Relación entre parámetros cardiovasculares y el Índice de Masa Corporal en mujeres perimenopáusicas

  1. Soto-Rodríguez, Anxela 1
  2. Leirós-Rodríguez , Raquel
  3. García-Soidán , Jose Luis
  4. García-Liñeira, Jesús 2
  1. 1 Servicio Galego de Saúde-Ourense Hospital, Ourense, España
  2. 2 Facultad de Educación y Ciencias del Deporte, Universidade de Vigo, Campus a Xunqueira, Pontevedra, España
Journal:
International Journal of Medical and Surgical Sciences, (IJMSS)

ISSN: 0719-532X 0719-3904

Year of publication: 2021

Issue Title: June 2021

Volume: 8

Issue: 2

Type: Article

DOI: 10.32457/IJMSS.V8I2.1443 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International Journal of Medical and Surgical Sciences, (IJMSS)

Abstract

Introduction: Cardiovascular disease (CVD) is the most common cause of death in women worldwide. Estrogen deficiency due to menopause is associated with an increased risk of this pathology.Objective: To analyze cardiovascular risk factors in perimenopausal women with at least one major modifiable cardiovascular risk factor (diabetes, hypertension, dyslipemia) between the ages of 45 and 60 of two urban primary care services.Methodology: Cross-sectional descriptive study in two health centers in the city of Ourense (Novoa Santos Health Center and A Ponte Health Center). The variables analyzed were: estrogenic activity, pharmacological treatment, smoking habit, quality of life, body mass index (BMI), total cholesterol, high density lipoprotein (cHDL), low-density lipoprotein (cLDL) and triglycerides, systolic blood pressure (TAS), diastolic blood pressure (TAD), heart rate (FC). The study was approved by the Ethics Committee of Galicia. Data analysis was performed through the free R software.Results: 316 women participated, of whom 64.9% were menopausal. The average age of the sample was 53.35 ± 4.35 years. The average BMI value was 28,125 ± 5.54 Kg/m2. 27.8% said they had a smoking habit. 77.2% of the women in the sample had total cholesterol levels ≥200 mg/dL. In relation to the cLDL, in 72.6% of the population studied it was ≥130 mg/dL. A statistically significant correlation was observed between BMI and triglyceride, cHDL, TAS, TAD and FC levels.Conclusion: Perimenopausal women had a high prevalence of smoking habit, obesity and overweight, despite suffering at least one cardiovascular risk factor. On the other hand they showed a low quality of life in both the physical and mental dimension

Bibliographic References

  • Ascaso, Juan F. 2008. "Obesidad Abdominal, Resistencia a La Insulina Y Riesgo Metabólico Y Vascular." Medicina Clínica 131 (10): 380-381. https://doi.org/10.1016/S0025-7753(08)72287-5
  • Coca, Antonio, Luis Cea-Calvo, José V. Lozano, Verónica Inaraja, Cristina Fernández-Pérez, Jorge Navarro, Álvaro Bonet, and Josep Redón. 2009. "Colesterol HDL Y Enfermedad Cardiovascular En Mujeres Hipertensas De España. Estudio RIMHA." Revista Española De Cardiología 62 (9): 1022-1031. https://doi.org/10.1016/S0300-8932(09)72101-3
  • Dégano, Irene R., Roberto Elosua, and Jaume Marrugat. 2013. "Epidemiología Del Síndrome Coronario Agudo En España: Estimación Del Número De Casos Y La Tendencia De 2005 a 2049." Revista Española De Cardiología 66 (6): 472-481. https://doi.org/10.1016/j.recesp.2013.01.019
  • Diem, S. J., K. A. Guthrie, C. M. Mitchell, S. D. Reed, J. C. Larson, K. E. Ensrud, and A. Z. LaCroix. 2018. "Effects of Vaginal Estradiol Tablets and Moisturizer on Menopause-Specific Quality of Life and Mood in Healthy Postmenopausal Women with Vaginal Symptoms: A Randomized Clinical Trial." Menopause (New York, N.Y.) 25 (10): 1086-1093. https://doi.org/10.1097/gme.0000000000001131
  • Dinh, Paul C., Lauren A. Schrader, Catherine J. Svensson, Karen L. Margolis, Brian Silver, and Juhua Luo. 2019. "Smoking Cessation, Weight Gain, and Risk of Stroke among Postmenopausal Women." Preventive Medicine 118: 184-190. https://doi.org/10.1016/j.ypmed.2018.10.018
  • Do, Kim-Anh, A. Green, JR Guthrie, EC Dudley, HG Burger, and L. Dennerstein. 2000. "Longitudinal Study of Risk Factors for Coronary Heart Disease Across the Menopausal Transition." American Journal of Epidemiology 151 (6): 584-593. https://doi.org/10.1093/oxfordjournals.aje.a010246
  • Dulac, Maude, Guy El Hajj Boutros, Charlotte Pion, Sébastien Barbat-Artigas, Gilles Gouspillou, and Mylène Aubertin-Leheudre. 2016. "Is Handgrip Strength Normalized to Body Weight a Useful Tool to Identify Dynapenia and Functional Incapacity in Post-Menopausal Women?" Brazilian Journal of Physical Therapy (AHEAD): 0-0. https://doi.org/10.1590/bjpt-rbf.2014.0184
  • Fernández, María Reyes Pérez, Raquel Almazán Ortega, José María Martínez Portela, M. Teresa Alves Pérez, M. Carmen Segura Iglesias, and Román Pérez Fernández. 2013. "Intervención Educativa Para La Prevención De Osteoporosis En Un Servicio De Atención Primaria Rural." Medicina Clínica 141 (12): 519-521. https://doi.org/10.1016/j.medcli.2013.02.041
  • Garrote, Juan A. Divisón, Francisco J. Alonso Moreno, Miguel A. Prieto, Teresa Rama Martínez, Rafael Durá Belinchon, Pere Beato Fernández, José L. Llisterri Caro, Eduardo Carrasco, Gustavo C. Rodríguez Roca, and Diego Gonzalez-Segura Alsina. 2011. "Prevalencia De Obesidad En Hipertensos Y Su Influencia En El Grado De Control De La Presión Arterial." Hipertensión Y Riesgo Vascular 28 (3): 91-98. https://doi.org/10.1016/j.hipert.2011.05.003
  • George, Mary G., Xin Tong, and Barbara A. Bowman. 2017. "Prevalence of Cardiovascular Risk Factors and Strokes in Younger Adults." JAMA Neurology 74 (6): 695-703. https://doi.org/10.1001/jamaneurol.2017.0020
  • Gray, K. E., J. G. Katon, E. S. LeBlanc, N. F. Woods, L. A. Bastian, G. E. Reiber, J. C. Weitlauf, K. M. Nelson, and A. Z. LaCroix. 2018. "Vasomotor Symptom Characteristics: Are they Risk Factors for Incident Diabetes?" Menopause (New York, N.Y.) 25 (5): 520-530. https://doi.org/10.1097/gme.0000000000001033
  • Hernández-Angeles, Claudio and Camil Castelo-Branco. 2018. "Riesgo Cardiovascular De La Menopausia." Revista De La Federación Centroamericana De Obstetricia Y Ginecología 2015 (20).
  • Hildebrand, Kathy, Kathryn King-Shier, Lorraine Venturato, and Christy Tompkins-Lane. 2019. "Will Women Interact with Technology to Understand their Cardiovascular Risk and Potentially Increase Activity?" BioResearch Open Access 8 (1): 94-100. https://dx.doi.org/10.1089%2Fbiores.2018.0047
  • Iliodromiti, S. and R. Begbie. 2018. "Vasomotor Symptoms in Menopause and Cardiovascular Risk Factors: A Systematic Review and Meta-Analysis." Fertility and Sterility 110 (4): e286. https://doi.org/10.1016/j.fertnstert.2018.07.807
  • Luengo-Fernandez, Ramon, Mara Violato, Paolo Candio, and Jose Leal. 2019. "Economic Burden of Stroke Across Europe: A Population-Based Cost Analysis." European Stroke Journal: 2396987319883160. https://doi.org/10.1177%2F2396987319883160
  • Maiques, A., C. Brotons, and F. Villar. 2012. "Recomendaciones Preventivas Cardiovasculares. Grupo De Prevención Cardiovascular Del PAPPS." Aten Primaria 44: 3-15. https://doi.org/10.1016/s0212-6567(18)30360-3
  • Medrano, María J., Roberto Pastor-Barriuso, Raquel Boix, José L. del Barrio, Javier Damián, Rosa Álvarez, and Alejandro Marín. 2007. "Riesgo Coronario Atribuible a Los Factores De Riesgo Cardiovascular En Población Española." Revista Española De Cardiología 60 (12): 1250-1256. https://doi.org/10.1157/13113930
  • Miranda, João Marcelo De Queiroz, Roberta Luksevicius Rica, Alexandre Lopes Evangelista, Teixeira, Caue V La Scala, Andrey Jorge Serra, Gisela Arsa, Angelica Castilho Alonso, Welmo Alcantara Barbosa, Lucas Sfair Barreto, and Alana Sena
  • Souza. 2019. "Effects of Association of Physical Education and Multidisciplinary Intervention Program on Cardiovascular Risk Factors in Obese Elderly Women." Journal of Physical Education and Sport 19: 931-935.
  • Moral, Diana Salor, Nazly Mayerly Cuevas Meléndez, María Ferrer Civeira, Carlos Recarte García Andrade, and Jesús Millán Nuñez Cortés. 2010. "Correlación Entre Parámetros Antropométricos Y Perfil De Riesgo Cardiovascular Estimado Para La Población Española." Clínica E Investigación En Arteriosclerosis 22 (6): 241-246. https://doi.org/10.1016/j.arteri.2010.10.002
  • Muñoz, María J. Fernández, Lourdes Basurto Acevedo, Nydia Córdova Pérez, Ana Laura Vázquez Martínez, Nayive Tepach Gutiérrez, Sara Vega García, Alberto Rocha Cruz, Alma Díaz Martínez, Renata Saucedo García, and Arturo Zárate Treviño. 2014. "La Grasa Epicárdica Se Relaciona Con La Visceral, El Síndrome Metabólico Y La Resistencia a La Insulina En Mujeres Menopáusicas." Revista Española De Cardiología 67 (6): 436-441. https://doi.org/10.1016/j.recesp.2013.10.013
  • Sanjurjo, S. Cinza, MÁ Prieto Díaz, JL Llisterri Caro, A. Barquilla García, L. Rodríguez Padial, R. Vidal Pérez, GC Rodríguez Roca, JJ Badimón Maestro, and V. Pallarés Carratalá. 2019. "Prevalencia De Obesidad Y Comorbilidad Cardiovascular Asociada En Los Pacientes Incluidos En El Estudio IBERICAN (Identificación De La poBlación Española De RIesgo Cardiovascular Y reNal)." Medicina De Familia. SEMERGEN 45 (5): 311-322. https://doi.org/10.1016/j.semerg.2018.11.003
  • Vilagut, Gemma, José María Valderas, Montserrat Ferrer, Olatz Garin, Esther López-García, and Jordi Alonso. 2008a. "Interpretación De Los Cuestionarios De Salud SF-36 Y SF-12 En España: Componentes Físico Y Mental." Medicina Clínica 130 (19): 726-735. https://doi.org/10.1157/13121076