Factors associated with low cardiometabolic risk in obese women

Objective: To identify factors associated with low cardiometabolic risk (CMR) in obese women (ObW) seen at outpatient specialty clinics of SUS (Brazilian Social Security Health System), in the City of Salvador, Bahia, Brazil. Subjects and methods: Case-control study, matched by age, of 306 ObW (BMI >= 30 kg/m(2)), including 66 (21.6%) cases normotensive, normolipidemic and nondiabetic patients and 240 (78.4%) controls. Secondary data were obtained from clinical records, and primary data were collected by means of a household survey and laboratory assays. Descriptive, bivariate, and conditional logistic regression analyses were conducted. Results: A positive, statistically significant association was found between low CMR and a diet containing the desirable ingestion of fruit (AOR = 20.1, CI 95% 5.6-71.9); 1(st) CRP quartile (AOR = 4.1, CI 95% 2.0-8.3), and 3(rd) and 4(th) AdipoQ quartiles (AOR = 2.3, CI 95% 1.1-4.8). Conclusion: This study suggests that a diet rich in soluble fibers as well as lower levels of CRP, and higher levels of AdipoQ, encumber, retard or impede the emergence of other metabolic risk factors or metabolic diseases in ObW. Arq Bras Endocrinol Metab. 2010;54(1):68-77