Doença venosa crônica em pacientes obesos

Abstract

Obesity was considered a risk factor for the development of chronic diseases such as chronic venous disease, which is quite prevalent in the world and presents great morbidity in the adult population. Objective: To analyze the relationship between chronic venous disease through Clinical-Etiology-Anatomy-Pathophysiology (CEAP) and obesity. Method: a cross-sectional study, conducted between October / 2013 and August / 2015, in which age, body mass index (BMI), abdominal circumference and venous diameters according to severity of chronic venous disease were evaluated. Results: 92 patients were evaluated, with a prevalence of grade I obesity (41.9%) and CEAP 3 (45.8%) and 4 (25.2%). The Shapiro Wilk test showed that the age approached the normal, while the other variables were asymmetrical. There was a direct relationship between abdominal circumference and venous diameters, but the correlation was weak. Conclusion: It can be verified that patients with high BMI have a trend towards worse severity of chronic venous disease. The age range of the patients studied is within the values recorded in the literature. Through the relationship between abdominal circumference and venous diameters, it was possible to infer that increased intra-abdominal pressure may influence changes in venous flow. However, the real mechanism by which this relationship exists has not yet been elucidated.