Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFRGS |
Texto Completo: | http://hdl.handle.net/10183/158806 |
Resumo: | The primary aim of this study was to evaluate metabolically healthy status (MHS) among participants in obesity, overweight, and normal weight groups and characteristics associated with this phenotype using baseline data of Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The secondary aim was to investigate agreement among 4 different MHS criteria. This cross-sectional study included 14,545 participants aged 35 to 74 years with a small majority (54.1%) being women. Of all participants, 22.7% (n=3298) were obese, 40.8% (n=5934) were overweight, and 37.5% (n=5313) were of normal weight. Socio-demographic, behavioral, and anthropometric factors related to MHS were ascertained. Logistic regression models estimated the odds of associations. We used 4 different criteria separately and in combination to define MHS: the National Health and Nutrition Examination Survey (NHANES), the National Cholesterol Education Program (NCEP-ATPIII), the International Diabetes Federation (IDF) and comorbidities, and the agreement between them were evaluated by Cohen-kappa coefficient. MHS was present among 12.0% (n=396) of obese, 25.5% (n=1514) of overweight, and 48.6% (n=2582) of normal weight participants according to the combination of the 4 criteria. The agreement between all the 4 MHS criteria was strong (kappa 0.73 P< 0.001). In final logistic models, MHS was associated with lower age, female sex, lower body mass index (BMI), and weight change from age 20 within all BMI categories. This study showed that, despite differences in prevalence among the 4 criteria, MHS was associated with common characteristics at every BMI category. |
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Diniz, Maria de Fátima Haueisen SanderBeleigoli, Alline Maria RezendeRibeiro, Antônio Luiz PinhoVidigal, Pedro GuatimosimBenseñor, Isabela Judith MartinsLotufo, Paulo AndradeDuncan, Bruce BartholowSchmidt, Maria InêsBarreto, Sandhi Maria2017-05-31T02:35:32Z20160025-7974http://hdl.handle.net/10183/158806001013453The primary aim of this study was to evaluate metabolically healthy status (MHS) among participants in obesity, overweight, and normal weight groups and characteristics associated with this phenotype using baseline data of Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The secondary aim was to investigate agreement among 4 different MHS criteria. This cross-sectional study included 14,545 participants aged 35 to 74 years with a small majority (54.1%) being women. Of all participants, 22.7% (n=3298) were obese, 40.8% (n=5934) were overweight, and 37.5% (n=5313) were of normal weight. Socio-demographic, behavioral, and anthropometric factors related to MHS were ascertained. Logistic regression models estimated the odds of associations. We used 4 different criteria separately and in combination to define MHS: the National Health and Nutrition Examination Survey (NHANES), the National Cholesterol Education Program (NCEP-ATPIII), the International Diabetes Federation (IDF) and comorbidities, and the agreement between them were evaluated by Cohen-kappa coefficient. MHS was present among 12.0% (n=396) of obese, 25.5% (n=1514) of overweight, and 48.6% (n=2582) of normal weight participants according to the combination of the 4 criteria. The agreement between all the 4 MHS criteria was strong (kappa 0.73 P< 0.001). In final logistic models, MHS was associated with lower age, female sex, lower body mass index (BMI), and weight change from age 20 within all BMI categories. This study showed that, despite differences in prevalence among the 4 criteria, MHS was associated with common characteristics at every BMI category.application/pdfengMedicine (Baltimore). Baltimore. Vol. 95, no. 27 (Jul. 2016), e4010 [9] p.ObesidadeSobrepesoÍndice de massa corporalMetabolicaly healthy obesityMetabolically healthy statusObesityOverweightFactors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-BrasilEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL001013453.pdf001013453.pdfTexto completo (inglês)application/pdf361471http://www.lume.ufrgs.br/bitstream/10183/158806/1/001013453.pdfa265c57756f6399e552ebc0ebfae80b7MD51TEXT001013453.pdf.txt001013453.pdf.txtExtracted Texttext/plain51570http://www.lume.ufrgs.br/bitstream/10183/158806/2/001013453.pdf.txt992b6475d6204d941c0dd66774c24006MD5210183/1588062023-05-13 03:26:11.321911oai:www.lume.ufrgs.br:10183/158806Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2023-05-13T06:26:11Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.pt_BR.fl_str_mv |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
title |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
spellingShingle |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil Diniz, Maria de Fátima Haueisen Sander Obesidade Sobrepeso Índice de massa corporal Metabolicaly healthy obesity Metabolically healthy status Obesity Overweight |
title_short |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
title_full |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
title_fullStr |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
title_full_unstemmed |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
title_sort |
Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil |
author |
Diniz, Maria de Fátima Haueisen Sander |
author_facet |
Diniz, Maria de Fátima Haueisen Sander Beleigoli, Alline Maria Rezende Ribeiro, Antônio Luiz Pinho Vidigal, Pedro Guatimosim Benseñor, Isabela Judith Martins Lotufo, Paulo Andrade Duncan, Bruce Bartholow Schmidt, Maria Inês Barreto, Sandhi Maria |
author_role |
author |
author2 |
Beleigoli, Alline Maria Rezende Ribeiro, Antônio Luiz Pinho Vidigal, Pedro Guatimosim Benseñor, Isabela Judith Martins Lotufo, Paulo Andrade Duncan, Bruce Bartholow Schmidt, Maria Inês Barreto, Sandhi Maria |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Diniz, Maria de Fátima Haueisen Sander Beleigoli, Alline Maria Rezende Ribeiro, Antônio Luiz Pinho Vidigal, Pedro Guatimosim Benseñor, Isabela Judith Martins Lotufo, Paulo Andrade Duncan, Bruce Bartholow Schmidt, Maria Inês Barreto, Sandhi Maria |
dc.subject.por.fl_str_mv |
Obesidade Sobrepeso Índice de massa corporal |
topic |
Obesidade Sobrepeso Índice de massa corporal Metabolicaly healthy obesity Metabolically healthy status Obesity Overweight |
dc.subject.eng.fl_str_mv |
Metabolicaly healthy obesity Metabolically healthy status Obesity Overweight |
description |
The primary aim of this study was to evaluate metabolically healthy status (MHS) among participants in obesity, overweight, and normal weight groups and characteristics associated with this phenotype using baseline data of Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The secondary aim was to investigate agreement among 4 different MHS criteria. This cross-sectional study included 14,545 participants aged 35 to 74 years with a small majority (54.1%) being women. Of all participants, 22.7% (n=3298) were obese, 40.8% (n=5934) were overweight, and 37.5% (n=5313) were of normal weight. Socio-demographic, behavioral, and anthropometric factors related to MHS were ascertained. Logistic regression models estimated the odds of associations. We used 4 different criteria separately and in combination to define MHS: the National Health and Nutrition Examination Survey (NHANES), the National Cholesterol Education Program (NCEP-ATPIII), the International Diabetes Federation (IDF) and comorbidities, and the agreement between them were evaluated by Cohen-kappa coefficient. MHS was present among 12.0% (n=396) of obese, 25.5% (n=1514) of overweight, and 48.6% (n=2582) of normal weight participants according to the combination of the 4 criteria. The agreement between all the 4 MHS criteria was strong (kappa 0.73 P< 0.001). In final logistic models, MHS was associated with lower age, female sex, lower body mass index (BMI), and weight change from age 20 within all BMI categories. This study showed that, despite differences in prevalence among the 4 criteria, MHS was associated with common characteristics at every BMI category. |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016 |
dc.date.accessioned.fl_str_mv |
2017-05-31T02:35:32Z |
dc.type.driver.fl_str_mv |
Estrangeiro info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10183/158806 |
dc.identifier.issn.pt_BR.fl_str_mv |
0025-7974 |
dc.identifier.nrb.pt_BR.fl_str_mv |
001013453 |
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http://hdl.handle.net/10183/158806 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.pt_BR.fl_str_mv |
Medicine (Baltimore). Baltimore. Vol. 95, no. 27 (Jul. 2016), e4010 [9] p. |
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info:eu-repo/semantics/openAccess |
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openAccess |
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