Factors associated with metabolically healthy status in obesity, overweight, and normal weight at baseline of ELSA-Brasil

Detalhes bibliográficos
Autor(a) principal: Diniz, Maria de Fátima Haueisen Sander
Data de Publicação: 2016
Outros Autores: 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
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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spelling 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
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dc.identifier.issn.pt_BR.fl_str_mv 0025-7974
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dc.relation.ispartof.pt_BR.fl_str_mv Medicine (Baltimore). Baltimore. Vol. 95, no. 27 (Jul. 2016), e4010 [9] p.
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