MORPHOMETRIC AND ANTHROPOMETRIC EXAMINATION IN THE MANAGEMENT OF PATIENTS WITH ARTERIAL HYPERTENSION AND OBESITY
DOI:
https://doi.org/10.11603/1811-2471.2020.v.i1.11080Keywords:
obesity, hypertension, bioelectrical impedance analysisAbstract
The article is devoted to the results of anthropometric and morphometric examination by bioelectric impedance analysis of patients with hypertension and obesity/overweight.
The aim is to investigate and analyze anthropometric and morphometric indices in patients with hypertension and obesity/overweight and to compare morphometric indices with anthropometric and biochemical indices in patients in the study groups.
Material and Methods. 64 patients with hypertension and obesity and 21 healthy persons were examined. Patients with a BMI of 25 kg/m² and above and hypertension formed the main group; patients with a BMI of 18–24.9 kg/m² without hypertension were included in the control group. All patients underwent clinical, anthropometric, morphometric and laboratory examination, which included blood pressure, height, body weight, circumference of the waist, neck, hands and thighs, fasting glucose, total cholesterol, HDL, LDL, LDL atherogenicity and percentage of fat in the body as measured by bioimpedancemetry (BIM). BIM was performed by OMRON Body Composition Monitor BF212, (Japan), 2012. Statistical data processing was performed using SPSS Statistics ver. 23.0.0.
Results. Correlations were found between anthropometric, morphometric, and laboratory parameters, including %FM, BMI and SBP and DBP, as well as HDL, triglycerides in the main group, regardless of age and correlation between BMI and age in the healthy group.
Conclusions. %FM positively correlates with body weight - r = 0.68, p = 0.001, with BMI r=0,78 and waist circumference r = 0.73 p = 0.001, hips r = 0.82, p = 0.001, SBP r = 0.45 and DBP r = 0.48, at p <0.05. In the group of healthy individuals we revealed a strong direct correlation of BMI with age r = 0.96, p = 0.03, therefore, we can assume that anthropometric, morphometric indicators have more weight than the age factor in individuals who have obesity and hypertension, and in the group without hypertension and obesity, the main risk factor is age. Incorporating morphometric measurements into everyday clinical practice is a safe, non-invasive, accurate and reliable method of diagnosing obesity/overweight and determining risk.
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