric indexes of the distribution of body fat, with glycemia, insulinemia, uricemia, and the lipid profile in 124 hypertensives and 124 normotensives, selected according to age and sex.


METHODS
We preset an observational case and control study, referring to a population attending health care centers. The inclusion criteria for the cases were: to be 25 years or older, having been diagnosed with essential hypertension. Incident and prevalent cases of an evolution of less than 2 years are selected.


RESULTS
The hypertensives studied, presented levels which were statistically significant and higher than those seen in the normotensive, of all anthropometric indexes used, in insulinemia, glycemia, uricemia, and in the total cholesterolemia. In the cases, the waist hip ratio (WHR) presents a greater number of correlations with biochemical parameters such as uricemia (r = 0.376, p = 0.00), triglyceridemia (r = 0.252, p = 0.00), and the VLDL-cholesterol fraction (r = 0.263, p = 0.00). On the other hand, the BMI, only correlates, in the cases, with the insulinemia. In turn, insulinemia correlates with the majority of the anthropometric measures, with a similar behavior in cases and controls.


CONCLUSIONS
The WHR is presented as a complementary index to the classic BMI in the evaluation of obesity and its metabolic alterations, especially in women, but also, the WHR correlates with an adverse lipid profile in hypertensives.
Peña González
P
P
Servicio Andaluz de Salud, Jerez, Cádiz, España.
Gómez Henry
J C
JC
Almenara Barrios
J
J
D000273:Adipose Tissue / Q000033:anatomy & histology*; D000328:Adult; D000886:Anthropometry; D016022:Case-Control Studies; D005215:Fasting / Q000097:blood; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood* / Q000473:pathology*; D008297:Male; D012016:Reference Values; D012307:Risk Factors; D013223:Statistics as Topic