Association of General and Abdominal Obesity With Hypertension, Dyslipidemia and Prediabetes in the PREDAPS Study.

INTRODUCTION AND OBJECTIVES: Some anthropometric measurements show a greater capacity than others to identify the presence of cardiovascular risk factors. This study estimated the magnitude of the association of different anthropometric indicators of obesity with hypertension, dyslipidemia, and prediabetes (altered fasting plasma glucose and/or glycosylated hemoglobin). METHODS: Cross-sectional analysis of information collected from 2022 participants in the PREDAPS study (baseline phase). General obesity was defined as body mass index ≥ 30kg/m2 and abdominal obesity was defined with 2 criteria: a) waist circumference (WC) ≥ 102cm in men/WC ≥ 88cm in women, and b) waist-height ratio (WHtR) ≥ 0.55. The magnitude of the association was estimated by logistic regression. RESULTS: Hypertension showed the strongest association with general obesity in women (OR, 3.01; 95%CI, 2.24-4.04) and with abdominal obesity based on the WHtR criterion in men (OR, 3.65; 95%CI, 2.66-5.01). Hypertriglyceridemia and low levels of high-density lipoprotein cholesterol showed the strongest association with abdominal obesity based on the WHtR criterion in women (OR, 2.49; 95%CI, 1.68-3.67 and OR, 2.70; 95%CI, 1.89-3.86) and with general obesity in men (OR, 2.06; 95%CI, 1.56-2.73 and OR, 1.68; 95%CI, 1.21-2.33). Prediabetes showed the strongest association with abdominal obesity based on the WHtR criterion in women (OR, 2.48; 95%CI, 1.85-3.33) and with abdominal obesity based on the WC criterion in men (OR, 2.33; 95%CI, 1.75-3.08). CONCLUSIONS: Abdominal obesity indicators showed the strongest association with the presence of prediabetes. The association of anthropometric indicators with hypertension and dyslipidemia showed heterogeneous results.

Gustavo Aldereguía médico revolucionario de su tiempo y del futuro / Gustavo Aldereguía a revolutionary doctor of his time and of the future

El presente trabajo se acerca a la vida del Dr. Gustavo Aldereguía, ejemplo del quehacer de un profesional dedicado a su labor y a los ideales revolucionarios. Vinculado desde muy joven a la intelectualidad rebelde y progresista nucleada alrededor de Julio A. Mella y Rubén Martínez Villena, Gustavo Aldereguía se colocó al lado de los humildes y contra la explotación y el imperialismo. Eminente tisiólogo dirigió, una vez derrocada la tiranía machadista, el sanatorio "La Esperanza", donde se entregó con entusiasmo y energía creadora a sus pacientes. Al triunfar la Revolución, por su capacidad y conocida militancia política, fue llamado a dirigir la importante campaña de vacunación antituberculosa emprendida por el Gobierno Revolucionario. Su afán investigativo, su dedicada y abnegada labor profesional, sus principios éticos y sobresaliente actitud revolucionaria lo distinguen como un médico revolucionario de su tiempo y del futuro