Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Exploring New Tools to Risk Classification Among Adults with Several Degrees of Obesity

Greice Westphal-Nardo
* ORCID logo ,
Jean-Philippe Chaput
ORCID logo ,
César Faúndez-Casanova
ORCID logo ,
Carlos Alexandre Molena Fernandes
,
Eliane Cristina de Andrade Gonçalves
,
Raquel Tomiazzi Utrila
,
Karine Oltramari
,
Felipe Merchan Ferraz Grizzo
,
Nelson Nardo-Junior
Version 1 : Received: 3 May 2023 / Approved: 4 May 2023 / Online: 4 May 2023 (04:32:38 CEST)

A peer-reviewed article of this Preprint also exists.

Westphal-Nardo, G.; Chaput, J.-P.; Faúndez-Casanova, C.; Fernandes, C.A.M.; de Andrade Gonçalves, E.C.; Utrila, R.T.; Oltramari, K.; Grizzo, F.M.F.; Nardo-Junior, N. Exploring New Tools for Risk Classification among Adults with Several Degrees of Obesity. Int. J. Environ. Res. Public Health 2023, 20, 6263. Westphal-Nardo, G.; Chaput, J.-P.; Faúndez-Casanova, C.; Fernandes, C.A.M.; de Andrade Gonçalves, E.C.; Utrila, R.T.; Oltramari, K.; Grizzo, F.M.F.; Nardo-Junior, N. Exploring New Tools for Risk Classification among Adults with Several Degrees of Obesity. Int. J. Environ. Res. Public Health 2023, 20, 6263.

Abstract

The pandemic of obesity worldwide has been recognized as a very important challenge. Within its complexity the identification of higher risk patients becomes essential since it seems unsustainable trying to offer access to treatment to all people with obesity. Several new approaches have recently been presented as important tools for risk stratification. This research applied some of these tools in a cross-sectional study involving adults with obesity classes I, II, III and super obesity. The participants had their cardiometabolic risk profile assessed. The study included adults with obesity, aged 18 to 50 years (n=404) who were evaluated for anthropometric, body composition, hemodynamic, physical fitness and biochemical assessments. These variables were used to identify the prevalence of risk factors for cardiometabolic diseases according to the classes of obesity, by gender and age group. The results showed a high prevalence of risk factors, especially among the upper classes of obesity (BMI > 35 kg/m2) using single parameters as the waist circumference with almost 90% above the cut-off point. But there were also smaller numbers as the Glycated Hemoglobin whose prevalence was around 30%. Indexes like the atherogenic index of plasma (AIP) had the highest prevalence, with 100% of the male participants identified with increased risk for cardiovascular diseases.

Keywords

obesity; risk assessment; metabolic syndrome; AIP; HOMA-IR; risk stratification

Subject

Public Health and Healthcare, Public Health and Health Services

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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