title: Hypertriglyceridemic waist and cardiometabolic risk in hypertensive women.
abstract: OBJECTIVE
  To evaluate the association between hypertriglyceridemic waist (HW) and cardiometabolic risk factors in women with hypertension.
  
  
  METHODS
  A cross-sectional study was performed in 218 patients monitored by HiperDia (Enrollment and Monitoring Program for Hypertensive and Diabetic Individuals) in two health units in São Luis, MA, Brazil. The dependent variable was HW and the independent variables were sociodemographics, lifestyle, anthropometrics, and health problems.
  
  
  RESULTS
  HW was present in 33% of the sample and was predominant in women aged > 60 years (56.4%), non-whites (81.7%), those with eight or fewer years of schooling (57.3%), and those belonging to socioeconomic class C (49%). Excess weight (68.8%) and hypercholesterolemia (68.8%) were observed. HW was associated with: smoking (PR: 2.08; p = 0.017), overweight (PR: 2.46; p = 0.010), obesity (PR: 4.13; p < 0.001), hypercholesterolemia (PR: 1.87; p = 0.015), high levels of high-density lipoproteins (HDL) cholesterol (PR: 3.41; p < 0.001), and fasting glycemia > 100 mg/dL or being diabetic (PR: 1.86; p = 0.006). After adjustment, total cholesterol (PR = 1.78; p = 0.012), HDL-cholesterol (PR: 3.03; p < 0.001), body mass index (BMI) > 25 to < 30 kg/m² (PR = 2.60; p = 0.005), and BMI > 30 kg/m² (PR = 3.61; p < 0.001) remained associated.
  
  
  CONCLUSIONS
  A high prevalence of HW and its association with altered lipid profile and excess body weight was observed. HW showed to be an important diagnostic tool for the monitoring of hypertensive women with metabolic risk, which is low cost, easily accessible, and useful in clinical practice, especially in primary health care in the Brazilian Unified Health System (Sistema Único de Saúde - SUS).
authors.affiliation: Universidade Federal do Maranhão (UFMA); Faculdade São Luis and Uniceuma, São Luís, MA, Brazil. n_anielly@yahoo.com.br
authors.forename: Nayra Anielly Lima
authors.initials: NA
authors.lastname: Cabral
authors.forename: Valdinar Sousa
authors.initials: VS
authors.lastname: Ribeiro
authors.forename: Ana Karina Teixeira da Cunha
authors.initials: AK
authors.lastname: França
authors.forename: João Victor Leal
authors.initials: JV
authors.lastname: Salgado
authors.forename: Alcione Miranda dos
authors.initials: AM
authors.lastname: Santos
authors.forename: Natalino
authors.initials: N
authors.lastname: Salgado Filho
authors.forename: Antonio Augusto Moura da
authors.initials: AA
authors.lastname: Silva
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000150:complications* / Q000453:epidemiology; D015228:Hypertriglyceridemia / Q000150:complications* / Q000453:epidemiology; D008875:Middle Aged; D009313:National Health Programs; D050177:Overweight / Q000097:blood / Q000150:complications / Q000453:epidemiology; D018570:Risk Assessment; D012959:Socioeconomic Factors; D055105:Waist Circumference; D055815:Young Adult