2017, Number 4
Correo Científico Médico 2017; 21 (4)
Risk factors in patients suffering from systemic lupus erythematosus and abdominal obesity in Holguín, Cuba
Rodríguez HR, Alberteris RA, López BJ, Diéguez MM, Miguel SPE, Cruz AY
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ABSTRACTIntroduction: patients with abdominal obesity and systematic lupus erythematosus represent a not inquired health problem in Holguín.
Objective: to identify risk factors associated with abdominal obesity in patients with systemic lupus erythematosus.
Methods: a cross-sectional study of a universe of 193 patients with lupus treated at the Rheumatology Clinic of the Clinic Surgery Hospital of Holguín from February 2, 2014 to December 1, 2015. The sample of 81 patients selected by simple random sampling according to the 95% confidence level, population size of 193, estimated proportion of abdominal obesity of 0.20, accuracy of 7% and design effect of 1. For the diagnosis of lupus erythematosus, the recommendations of the American College of Rheumatology were followed, and the National Cholesterol Education Program was taken into account for abdominal obesity. Odds Ratio (OR) and its confidence intervals of 95% (IC95%) for risk factors were determined in EPIDAT 4.1 and a significance level of 5%.
Results: the risk factors associated with abdominal obesity in patients with lupus were age (OR=1.06, IC95%=1.02-1.11), time of lupus progress (OR=1.06, IC95%=1.01-1.13), metabolic syndrome (OR=7.75, IC95%=2.35-25.49), waist/height index high (OR=27.47, IC95%=7.03-107), bicipital fold (OR=1.37,IC95%=1.14-1.65), tricipital fold (OR=1.34, IC95%=1.12-1.62), subscapular fold (OR=1.36, IC95%=1.13-1.63), suprailiac fold (OR=1.55, IC95%=1.26-1.90), and % fat (OR=1.34, IC95%=1.15-1.57).
Conclusions: patients with systemic lupus erythematosus and abdominal obesity showed cardiovascular risk factors, which require a screening of these diseases in primary health care.