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Regular Posters (PDF, 1.75 Mb | 116 Pages) Regular Posters 17 POSTER SESSION 1: HOMAIR: 2.78 ± 0.34 vs 1.02 ±0.17, p< 0.01) was present in android obese hypertensive patients compared to gynoid respectively; despite an absence of dyslipidaemia (TC: 164.98 ± 4.56 vs 154.56 ± 4.71 mg/dL, p > 0.05 ; LDLC: 115.00 ± 4.96 vs 90.12 ± 4.6, p< 0.01) leading to absence of atherosclerosis(p> 0.05) (LDLC/HDLC: 3.94 ± 0.59 vs 3.13 ± 2.77). Conclusion: Cameroonians Abdominal obesity/Body fat distribution are healthy metabolic obese as far as lipid profile and Na+/K+ homeostasis are concerned even when suffering from hypertension. This information could be useful in helping to shape treatment to obesity induced hypertension among 530 Cameroonian. REPORTED DIABETES: INCIDENCE AND PREDICT IN COHORT ELDERLY PEOPLE, RESIDENT IN THE CITY OF SÃO PAULO - SABE SURVEY M.F. Almeida, M.F.N. Marucci, L.A. Gobbo, D.A.Q.S. Dourado 282 Departamento de Nutrição, Faculdade de Saúde Pública - FSP/ Universidade ASSESSMENT THE WAIST CIRCUNFERENCE CUTOFF OBTAINED IN de São Paulo - USP, São Paulo, Brazil ADOLESCENTS OF A CITY ARGENTINA Introduction: The incidence of diabetes mellitus (DM) has increased, mainly in W.R. Pedrozo, G.A. Bonneau, M.S. Castillo Razcón aged persons. Epidemiological evidences show that obesity and abdominal fat Laboratorio Central, Hospital 'Dr Ramón Madariaga', Posadas, Argentina constitute risk factor for development of DM. Objective: To verify the Objective: Identify and assess the value of the 90th percentile of waist association the incidence of DM with obesity and abdominal fat, in cohort of circumference (WC) in adolescents Posadas Misiones Argentina. Methods: of elderly domiciled in São Paulo / Brazil - 2000 and 2006. Casuistic and total Posadas schools, 30.000 students were sampled cluster (2005), the methods: It were analized data of the SABE Survey: Health, Wellbeing and population studied was a representative sampling of 2121 normal weight Aging, a longitudinal, epidemiologic and household based study, carried in the children (NC=95%) of 8 schools with over 1000 students, 2 schools downtown city of São Paulo, in 2000 (2,143 elderlies) and 2006 (1,115 elderlies). The study and 6 peripheral urban areas. The ages were 12 to 18 years and 53.8% were population was constituted by aged (≥ 60 years), of both gender, selected by women. The WC was measured at the midpoint of the abdomen between the probabilist sample, who did not reported DM, in 2000, with all necessary data to last rib and the iliac crest and expiry inextensible tape measure this study. The analized variables were: reported DM, with dicotomic answer (accuracy=0.1cm). In addition, in these schools were randomly studied 420 (yes or no), obesity, by body mass index - BMI ≥ 30 kg/m², abdominal fat students, 260 women and 160 men the same age range, measuring WC, blood (waist circunference - WC ≥ 88 cm, for women, and ≥102 cm, for men; and pressure, glucose (CV=2.38%), triglycerides (CV=2.42%), HDL-cholesterol waist-to-hip ratio - WHR ≥ 1, for men, and ≥ 0.85, for women) and socio- (CV=1.24%) and insulin (CV=8%). The biochemical determinations were demographics characterstics (gender, age group, educational status and processed with internal quality control and external. MS was defined following home company). To verify the association among the variables, it was applied criteria according to Cook et al and HOMA value> 2.5 to determine insulin the Rao Scott test, for complex samples, multiple logistic regression (p< 0.05) resistance (IR). Results: in the table shows the 90th percentile of WC in cm, by and statistical software Stata/SE 10.0 for Windows. Results: Out of the 1,115 age and sex. elderlies, it were reassessed 914, being 72 as new cases of DM (7.7%/1,000 people/year). It was verified that a greater proportion (58%) of the subjects who reported DM, was composed by females. Even though obesity was positively Sex/Age 12 13 14 15 16 17 18 associated to reported DM, WHR (OR=2.33; IC=1.47-3.77) and WC (OR= 2.32; (year) (131/108) (187/164) (203/178) (208/149) (188/154) (158/150) (67/76) IC=1.44-3.67) were predictors for DM. Conclusion: Of all variables analized, Girls 69,9 75,0 75,0 75,0 77,0 79,0 79,0 only abdominal fat was considered risk factor for the incidence of this disease, in a period of 6 years. Boys 71,6 72,0 74,1 77,0 78,7 80,0 80,0 [Tabla] Table references: values in parentheses are the number of women/men by age. 291 EFFECT OF FAT DISTRIBUTION ON THE PATHOGENESIS OF OBESITY We found a significant increase in the average WC with age (p< 0.001) and a INDUCED HYPERTENSION AMONG YOUNG CAMEROONIAN ADULTS higher value of WC in men (p< 0.001). WC values greater than or equal to 90th B.K.G. Azantsa, H.M.C. Yangoua, G.P. Djiokeng, H. Dimodi, L.J. Ngondi, J.E. percentile associated (p< 0.001) with high blood pressure (HBP), elevated Oben triglycerides (ETG), SM and IR. Binary logistic regression determined that the Biochemistry, Laboratory of Nutrition and Nutritional Biochemistry, University of value of the 90th percentile WC, adjusted for dichotomized variables: blood Yaounde 1, Yaounde, Cameroon pressure, triglycerides, glucose and HDL-cholesterol, IR predicted Background: Increased body weight and fat localization are involved in obesity independently. The sensitivity (S) and specificity (E) value was 90th percentile induced hypertension. In order to determine the effect of fat distribution on the WC: SM (S:91.30%,E:88.16%), IR (S:52.27%,E:88.03%), HBP pathogenesis of obesity induced hypertension in Cameroon. Methods: 2190 (S:45.95%,E:85.30%), ETG (S:31.11%,E:87.88%) and low HDL-cholesterol obese and overweight (BMI > 25 kg/m2) Cameroonians (67.3% women and (S:23.29%;E:85.30%). Conclusions: The value found for the WC 90th percentile 32.7% men) were recruited from January 2008 to December 2009 in Yaoundé. of adolescents identified at high risk to develop cardiovascular disease-related Hypertension was diagnosed using WHO criteria (SBP/DBP ≥140/90mmHg) disorders and may be used as a guide for future studies. and body fatness location (android or gynoid) using NCEP-ATPIII criteria. Waist circumference, body fatness, BMI, Haemodynamic factors(Systolic and Dastolic Blood Pressure, Heart Rate, Pulse Pressure, Mean Arterial Pressure) and fasting blood glucose, total cholesterol (TC), HDL and LDL cholesterols, triglycerides, atherogenic indices (CT/CHDL and CLDL/CHDL), serum sodium, potassium, fasting blood insulin(FBI), HOMA-IR were assessed. Results: Mean Arterial Pressure (114.00 ± 14.23 vs 117.81±13.14 mmHg, p < 0.08) and Pulse Pressure (50.04 ± 1.51 vs 43.78 ± 1.21, p< 0.01) were higher among android obese patients than gynoid respectively. There was sodium increase (177.65 ± 10.65 vs 175.56 ± 10.06mmol/L, p> 0.05) and potassium depletion (4.33 ± 0.68 vs 3.65 ± 0.44) in android and gynoid obese hypertensive patients respectively. Insulinresistance (FBI: 16.82 ± 2.26 vs 10.55 ± 1.05 µU/ml, p < 0.032; 18 558 210 CORRELATION BETWEEN WAIST CIRCUMFERENCE, BODY MASS INDEX PREVALENCE OF ABDOMINAL ADIPOSITY AMONG HOSPITALIZED AND BODY COMPOSITION OF OBESE ADOLESCENTS AFTER A PATIENTS NUTRITIONAL INTERVENTION V.A. Leandro-Merhi, A.P. Cardoso, K.C.P. Mclellan, J.L.D. Bernardi C.M.M. Resende1, M.N. Campanelli Marçal Vieira2, J.P. Monteiro1 Clinical Nutrition, PUC-Campinas-SP-Brasil, Campinas, Brazil 1Universidade de São Paulo, 2Departamento de Puericultura e Pediatria, Aims: The objective of this study was to diagnose the prevalence of abdominal Faculdade de Medicina de Ribeirão Preto USP, Ribeirão Preto, Brazil adiposity among hospitalized patients. Methods: A total of 1626 hospitalized Objective: To evaluate the correlation between changes in waist circumference patients from a major university hospital from the state of São Paulo, Brazil, with a change in body mass index (BMI) and body composition changes after a were assessed. The following variables were studied: gender, age, waist study of dietary education with guidance on portions size in adolescents showed circumference (WC), waist-to-hip ratio (WHR), body mass index (BMI), habitual adherence to treatment. Methods: Adolescents of both sexes were submitted to energy intake (HEI) and fat intake. The chi-square test and the Mann-Whitney or anthropometric measurements (weight, height and waist circumference (WC)) Kruskal-Wallis test were used to compare the data. The significance level was and analysis of body composition by bioelectrical impedance before and after a set to 5% (p< 0.05). Results: The mean age of the studied population was nutritional intervention. The nutritional intervention included approach of the food 48.9±17.1 years; 53.8% were females and 46.2% were males; 22.2% and pyramid and food groups, nutritional counseling through a strategy previously 35.2% respectively presented high risk and very high risk of abdominal adiposity standardized by the department, the adequacy of portion sizes. Results: and 65.4% presented metabolic risk. The women were at greater risk of Nineteen obese adolescents, twelve males and seven females, with mean age abdominal adiposity (p< 0.0001), as were the older individuals (p< 0.0001), with of 10.22 years old participated in this study. There was positive correlation higher BMI (p< 0.0001) and WHR (p< 0.0001). The habitual energy intake and between changes in the CC and change in BMI (r = 0.923, p = 0.00), change the fat intake of individuals with abdominal adiposity did not differ significantly from CC and change in pounds of lean body mass (r = 0.850, p = 0.00) and change in those of individuals without abdominal adiposity.
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