NUTRITIONAL STATUS AND CARDIOMETABOLIC RISK IN WOMEN: RELATIONSHIP WITH USUAL AND NON-USUAL COMPONENTS OF BODY COMPOSITION

Dada, Rafaela Pilegi; Branco, Braulio Henrique Magnani; Terra, Caio Machado de Oliveira; Lazarin, Samara Pereira Brito; Hintze, Luzia Jeager; Nardo Junior, Nelson

doi:10.4025/jphyseduc.v29i1.2935

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Original Article • J. Phys. Educ. 29 • 2018 • https://doi.org/10.4025/jphyseduc.v29i1.2935 copy

NUTRITIONAL STATUS AND CARDIOMETABOLIC RISK IN WOMEN: RELATIONSHIP WITH USUAL AND NON-USUAL COMPONENTS OF BODY COMPOSITION

ESTADO NUTRICIONAL E RISCO CARDIOMETABÓLICO EM MULHERES: RELAÇÃO COM COMPONENTES USUAIS E NÃO USUAIS DA COMPOSIÇÃO CORPORAL

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The usual parameters of body composition such as lean body mass (LM) and fat mass (FM) and the non-usual fat mass-lean ratio (FLMR), lean mass index (LMI), fat mass index (FMI) can potentially identify metabolic syndrome (MS) according to nutritional status. Accordingly, the present study aims to evaluate and discriminate LM, FM, FLMR, LMI, FMI and MS variables in women according to their nutritional status. A total of 338 women aged between 25 and 74 years were included in the study. LM, relative and absolute FM, FMI, LMI and FLMR, waist circumference (WC), systolic blood pressure (SBP), diastolic blood pressure (DBP) were measured. Results have shown differences in the usual and non-usual body composition components for the WC, SBP and fasting glycemia among the different groups: eutrophic, overweight, obese I, II and III. In addition, correlations were noted between the components of body composition when compared to triglycerides and high-density lipoproteins (p <0.05). The ROC curve analysis demonstrated that LMI and FMI are able to detect MS in women in a similar way that IMC does. In conclusion, non-usual components of body composition might be an alternative way to detect MS in women, suggesting that they should be included as potential risks to develop MS. Finally, it is suggested the adoption of the non-usual components in addition with the traditional parameters in oder to diagnose the risk for MS in women.

Keywords:
Obesity; Metabolic Syndrome X; Body Composition; Women

	BMI (kg/m²)	LBM (kg)	FBM (kg)	FBM (%)	LFR (kg/kg)	LMI (kg/m²)	FMI (kg/m²)	WC (cm)	GLY (mg/dL)	HDL-c (mg/dL)	TG (mg/dL)	SBP (mmHg)	DBP (mmHg)
BMI (kg/m²)	1	0.48^**	0.95^**	0.87^**	0.89^**	0.72^**	0.97^**	0.84^**	0.33^	-0.20^**	0.26^**	0.20^*	0.17^*
		^moderate	^near-perfect	^{very high}	^{very high}	^{very high}	^near-perfect	^{very high}	^moderate	^small	^small	^small	^small
LBM (kg)	0.48^**	1	0.50^**	0.21^**	0.17^*	0.78^**	0.37^**	0.43^**	0.19^**	-0.12	0.15^*	0.00	0.01
	^moderate		^high	^small	^small	^{very high}	^moderate	^moderate	^small	^small	^small	^trivial	^trivial
FBM (kg)	0.95^**	0.50^**	1	0.92^**	0.93^**	0.59^**	0.98^**	0.82^**	0.30^**	-0.23^**	0.25^**	0.14	0.14^*
	^near-perfect	^high		^near-perfect	^near-perfect	^high	^near-perfect	^{very high}	^moderate	^small	^small	^small	^small
FBM (%)	0.87^**	0.21^**	0.92^**	1	0.98^**	0.38^**	0.95^**	0.75^**	0.26^**	-0.23^*	0.22^**	0.12	0.13
	^{very high}	^small	^near-perfect		^near-perfect	^moderate	^near-perfect	^{very high}	^small	^small	^small	^small	^small
LFR (kg/kg)	0.89^**	0.17^*	0.93^**	0.98^**	1	0.35^**	0.96^**	0.77^**	0.26^**	-0.22^**	0.22^**	0.15*	0.16^*
	^{very high}	^small	^near-perfect	^near-perfect		^moderate	^near-perfect	^{very high}	^small	^small	^small	^small	^small
LMI (kg/m²)	0.72^**	0.78^**	0.59^**	0.38^**	0.35^**	1	0.58^**	0.59^**	0.28^**	-0.11	0.22^**	0.16^*	0.09
	^{very high}	^{very high}	^high	^moderate	^moderate		^high	^high	^small	^small	^small	^small	^trivial
FMI (kg/m²)	0.97^**	0.37^**	0.98^**	0.95^**	0.96^**	0.58^**	1	0.83^**	0.31^**	-0.22^**	0.25^**	0.18^*	0.16^*
	^near-perfect	^moderate	^near-perfect	^near-perfect	^near-perfect	^high		^{very high}	^moderate	^small	^small	^small	^small
GLY (mg/dL)	0.33^**	0.19^**	0.30^**	0.26^**	0.26^**	0.28^**	0.31^**	0.38^**	1	-0.29^**	0.51^**	0.13	-0.23^**
	^moderate	^small	^moderate	^small	^small	^small	^moderate	^moderate		^small	^high	^small	^small
HDL-c (mg/dL)	-0.20	-0.12	-0.23^**	0.23^**	-0.22	-0.11	-0.26	-0.29^	-0.29^**	1	-0.33^**	0.03	0.03
	^small	^small	^small	^small	^small	^small	^small	^small	^small		^moderate	^trivial	^trivial
TG (mg/dL)	0.26^**	0.15^*	0.25^**	0.22^**	0.22^**	0.22^**	0.25^**	0.35^**	0.51^**	-0.33^**	1	0.12	-0.04
	^small	^small	^small	^small	^small	^small	^small	^moderate	^high	^moderate		^small	^trivial
WC (cm)	0.84^**	0.43^**	0.89^**	0.75^**	0.77^**	0.59^**	0.83^**	1	0.38^**	-0.29^**	0.35^**	0.19^**	0.15^*
	^{very high}	^moderate	^{very high}	^{very high}	^{very high}	^high	^{very high}		^moderate	^small	^moderate	^small	^small
SBP (mmHg)	0.20^**	0.00	0.14	0.12	0.15^*	0.16^*	0.18^*	0.19^**	0.13	0.02	0.12	1	0.58^**
	^small	^trivial	^small	^small	^small	^small	^small	^small	^small	^trivial	^small		^high
DBP (mmHg)	0.17^*	0.01	0.14*	0.13	0.16^*	0.09	0.16^*	0.16^*	-0.23^**	0.03	-0.04	0.58^**	1
	^small	^trivial	^small	^small	^small	^trivial	^small	^small	^small	^trivial	^trivial	^high

Universidade Estadual de Maringá Avenida Colombo, 5790 - cep: 87020-900 - tel: 44 3011 4315 - Maringá - PR - Brazil
E-mail: revdef@uem.br

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[1] Author address: Nelson Nardo Júnior. Avenida Colombo, 5768, Departamento de Educação Física da Universidade Estadual de Maringá. CEP 87020-900. E-mail: nnjunior@uem.br

Body Composition (n=338)	Eutrophic (n=73)	Overweight (n=113)	Obese I (n=86)	Obese II (n=46)	Obese III (n=20)
Age (years)	43.52±11.62	46.12±11.51	47.72±11.03	50.87±9.74	48.20±8.04
Height (m)	1.6 ± 0.07	1.6 ± 0.06	1.6 ± 0.05	1.6 ± 0.05	1.6 ± 0.06
Body Mass (kg)*	58.4 ± 6.7	69.4 ± 6.1	82.1 ± 6.3	93.8 ± 6.5	108.3 ± 10.3
Body Mass Index (kg/m²)*	22.6 ± 1.6	27.4 ± 1.40	32.4 ± 1.5	37.3 ± 1.4	42.5 ± 2.0
Lean Body Mass (kg)^@	39.0 ± 4.6	41.3 ± 5.4	44.0 ± 4.3	45.5 ± 4.4	50.0 ± 4.7
Fat Body Mass (kg) ^*	17.3 ± 4.2	25.2 ± 4.3	35.5 ± 4.2	44.9 ± 5.5	55.3 ± 6.8
Body Fat Percentage (%)^#	29.3 ± 5.0	36.1 ± 5.0	43.2 ± 3.8	48.1 ± 3.4	51.0 ± 2.8
Lean Mass Index (kg/m²)^*	15.1 ± 1.2	16.3 ± 1.6	17.3 ± 1.0	18.1 ± 1.0	19.6 ± 1.1
Fat Mass Index (kg/m²)^*	6.7 ± 1.5	9.9 ± 1.7	14.0 ± 1.6	17.9 ± 20.0	21.7 ± 1.9
Lean-to-Fat Ratio (kg/kg)^*	0.4 ± 0.1	0.6 ± 0.1	0.8 ± 0.1	1.0 ± 0.1	1.1 ± 0.1
Metabolic Syndrome Components (n=197)	Eutrophic (n=35)	Overweight (n=67)	Obese I (n=46)	Obese II (n=31)	Obese III (n=18)
Age (years)	49.51±11.04	47.37±11.36	49.85±11.82	53.6±8.07	49.67±8.18
Waist Circumference (cm)*	75.6 ± 7.5	82.2 ± 6.1	91.3 ± 6.1	102.6 ± 8.0	109.3 ± 12.9
Systolic Blood Pressure (mmHg)	121.4 ± 21.2	124.5 ± 17.0	130.3 ± 22.8	128.1 ± 15.7	135.9±16.0
Diastolic Blood Pressure (mmHg)^**	74.2 ± 11.07	76.9 ± 11.6	80.3 ± 11.7	77.0 ± 22.2	85.4 ± 11.3
Fasting Glycemia (mm/dL)^º	89.0 ± 7.2	93.6 ± 16.0	98.8 ± 23.9	104.9 ± 36.0	117.2 ± 46.8
HDL-c (mm/dL)^‡	69.2 ± 12.1	65.6 ± 15.5	58.9 ± 14.9	62.0 ± 12.1	61.3 ± 15.3
Triglycerides (mm/dL) †	79.9 ± 28.0	85.3 ± 31.1	104.9 ± 60.2	117.0 ± 83.6	114.5 ± 39.6
MS Prevalence (%)	-	3.0	6.5	22.6	33.3

	WC (cm)	SBP (mmHg)	DBP (mmHg)	GLY (mm/dL)	HDL-c (mm/dL)	TG (mm/dL)	MS
Body Mass Index (kg/m²)	0.92	0.69	0.62	0.78	0.63	0.77	0.81
Lean body mass (kg)	0.70	0.53	0.53	0.64	0.61	0.69	0.70
Fat body mass (kg)	0.92	0.65	0.62	0.76	0.63	0.76	0.80
Body mass percentage (%)	0.89	0.65	0.63	0.74	0.59	0.73	0.76
Lean mass index (kg/m²)	0.82	0.67	0.58	0.76	0.66	0.76	0.81
Fat mass index (kg/m²)	0.92	0.67	0.62	0.77	0.62	0.76	0.80
Lean-to-fat ratio (kg /kg)	0.88	0.66	0.62	0.74	0.59	0.72	0.76

	WC (cm)	SBP (mmHg)	DBP (mmHg)	GLY (mm/dL)	HDL-c (mm/dL)	TG (mm/dL)	MS
Body Mass Index (kg/m²)	28.00	29.00	29.00	33.00	28.00	33.00	34.00
Lean body mass (kg)	45.00	39.00	49.00	47.00	47.00	44.00	43.00
Fat body mass (kg)	29.00	26.00	28.00	37.00	26.00	37.00	37.00
Body fat percentage (%)	38.00	41.00	43.00	46.00	35.00	40.00	46.00
Lean mass index (kg/m²)	17.02	16.62	16.94	18.33	16.71	18.33	18.33
Fat mass index (kg/m²)	11.92	10.22	12.70	13.06	10.11	14.48	14.48
Lean-to-fat ratio (kg/kg)	0.65	0.73	0.85	0.94	0.58	0.73	1.05