Analysis of the impact of BMI, VO2max, and waist-to-hip ratio on cardiovascular risk indicators in a university population
DOI:
https://doi.org/10.47197/retos.v68.114605Keywords:
Body mass index , cardio-vascular disease, maximal oxygen consumption, non- communicable chronic diseases, waist-to-hip ratioAbstract
Introduction: University life entails changes in lifestyle habits that often lead to poor eating patterns, insufficient physical activity, and the use of harmful substances, among others. These factors constitute risk elements for the development of non-communicable chronic diseases (NCDs), particularly cardiovascular disease (CVD).
Objective: The objective of this study was to determine the prevalence of risk factors for the development of NCDs in undergraduate students from four public universities in Colombia.
Methodology: A quantitative, prospective, observational, descriptive, and correlational cross-sectional study was conducted. From a total population of 31.500 students enrolled in the four institutions in 2023, a probabilistic, multistage sample of 1.922 students (893 men and 1.029 women) with a mean age (SD) of 22,48 (4,6) years was selected. Height, body mass, waist and hip circumferences were measured, and BMI, waist-to-hip ratio (WHR), and maximal oxygen uptake (VO2max) were calculated.
Results and discussion: Based on BMI, 16,44% were overweight and 5,2% obese. According to WHR, 4% were at high risk, 8% at medium risk, and 88% at low risk. VO2max was within a healthy range for 93,7%, while 6,3% were at risk. In conclusion, the prevalence of risk factors was 21,64% based on BMI, 8,20% based on WHR, and 12,48% based on VO2max.
Conclusions: A total of 761 students (39,59%) were identified with at least one risk factor for developing CVD; 109 students (5,57%) had two risk factors, and 7 students (0,36%) had all three. These findings highlight the need to implement health promotion and NCD prevention programs in university populations to help modify habits and strengthen protective factors.
References
Alegría, R. C., Gonzáles, C. A., & Huachín, F. D. (2019). El tratamiento de la anemia por deficiencia de hierro durante el embarazo y el puerperio. Revista Peruana Ginecol. Obstet., 65(4), 503–509. https://doi.org/10.31403/rpgo.v65i2220
Alrasheed, A. A., Alabdullatif, N. I., Alomair, A. W., Almutairi, A. K., Moria, A. H., Amjad, Z. & Elsheikh, Z. (2025). Prevalence of some cardiovascular risk factors: obesity, hypertension, and smoking among medical students. Critical Pathways in Cardiology. 10.1097/hpc.0000000000000380 https://doi.org/10.1097/HPC.0000000000000380
Arguello, M., Bautista, Y., Carvajal, J., De Castro, K., Díaz, D., Escobar, M., … & Agudelo, D. (2011). Estilos de vida en estudiantes del área de la salud de Bucaramanga. Revista de Psicología Universidad de Antioquia, 1(2), 27–42. https://doi.org/10.17533/udea.rp.10019
Bakheet, T. M., El-Fetoh, N. A., Ahmed, A., Ali, M. (2025). 2025. Hypertension and Prehypertension among Undergraduate Students in Sohag University. Egyptian Journal of Community Medicine, 43(1), pp. 1–11.
Beltrán, V. J., Sierra, A. C., Jiménez, A., González-Cutre, D., Martínez, C., & Cervelló, E. (2017). Diferencias según género en el tiempo empleado por adolescentes en actividad sedentaria y actividad física en diferentes segmentos horarios del día. Retos, 31, 3–7. https://doi.org/10.47197/retos.v0i31.36207
Booth, F. W., Roberts, C. K., Thyfault, J. P., Ruegsegger, G. N., & Toedebusch, R. G. (2017). Role of Inactivity in Chronic Diseases: Evolutionary Insight and Pathophysiological Mechanisms. Physiological Reviews, 97(4), 1351–1402. https://doi.org/10.1152/physrev.00019.2016
Campos, Y., Romo, T., del Moral, L. E., & Carmona, N. I. (2017). Obesity and Self-Regulation of Physical Activity and Eating Behaviors in College Students: A Prospective Study. MHSalud: Revista en Ciencias del Movimiento Humano Y Salud, 14(1). https://doi.org/10.15359/mhs.14-1.4
Cardona, J. & Arango, C. M. (2022). Consumo de alcohol en estudiantes de educación superior: análisis de redes sociales de amigos universitarios. Retos, 44, 346–356. https://doi.org/10.47197/retos.v44i0.90679
Castillo, I., & Molina-García, J. (2009). Adiposidad corporal y bienestar psicológico: efectos de la actividad física en universitarios de Valencia, España. Revista Panamericana De Salud Pública-Pan American Journal of Public Health, 26, 334-340.
Cicekli, I. & Eskin, S. G. (2025). High prevalence and co-occurrence of modifiable risk factors for non-communicable diseases among university students: a cross-sectional study. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2024.1484164
Corral, J. A., & Del Castillo A. Ó. (2010). La valoración del VO2 máx. y su relación con el riesgo cardiovascular como medio de enseñanza-aprendizaje. Cuadernos de Psicología del Deporte, 10(2). https://revistas.um.es/cpd/article/view/111231
Corvos, C. A., & Corvos, A. (2013). Parámetros antropométricos como indicadores de riesgo para la salud en universitarios. Clinical Nutrition and Hospital Dietetics, 33(2), 39-45. https://doi.org/10.12873/3323945
Corvos, C. A., & Corvos, A. (2014). Índices antropométricos como predictores de riesgo cardiovascular en universitarios. Multiciencias, 14(2), 196-202.
Esparza-Ros, F.E., Vaquero-Cristóbal, R., & Marfell-Jones, M. (2019). Protocolo internacional para la valoración antropométrica, 2019. Sociedad Internacional para el Avance de la Cineantropometría. https://books.google.com.co/books?id=eRqfzgEACAAJ
García-Manso, J. M.; Navarro, M. y Ruiz-Caballero, J. A. (1996). Pruebas para la valoración de la capacidad motriz en el deporte. Evaluación de la condición física. Gymnos.
García-Soidán, J., & Alonso Fernández, D. (2011). Valoración de la Condición Física Saludable en Universitarios Gallegos. Revista Internacional de Medicina y Ciencias de la Actividad Física y del Deporte, 11 (44), 781-790. https://www.redalyc.org/articulo.oa?id=54222204009
González-Zapata, L., Carreño-Aguirre, C., Estrada, A., Monsalve-Álvarez., J, & Álvarez, L. S. (2017). Exceso de peso corporal en estudiantes universitarios según variables sociodemográficas y de estilo de vida. Revista Chilena de Nutrición, 44 (3), 251-261.
https://dx.doi.org/10.4067/s0717-75182017000300251
Green, M. S., Esco, M. R., Martin, T. D., Pritchett, R. C., McHugh, A. N & Williford, H. N. (2013). Crossvalidation of Two 20-m Shuttle-Run Tests for Predicting VO2max in Female Collegiate Soccer Players. Journal of Strength and Conditioning Reseach, 27, 1520–1528. https://doi.org/10.1093/pubmed/fdaa13810.1519/JSC.0b013e318270fcc0
Guthold, R., Stevens, G. A., Riley, L. M., & Bull, F. C. (2018). Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1.9 million participants. The Lancet. Global health, 6(10), e1077–e1086. https://doi.org/10.1016/S2214-109X(18)30357-7
Heidari-Beni, M., Bemanalizadeh, M., Heshmat, R., Qorbani, M., Kelishadi, R. (2022). Changes in lifestyle behaviors of children and adolescents during the COVID-19 pandemic and the impact of the development of non-communicable diseases: A Narrative Review. Medical Journal of the Islamic Republic of Iran. 22:36-165. https://doi.org/10.1093/pubmed/fdaa13810.47176/mjiri.36.165.eCollection
Karatzi, K., Poulia K. A., Papakonstantinou E., Zampelas A. (2021). The Impact of Nutritional and Lifestyle Changes on Body Weight, Body Composition and Cardiometabolic Risk Factors in Children and Adolescents during the Pandemic of COVID-19: A Systematic Review. Children (Basel) 4 (8): 1130. https://doi.org/10.3390/children8121130.
Léger, L. A., Mercier, D., Gadoury C. & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sport Sciences. 6:93-101.
https://www.youtube.com/watch?v=FV4LmdMI688
Ministerio de Salud. (2023). Encuesta Nacional de la Situación Nutricional en Colombia-ENSIN 2015. https://minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/GCFI/ensin-colombia-2018.pdf#:~:text=Encuesta%20Nacional%20de%20la%20Situaci%C3%B3n%20Nutricional%20%E2%80%93%20ENSIN%202015
Nursiswati, N. & Candradewini, C. (2025). Factors associated with healthy behavior for preventing non-communicable diseases. Journal of Multidisciplinary Healthcare. 18:1597-1613. https://doi.org/10.2147/JMDH.S504338
Oluwasanu, A. O.; Akinyemi, J. O.; Oluwasanu, M. M., Oseghe, O. B., Oladoyinbo, O. L., Bello,J., Ajuwon, A. J., Jegede, A. S., Danaei, G. & Akingbola, O. (2023) Temporal trends in overweight and obesity and chronic disease risks among adolescents and young adults: A ten-year review at a tertiary institution in Nigeria. PLOS ONE 18(4): e0283210. https://doi.org/10.1371/journal.pone.0283210
Organización Mundial de la Salud. (2024). Notas de prensa. Enfermedades no transmisibles. En línea marzo 2025 https://www.who.int/es/news-room/fact-sheets/detail/noncommunicable-diseases
Organización Panamericana de la Salud. (2022). Enfermedades no transmisibles en América. https://hia.paho.org/es/perfiles-de-pais/colombia
Pengpid, S. & Peltzer, K. (2021). Prevalence and correlates of multiple behavioural risk factors of non-communicable diseases among university students from 24 countries. Journal of Public Health (Oxford). 10(43), 857-866.
https://doi.org/10.1093/pubmed/fdaa138
Perini T. A., de Oliveira G. L., dos Santos J. & Paulha de Oliveira, F. (2005). Technical error of measurement in anthropometry. Revista Brasileira do Medicina do Esporte. 11(1): 86-90.
Pinillos, Y., Oviedo, E., Rebolledo, R. Herazo, Y., Valencia, P., Guerrero, M. & Cortés, G. (2022). Estilo de vida en adultos jóvenes universitarios de Barranquilla, Colombia. Diferencias según sexo y estatus socioeconómico. Retos 43, 979-987. https://doi.org/10.47197/retos.v43i0.87335
Rodríguez, A. Y., Pulido, C., Reyes, N., León, A., Cárdenas, J., & Rivera, S. (2015). Factores de Riesgo de Enfermedades Crónicas No Transmisibles en Estudiantes de Ciencias Básicas de la Escuela Medicina de la Universidad Pedagógica y Tecnológica de Colombia. Revista Salud, Historia Y Sanidad, 10(1), 15–25. https://agenf.org/ojs/index.php/shs/article/view/2
Rosas, J., González, A., Aschner, P., Bastarrachea, R., Sinay, I., Costa J., ... & Ascner, B. (2010). Consenso Latinoamericano de la Asociación Latinoamericana de Diabetes (ALAD). Epidemiología, Diagnóstico, Control, Prevención y Tratamiento del Síndrome Metabólico en Adultos. Revista ALAD 18(1): 1-39.
Saintila, J., Calizaya-Milla Y. E., Carranza-Cubas, S. P., Serpa-Barrientos, A., Oblitas-Guerrero, S. M., Ramos-Vera, C. (2024). Body mass index and healthy lifestyle practices among peruvian university students: a comparative study among academic disciplines. Frontiers in Nutrition. 11:1361394 https://doi.org/10.3389/fnut.2024.1361394
Santos, A. C., Willumsen, J., Meheus, F., Ilbawi, A., & Bull, F. C. (2023). The cost of inaction on physical inactivity to public health-care systems: a population-attributable fraction analysis. The Lancet. Global health, 11(1), e32–e39. https://doi.org/10.1016/S2214-109X(22)00464-8
Valdes, P., & Yanci, J. (2016). Análisis de la condición física, tipo de actividad física realizada y rendimiento académico en estudiantes de educación secundaria. Retos, 30, 64–69. https://doi.org/10.47197/retos.v0i30.36862
Valero, N. (2023). ¿Diabetes post COVID-19? Investigación Clínica 63(1): 1-5. https://doi.org/10.54817/ic.v63n1a00
WHO. (2017). WHO publishes new edition of report on monitoring progress on non-communicable diseases. https://www.who.int/es/news/item/18-09-2017-who-launches-new-ncds-progress-monitor#:~:text=Dados%20los%20limitados%20progresos%20de%20los%20gobiernos,%20es%20necesario
WHO. (2023). World health statistics 2023: monitoring health for the SDGs, sustainable development goals. https://resources.relabhs.org/es/resource/world-health-statistics-2023-monitoring-health-for-the-sdgs-sustainable-development-goals/#:~:text=La%20edici%C3%B3n%202023%20revisa%20m%C3%A1s%20de%2050%20indicadores,General%20de%20Trabajo%20%28PGT%2013%29%20de%20la%20OMS
Zar, A., Karan, K. P., & Ahmadi, M. A. (2017). Prevalence of obesity and overmass among female students of Shiraz University of Medical Sciences and its association with physical fitness factors. Journal of Social Determinants of Health Research Center of Shahid Beheshti University of Medical Sciences, 4(2), 79-89.
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