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Relación entre la circunferencia del cuello y el diagnóstico de hipertensión arterial en el Registro Nacional de Hipertensión Arterial (RENATA);
Relationship between neck circumference and hypertension in the National Hypertension Registry (the RENATA study)

Creators:Alfie, José; Consejo Argentino de Hipertensión Arterial SAC, Diaz, Mónica; Consejo Argentino de Hipertensión Arterial SAC, Cufaro, Paula; Consejo Argentino de Hipertensión Arterial SAC, Rodríguez, Pablo; Consejo Argentino de Hipertensión Arterial SAC, Fábreguez, Guillermo; Consejo Argentino de Hipertensión Arterial SAC, Magni, Rodolfo, Nucci, Sandra, Rodríguez, Militza, Marín, Marcos J.
2012-07-26

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Descripción

IntroducciónLa hipertensión arterial (HTA) se asocia con una proporción mayor de grasa corporal. La circunferencia del cuello podría agregar información clínica adicional a la aportada por otras medidas de grasa corporal. ObjetivoComparar la relación entre la obesidad abdominal y cervical y la hipertensión arterial. Material y métodosEl estudio RENATA encuestó aleatoriamente a 4.006 adultos en siete ciudades (Buenos Aires, Córdoba, Tucumán, Mendoza, Resistencia, Corrientes y Neuquén). De ellos, 3.987 individuos contaron con mediciones de la circunferencia del cuello y de la cintura. La obesidad abdominal (OA) se definió según el ATP III y la obesidad cervical (OC), como el tercil superior de la circunferencia del cuello (³ 35 cm en mujeres y ³ 41 cm en hombres). Se definió HTA a la medición de valores promedio de presión arterial ³ 140 y/o 90 mm Hg o al consumo de fármacos antihipertensivos. ResultadosEn sujetos con abdomen normal, la prevalencia de HTA fue del 20,3% con circunferencia del cuello normal vs. el 38,8% con OC, mientras que en sujetos con OA, la prevalencia de HTA fue del 43,7% con circunferencia del cuello normal vs. el 57,4% con OC (chi cuadrado, p &lt; 0,001). El análisis de regresión logística mostró que por cada desviación estándar de la circunferencia cervical el riesgo de HTA ajustado por edad y sexo fue mayor en ausencia que en presencia de OA (67% vs. 17%; p &lt; 0,001). ConclusionesLa prevalencia de HTA fue mayor en los sujetos con obesidad en ambas regiones corporales. La asociación entre circunferencia del cuello y prevalencia de HTA fue mayor en sujetos con perímetro abdominal normal.Rev Argent Cardiol 2012;80 doi:10.7775/rac.v80.i4.1488

Background Hypertension (HT) is associated with a greater proportion of body fat. Neck circumference might provide additional clinical information to other measurements of body fat. Objective The aim of this study was to compare the relationship between abdominal and neck obesity and hypertension. Methods In the RENATA study, 4006 adults from seven cities (Buenos Aires, Córdoba, Tucumán, Mendoza, Resistencia, Corrientes and Neuquén) were randomly selected. Neck and waist circumferences were measured in 3987 subjects. Abdominal obesity (AO) was defined following the ATP III recommendations and neck obesity (NO) was considered as the upper tertile of neck circumference (³35 cm in women and ³41 cm in men). Hypertension was defined as average blood pressure measurements ³140 and/or 90 mm Hg or use of antihypertensive drug therapy. Results In patients with normal abdominal adipose tissue, the prevalence of HT was 20.3% with normal neck circumference vs. 38.8% with NO, while in subjects with AO, the prevalence of HT was 43.7% with normal neck circumference vs. 57.4% with NO (chi square, p &lt;0.001). Logistic regression analysis showed that, for each standard deviation of neck circumference, the risk of HT adjusted for age and gender was greater in the absence than in the presence of AO (67% vs. 17%; p &lt;0.001). Conclusions The prevalence of HT was greater in subjects with obesity in both regions of the body. The association between neck circumference and the prevalence of HT was greater in subjects with normal waist circumference.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 80, No 4 (2012), Argentine Journal of Cardiology; Vol 80, No 4 (2012)

Citación

Alfie, José; Consejo Argentino de Hipertensión Arterial SAC et al., “Relación entre la circunferencia del cuello y el diagnóstico de hipertensión arterial en el Registro Nacional de Hipertensión Arterial (RENATA),” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8129.

Dublin Core

Materia

Autor

Alfie, José; Consejo Argentino de Hipertensión Arterial SAC
Diaz, Mónica; Consejo Argentino de Hipertensión Arterial SAC
Cufaro, Paula; Consejo Argentino de Hipertensión Arterial SAC
Rodríguez, Pablo; Consejo Argentino de Hipertensión Arterial SAC
Fábreguez, Guillermo; Consejo Argentino de Hipertensión Arterial SAC
Magni, Rodolfo
Nucci, Sandra
Rodríguez, Militza
Marín, Marcos J.

Fuente

Revista Argentina de Cardiología; Vol 80, No 4 (2012)
Argentine Journal of Cardiology; Vol 80, No 4 (2012)

Editor

Sociedad Argentina de Cardiología

Fecha

2012-07-26

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
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