Adiponectina e baixo risco cardiometabólico em obesas Adiponectin and low cardiometabolic risk in obese women

Objective: To investigate the association between elevated levels of plasmatic adiponectin (AdipoQ) and low cardiometabolic risk (CMR) in obese women (O b W). Subjects and methods: Case-control study, matched by age, of 306 O b W, BMI ≥ 30 kg/m 2 , with 66 cases (21.6%) - all non-hypertensive, normolipidemic, and non-diabetic - conducted in SUS (Brazil's Public Health System) outpatient referral services for obesity in the City of Salvador, Brazil. Secondary data were collected from medical records; primary and complementary data were obtained from a clinical pathology laboratory. Values of AdipoQ > 10.00 µg/ml (≥ 3rd quartile) were considered elevated. Descriptive, bivariate, and conditional logistic regression analyses were performed. Results: A statistically significant positive association between low CMR and AdipoQ > 10.00 µg/ml in physically active (AOR = 5.1; CI95%: 1.8-14.3), non-smoking (AOR = 3.6;CI95%: 1.6-8.4) O b W was found. Conclusion: This study suggests that physically active, non-smoking ObW, with higher AdipoQ levels, present greater chances of a low CMR. It becomes important to reinforce encouragement of the adoption of healthy behaviors, by means of public policies. Arq