Metabolic Risk at the End of the First Trimester of Pregnancy
Keywords:
metabolic risk, fats, biomarkers, waist circumference, hypertriglyceridemic wais, pregnancy, risk, risk measurementAbstract
Introduction: In Cuba, chronic non-communicable diseases are responsible for high percentage of deaths in adults, a reality that can also affect women of reproductive age with metabolic risk.
Objective: To identify the metabolic risk in pregnant women of adequate weight at the end of the first trimester of pregnancy.
Methods: An observational, descriptive cross-sectional study was carried out in a health area of Santa Clara municipality, Villa Clara, Cuba, from 2016 to 2020, among pregnant
women of adequate weight, apparently healthy, optimal reproductive age and with 12 - 14 weeks of amenorrhea. The sample was stratified according to values of waist circumference and serum triglycerides. Biochemical indicators and abdominal fat measured by ultrasonography were studied and statistical analysis was performed using SPSS version 22 software. For the description of quantitative variables, the median and interquartile range (IQR) were shown.
Results: Metabolic risk was classified into four levels according to values of waist circumference and serum triglycerides. The variables HDL-c, total cholesterol subcutaneous fat and visceral fat showed differences for the different established risk levels, with low discriminating capacity of abdominal fat for metabolic risk.
Conclusions: At the end of the first trimester of pregnancy, there is evidence of different levels of unidentified metabolic risk, which support the hypothesis that their study according to combined values of waist circumference and serum triglycerides, may reveal associations with other metabolic indicators and with abdominal fat measured by ultrasonography.
