ABSTRACT
In the present study, lipid profile and indices of obesity in elderly residents living in the Riyadh-nursing home, Kingdom of Saudi Arabia was assessed. All elderly males (n = 48) living in the nursing home were included in the study. Body mass index, waist circumference and waist to hip ratio were measured. In addition, total cholesterol, low density lipoprotein-cholesterol, high density lipoprotein-cholesterol and triglyceride concentrations were measured in serum. The results show that 43.8% of the elderly were considered to be either overweight or obese. The results show that 29.2 and 33.3% of the subjects were having central obesity, as measured by waist circumference and waist to hip ratio, respectively. Twenty five percent and 20.8% of the subjects had high total cholesterol and high low-density lipoprotein-cholesterol, respectively. About 42% of the elderly classified as having low high-density lipoprotein-cholesterol and 10.4% classified as having high triglyceride. Waist circumference was strongly correlated with body mass index (r = 90), whereas waist-to-hip ratio was less correlated (r = 0.64). Body mass index, waist circumference and wait-to-hip ratio were positively associated with triglyceride, whereas waist circumference and waist-to-hip ratio were negatively associated with high density lipoprotein-cholesterol. To conclude, the prevalence of central obesity was appreciable. Early detection of obesity, upon admission to nursing homes, would lead to early nutritional intervention, thus, help in preventing obesity-related complications and reducing medical-treatment costs.
PDF References Citation
How to cite this article
Adel A. Alhamdan, 2008. Body Mass Index, Waist, Waist to Hip Ratio and Lipid Profile in Elderly Subjects Living in a Nursing Home. Journal of Medical Sciences, 8: 177-181.
DOI: 10.3923/jms.2008.177.181
URL: https://scialert.net/abstract/?doi=jms.2008.177.181
DOI: 10.3923/jms.2008.177.181
URL: https://scialert.net/abstract/?doi=jms.2008.177.181
REFERENCES
- Al-Nozha, M.M., M.R. Arafah, Y.Y. Al-Mazrou, M.A. Al-Maatouq and M.Z. Khan et al., 2004. Coronary artery disease in Saudi Arabia. Saudi. Med. J., 25: 1165-1171.
Direct Link - Al-Nozha, M.M., A. Al-Khadra, M.R. Arafah, M.A. Al-Maatouq and M.Z. Khalil et al., 2005. Metabolic syndrome in Saudi Arabia. Saudi Med. J., 26: 1918-1925.
Direct Link - Al-Nozha, M.M., Y.Y. Al-Mazrou, M.A. Al-Maatouq, M.R. Arafah and M.Z. Khalil et al., 2005. Obesity in Saudi Arabia. Saudi Med. J., 26: 824-829.
PubMedDirect Link - Aziz, F., A. Esmaillzadeh and P. Mirmiran, 2004. Obesity and cardiovascular disease risk factors in Tehran adults: A population-based study. East Mediterr. Health J., 10: 887-897.
Direct Link - Bonora, E., G. Targher, P. Branzi, M. Zenere and F. Saggiani et al., 1996. Cardiovascular risk profile in 38-year and 18-year-old men. Contribution of body fat content and regional fat distribution. Int. J. Obes. Relate Metab. Disord., 20: 28-36.
PubMed - Canoy, D., N. Wareham, R. Luben, A. Welch, S. Bingham, N. Day and K.T. Khaw, 2006. Serum lipid concentration in relation to anthropometric indices of central and peripheral fat distribution in 20, 021 British men and women: Results from the EPIC-Norfolk population-based cohort study. Atherosclerosis, 189: 420-427.
Direct Link - Carroll, S., C.B. Cooke, R.J. Butterly, J.W.D. Moxon, J.W.A. Moxon and M. Dudfield, 2000. Waist circumference in the assessment of obesity and associated risk factors in coronary artery disease patients. Coronary Health Care, 4: 179-186.
Direct Link - DiPietro, L., L.D. Katz and E.R. Nadel, 1999. Excess abdominal adiposity remains correlated with altered lipid concentrations in healthy older women. Int. J. Obs. Relat. Metab. Disord., 23: 432-436.
Direct Link - Eckel, R.H. and R.M. Krauss, 1998. American Heart Association call to action: Obesity as a major risk factor for coronary heart disease. Circulation, 97: 2099-2100.
CrossRefDirect Link - Elisaf, M., 2001. The treatment of coronary heart disease: An update. Part 1: An overview of the risk factors for cardiovascular disease. Curr. Med. Res. Opin., 17: 18-26.
Direct Link - Enzi, G., M. Gasparo, P.R. Biondetti, D. Fiore, M. Semisa and F. Zurlo, 1986. Subcutaneous and visceral fat distribution according to sex, age and overweight, evaluated by computed tomography. Am. J. Clin. Nutr., 44: 739-746.
Direct Link - Gallagher, D., E. Ruts, M. Visser, S. Heshka and R.N. Baumgartner et al., 2000. Weight stability masks sarcopenia in elderly men and women. Am. J. Physiol. Endocrinol. Metab., 279: E366-E375.
Direct Link - Han, T.S., E.M. van Leer, J.C. Seidell and M.E.J. Lean, 1995. Waist circumference action levels in the identification of cardiovascular risk factors: Prevalence study in a random sample. Br. Med. J., 311: 1401-1405.
CrossRefDirect Link - Heitmann, B.L., 1992. The variation in blood lipid levels described by various measures of overall and abdominal obesity in Danish men and women aged 35-65 years. Eur. J. Clin. Nutr., 46: 597-605.
PubMed - Heitmann, B.L., 1992. The effects of gender and age on associations between blood lipid levels and obesity in Danish men and women aged 35-65 years. J. Clin. Epidemiol., 45: 693-702.
CrossRefDirect Link - Jensen, G.L., M. McGee and J. Binkley, 2001. Nutrition in the elderly. Gastroenterol. Clin. North Am., 30: 313-334.
Direct Link - Kannel, W.B., L.A. Cupples, R. Ramaswami, J. Stokes III, B.E. Kreger and M. Higgins, 1991. Regional obesity and risk of cardiovascular disease; the Framingham study. J. Clin. Epidemiol., 44: 183-190.
CrossRefPubMedDirect Link - Kuczmarski, R.J., 1989. Need for body composition information in elderly subjects. Am. J. Clin. Nutr., 50: 1150-1157.
Direct Link - Lemos-Santos, M.G.F., J.G. Valente, R.M.V. Gonçalves-Silva and R. Sichieri, 2004. Waist circumference and waist-to-hip ratio as predictors of serum concentration of lipids in Brazilian men. Nutrition, 20: 857-862.
Direct Link - Minten, V.A., M.R.H. Lowik, P. Deurenberg and F.J. Kok, 1991. Inconsistent associations among anthropometric measurements in elderly Dutch men and women. J. Am. Diet. Assoc., 91: 1408-1412.
PubMed - Morar, N., Y.K. Seedat, D.P. Naidoo and D.K. Desai, 1998. Ambulatory blood pressure and risk factors for coronary heart disease in black and Indian medical students. J. Cardiovasc. Risk, 5: 313-318.
CrossRefDirect Link - Must, A., J. Spadano, E.H. Coakley, A.E. Field, G. Colditz and W.H. Dietz, 1999. The disease burden associated with overweight and obesity. J. Am. Med. Assoc., 282: 1523-1529.
CrossRefPubMedDirect Link - National Cholesterol Education Program, 2002. Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation and treatment of high blood cholesterol in adults (Adult treatment panel III). Circulation, 106: 3143-3421.
PubMed - Shirai, K., 2004. Obesity as the core of the metabolic syndrome and the management of coronary heart disease. Curr. Med. Res. Opin., 20: 295-304.
Direct Link - Calle, E.E., M.J. Thun, J.M. Petrelli, C. Rodriguez and C.W. Heath Jr., 1999. Body-mass index and mortality in a prospective cohort of US adults. N. Engl. J. Med., 341: 1097-1105.
CrossRefDirect Link