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ISSN 1561-3046 (Electronic)

2015, Number 2

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Rev Cub Med Mil 2015; 44 (2)

Measurement of the abdominal circumferences in autopsies

Hurtado de Mendoza AJ, Montero GT, Hurtado de Mendoza AJ

Language: Spanish
References: 18
Page: 152-160
PDF size: 130.92 Kb.


ABSTRACT

Objective: to evaluate the association of the abdominal circumference index with age and sex, hospital parameters, causes of death and other diagnosed diseases, mainly those related to the metabolic syndrome.
Methods: the Automated System of Registration and Control of Pathological Anatomy processed 420 autopsies from 2008 through 2011, in which the abdominal circumference was measured at the navel. Three circumference-dependent study groups with similar number of cases were created: 54-81.2 cm; 82.3-96.5 cm and 97-161 cm.
Results: in the group with the biggest circumference value, the average age decreased, being over 65 years old; 60.4 % were men and 67.1 % were women. Among the causes of death, the incidence of bronchial pneumonia, cancer, multiple organ failure/damage and especially acute myocardial infarction rose whereas that of cerebrovascular diseases decreased. Increased blood hypertension and diabetes mellitus were found to be contributing factors. As to the metabolic syndrome-related disorders, the most affected organs were arteries, pancreas, liver, heart and gallbladder.
Conclusions: measurement of the abdominal circumference in autopsies is an adequate indicator to determine obesity and its association with age, sex, hospital parameters, causes of death and other diagnosed diseases, mainly those that are part of the metabolic syndrome.


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