del Busto MA, Cabrera RJO, Guanche VO

Language: Spanish
References: 0
Page: 4-14
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ABSTRACT

Introduction: Nonalcoholic fatty liver disease and hypertriglyceridemic waist are new markers of atherosclerotic cardiovascular disease.
Objectives: To characterize the hypertriglyceridemic waist and nonalcoholic fatty liver disease as cardiometabolic risk factors in hypertensive patients.
Methods: A prospective longitudinal study was conducted in 131 patients admitted to Miguel Enríquez Clinical-Surgical Teaching Hospital with a diagnosis of arterial hypertension, from July 2015 to July 2016. The variables included were age, sex, smoking, diabetes, body mass index, hypertriglyceridemic waist, blood glucose, total cholesterol, years of hypertension evolution, poorly-controlled hypertension, and nonalcoholic fatty liver disease.
Results: One third of the patients showed hypertriglyceridemic waist and nonalcoholic fatty liver. Hypertensive adults with hypertriglyceridemic waist have a higher probability of obesity, elevated fasting glycaemia, as well as greater lack of control and natural history of hypertension. The hypertriglyceridemic waist shows a close relationship and a good predictive value (sensitivity of 86.1% and specificity of 84.1%) for the identification of nonalcoholic fatty liver in hypertensive adults.
Conclusions: The hypertriglyceridemic waist has a good predictive value for the identification of nonalcoholic fatty liver in hypertensive patients and is related to a greater probability of obesity and dysglycemia.