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Prevalence of abdominal obesity in the Portuguese population assessed by different anthropometric indices

dc.contributor.authorSantos, Maria
dc.contributor.authorSousa-Uva, Mafalda
dc.contributor.authorNamorado, Sónia
dc.contributor.authorGonçalves, Teresa
dc.contributor.authorDias, Carlos Matias
dc.contributor.authorGaio, Vânia
dc.date.accessioned2026-01-05T15:58:26Z
dc.date.available2026-01-05T15:58:26Z
dc.date.issued2025-08-26
dc.description.abstractIntroduction: Cardiovascular diseases are the leading cause of death globally. The association between abdominal obesity and cardiovascular risk is well established. This study aimed to estimate and characterize the prevalence of abdominal obesity in the Portuguese population aged 25–74 years in 2015, using waist circumference, waist to- hip ratio, waist-to-height ratio, and a body shape index. Methods: Data from the First National Health Examination Survey, a cross-sectional study, was used. Participants aged between 25 and 74 years, not pregnant, and with available data on anthropometric measurements (weight, height, waist circumference, and hip circumference) were included. Individuals undergoing cancer treatment were excluded from the study. Results: Among 4812 participants the prevalence of abdominal obesity according to each considered anthropometric measure was 40.3 % (95 % CI: 38.0–42.5), 43.6 % (95 % CI: 40.1–47.0), 65.2 % (95 % CI: 62.8–67.5) and 75.5 % (95 % CI: 74.1–76.9) when considering waist circumference, a body shape index, waist-to-hip ratio and waist-to-height ratio, respectively. The most affected individuals had 60–74 years, with no formal education or only primary education and engaged in low-skilled occupations (e.g., farmers, industrial workers, and construction workers). These findings remained consistent, regardless of the index under consideration. Conclusion: The prevalence of abdominal obesity ranged from 40.3 % for waist circumference to 75.5 % for waist-to-height ratio. Nonetheless, irrespective of the index employed, the prevalence was elevated. Older individuals, with lower education levels, and those engaged in less skilled occupations were most affected. Early identification of abdominal obesity in Primary Healthcare is essential.eng
dc.description.abstractHighlights: -Association between abdominal obesity and cardiovascular risk is well-established. -Abdominal obesity prevalence was high, from 40.3 % to 75.5 %, by different indices. -Lower education levels were linked to higher abdominal obesity in all índices. -The best index for assessing abdominal obesity remains undetermined in this study.eng
dc.identifier.citationObes Res Clin Pract. 2025 Sep-Oct;19(5):401-408. doi: 10.1016/j.orcp.2025.08.006. Epub 2025 Aug 26
dc.identifier.doi10.1016/j.orcp.2025.08.006
dc.identifier.eissn1878-0318
dc.identifier.issn1871-403X
dc.identifier.pmid40866191
dc.identifier.urihttp://hdl.handle.net/10400.18/10664
dc.language.isoeng
dc.peerreviewedyes
dc.publisherElsevier
dc.relation.hasversionhttps://www.sciencedirect.com/science/article/abs/pii/S1871403X25001073?via%3Dihub
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectAbdominal Obesity
dc.subjectAnthropometry
dc.subjectSociodemographic Factors
dc.subjectPortuguese Population
dc.subjectEstados de Saúde e de Doença
dc.subjectDeterminantes da Saúde e da Doença
dc.subjectPortugal
dc.titlePrevalence of abdominal obesity in the Portuguese population assessed by different anthropometric indiceseng
dc.typejournal article
dcterms.referenceshttps://ars.els-cdn.com/content/image/1-s2.0-S1871403X25001073-mmc1.docx
dspace.entity.typePublication
oaire.citation.endPage408
oaire.citation.issue5
oaire.citation.startPage401
oaire.citation.titleObesity Research & Clinical Practice
oaire.citation.volume19
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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