Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia
Autor(a) principal: | |
---|---|
Data de Publicação: | 2010 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tde/1459 |
Resumo: | Metabolic syndrome (MS) is characterized by the simultaneous occurrence of some cardiovascular risk factors such as insulin resistance, central deposition of body fat, dyslipidemia and blood pressure borderline. It has been associated with the development of diabetes and increased risk of morbidity and mortality for cardiovascular disease (CVD), including the elderly, due to various changes of pathophysiological mechanisms enhanced by aging. The aim of this study was to evaluate the prevalence of MS and its association with sociodemographic, anthropometric and lifestyle variables in elderly users of the primary health care in Goiânia-GO. This is a cross-sectional study that included 133 subjects with 60 years or more. The data were collected during July and August 2009. It was applied a standardized questionnaire and pre-tested through a pilot study. The variables studied were: anthropometric (body mass index (BMI), waist circumference, and fat percentage by dual x-ray absorptiometry - DEXA), demographic (age, race, income, marital status and years of education), lifestyle (physical activity, smoking and alcoholic risk consumption) and food intake (protective foods and risk of MS). MS was assessed at the discretion of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III). Data analysis was performed using Stata ® version 8.0, performing the Pearson´s chi-square test, Fisher´s chi-square test, Student´s T Test, Mann Whitney´s Test and Poisson´s regression for the association tests. The prevalence of MS in this sample was 58.65% (CI 49.8 to 67.1) and 60.5% (CI 49.1 to 71.2) for women and 55.7% (CI 41.3 - 69.5) for men. Hypertension was the most prevalent component of MS for men - 80.8% (CI 64.5 to 90.4) and women - 85.2% (CI 75.5 to 92.1). After multivariate analysis, only the excess weight as measured by BMI (p <0.01) remained associated with MS. The prevalence of MS in this sample was high, indicating the need for systematic action of health professionals, particularly nutritionists, the control of risk factors and the need for studies to substantiate nutritional intervention strategies. |
id |
UFG-2_eeaaf1e476ae32aa5cff5adc4feda4ca |
---|---|
oai_identifier_str |
oai:repositorio.bc.ufg.br:tde/1459 |
network_acronym_str |
UFG-2 |
network_name_str |
Repositório Institucional da UFG |
repository_id_str |
|
spelling |
PEIXOTO, Maria do Rosário Gondimhttp://lattes.cnpq.br/6813295858384008SILVEIRA, Erika Aparecida dahttp://lattes.cnpq.br/3801865783333828http://lattes.cnpq.br/1297913035872720VIEIRA, Edna Cunha2014-07-29T15:23:41Z2011-04-282010-12-20VIEIRA, Edna Cunha. Factors associated with metabolic syndrome in elderly users of the single health system in Goiânia. 2010. 120 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2010.http://repositorio.bc.ufg.br/tede/handle/tde/1459Metabolic syndrome (MS) is characterized by the simultaneous occurrence of some cardiovascular risk factors such as insulin resistance, central deposition of body fat, dyslipidemia and blood pressure borderline. It has been associated with the development of diabetes and increased risk of morbidity and mortality for cardiovascular disease (CVD), including the elderly, due to various changes of pathophysiological mechanisms enhanced by aging. The aim of this study was to evaluate the prevalence of MS and its association with sociodemographic, anthropometric and lifestyle variables in elderly users of the primary health care in Goiânia-GO. This is a cross-sectional study that included 133 subjects with 60 years or more. The data were collected during July and August 2009. It was applied a standardized questionnaire and pre-tested through a pilot study. The variables studied were: anthropometric (body mass index (BMI), waist circumference, and fat percentage by dual x-ray absorptiometry - DEXA), demographic (age, race, income, marital status and years of education), lifestyle (physical activity, smoking and alcoholic risk consumption) and food intake (protective foods and risk of MS). MS was assessed at the discretion of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III). Data analysis was performed using Stata ® version 8.0, performing the Pearson´s chi-square test, Fisher´s chi-square test, Student´s T Test, Mann Whitney´s Test and Poisson´s regression for the association tests. The prevalence of MS in this sample was 58.65% (CI 49.8 to 67.1) and 60.5% (CI 49.1 to 71.2) for women and 55.7% (CI 41.3 - 69.5) for men. Hypertension was the most prevalent component of MS for men - 80.8% (CI 64.5 to 90.4) and women - 85.2% (CI 75.5 to 92.1). After multivariate analysis, only the excess weight as measured by BMI (p <0.01) remained associated with MS. The prevalence of MS in this sample was high, indicating the need for systematic action of health professionals, particularly nutritionists, the control of risk factors and the need for studies to substantiate nutritional intervention strategies.A Síndrome Metabólica (SM) caracteriza-se pela ocorrência simultânea de alguns fatores de risco cardiovasculares, como resistência à insulina, deposição central de gordura corporal, dislipidemias e pressão arterial limítrofe. Ela tem sido associada ao desenvolvimento do diabetes e risco aumentado de morbi-mortalidade para doenças cardiovasculares (DCV), inclusive em indivíduos idosos, devido a várias alterações de mecanismos fisiopatológicos potencializadas pelo envelhecimento. O objetivo desse estudo foi avaliar a prevalência da SM e sua associação com as variáveis sociodemograficas, antropométricas e de estilo de vida em idosos usuários da rede básica de saúde da cidade de Goiânia-GO. Trata-se de um estudo transversal, que incluiu 133 indivíduos de 60 anos ou mais. Os dados foram coletados nos meses de julho e agosto de 2009. Aplicou-se um questionário padronizado e previamente testado por meio de estudo piloto. As variáveis pesquisadas foram: antropométricas (Índice de Massa Corporal, circunferência da cintura e percentual de gordura por meio da Dual x-ray absorptiometry - DEXA), sociodemográficas (idade, cor, renda, estado civil e anos de estudo) e de estilo de vida (atividade física, tabagismo e consumo alcóolico de risco) e consumo alimentar (alimentos protetores e de risco para SM). A SM foi avaliada segundo o critério do National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III). As análises dos dados foram realizadas por meio do programa Stata® versão 8.0, realizando-se qui-quadrado de Pearson, qui-quadrado de Fisher, Teste T de Student, Teste de Mann Whitney e regressão de Poisson para os testes de associação. A prevalência de SM nesta amostra foi de 58,65% (IC 49,8 - 67,1), sendo 60,5% (IC 49,1 71,2) para mulheres e 55,7% (IC 41,3- 69,5) para os homens. A hipertensão arterial foi o componente da SM mais prevalente tanto para homens - 80,8 % (IC 64,5 90,4) quanto para mulheres - 85,2 % (IC 75,5 92,1). Após análise multivariada, apenas o excesso de peso corporal medido pelo Índice de Massa Corporal (p<0,01) permaneceu associado à SM. A prevalência de SM nesta amostra foi alta, evidenciando a necessidade de atuação sistemática dos profissionais de saúde, com destaque para o nutricionista, no controle dos fatores de risco e a necessidade de estudos que fundamentem estratégias de intervenção nutricional.Made available in DSpace on 2014-07-29T15:23:41Z (GMT). No. of bitstreams: 1 EDNA CUNHA VIEIRA.pdf: 2353149 bytes, checksum: ad1acf34b566a4922247cd7c71cff6dc (MD5) Previous issue date: 2010-12-20application/pdfhttp://repositorio.bc.ufg.br/TEDE/retrieve/4281/EDNA%20CUNHA%20VIEIRA.pdf.jpgporUniversidade Federal de GoiásMestrado em Nutricao e SaudeUFGBRCiencias da SaudeSíndrome MetabólicaIdososSistema Único de SaúdeNutrição1.Síndrome metabólica - idosos 2.Idoso - nutrição 3.Sistema único de saúde - idososMetabolic SyndromeElderlySingle Health SystemNutritionCNPQ::CIENCIAS DA SAUDE::NUTRICAOFatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de GoiâniaFactors associated with metabolic syndrome in elderly users of the single health system in Goiâniainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGORIGINALEDNA CUNHA VIEIRA.pdfapplication/pdf2353149http://repositorio.bc.ufg.br/tede/bitstreams/54a26caf-cefa-4e22-b3e3-07af892bcd8c/downloadad1acf34b566a4922247cd7c71cff6dcMD51TEXTEDNA CUNHA VIEIRA.pdf.txtEDNA CUNHA VIEIRA.pdf.txtExtracted Texttext/plain192357http://repositorio.bc.ufg.br/tede/bitstreams/2008cafe-62dc-4066-bf18-5a0203a94333/download380fa39ea3ce8ab8bd0c70971c6ccdfeMD52THUMBNAILEDNA CUNHA VIEIRA.pdf.jpgEDNA CUNHA VIEIRA.pdf.jpgGenerated Thumbnailimage/jpeg2548http://repositorio.bc.ufg.br/tede/bitstreams/0d9d37fe-54e9-45a5-8494-b749d25b25c6/download096b5e8a5f31b34aad441a16ae04c731MD53tde/14592014-07-30 03:12:54.192open.accessoai:repositorio.bc.ufg.br:tde/1459http://repositorio.bc.ufg.br/tedeRepositório InstitucionalPUBhttp://repositorio.bc.ufg.br/oai/requesttasesdissertacoes.bc@ufg.bropendoar:2014-07-30T06:12:54Repositório Institucional da UFG - Universidade Federal de Goiás (UFG)false |
dc.title.por.fl_str_mv |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
dc.title.alternative.eng.fl_str_mv |
Factors associated with metabolic syndrome in elderly users of the single health system in Goiânia |
title |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
spellingShingle |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia VIEIRA, Edna Cunha Síndrome Metabólica Idosos Sistema Único de Saúde Nutrição 1.Síndrome metabólica - idosos 2.Idoso - nutrição 3.Sistema único de saúde - idosos Metabolic Syndrome Elderly Single Health System Nutrition CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
title_short |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
title_full |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
title_fullStr |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
title_full_unstemmed |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
title_sort |
Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia |
author |
VIEIRA, Edna Cunha |
author_facet |
VIEIRA, Edna Cunha |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
PEIXOTO, Maria do Rosário Gondim |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6813295858384008 |
dc.contributor.advisor-co1.fl_str_mv |
SILVEIRA, Erika Aparecida da |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/3801865783333828 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1297913035872720 |
dc.contributor.author.fl_str_mv |
VIEIRA, Edna Cunha |
contributor_str_mv |
PEIXOTO, Maria do Rosário Gondim SILVEIRA, Erika Aparecida da |
dc.subject.por.fl_str_mv |
Síndrome Metabólica Idosos Sistema Único de Saúde Nutrição 1.Síndrome metabólica - idosos 2.Idoso - nutrição 3.Sistema único de saúde - idosos |
topic |
Síndrome Metabólica Idosos Sistema Único de Saúde Nutrição 1.Síndrome metabólica - idosos 2.Idoso - nutrição 3.Sistema único de saúde - idosos Metabolic Syndrome Elderly Single Health System Nutrition CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
dc.subject.eng.fl_str_mv |
Metabolic Syndrome Elderly Single Health System Nutrition |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::NUTRICAO |
description |
Metabolic syndrome (MS) is characterized by the simultaneous occurrence of some cardiovascular risk factors such as insulin resistance, central deposition of body fat, dyslipidemia and blood pressure borderline. It has been associated with the development of diabetes and increased risk of morbidity and mortality for cardiovascular disease (CVD), including the elderly, due to various changes of pathophysiological mechanisms enhanced by aging. The aim of this study was to evaluate the prevalence of MS and its association with sociodemographic, anthropometric and lifestyle variables in elderly users of the primary health care in Goiânia-GO. This is a cross-sectional study that included 133 subjects with 60 years or more. The data were collected during July and August 2009. It was applied a standardized questionnaire and pre-tested through a pilot study. The variables studied were: anthropometric (body mass index (BMI), waist circumference, and fat percentage by dual x-ray absorptiometry - DEXA), demographic (age, race, income, marital status and years of education), lifestyle (physical activity, smoking and alcoholic risk consumption) and food intake (protective foods and risk of MS). MS was assessed at the discretion of the National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III). Data analysis was performed using Stata ® version 8.0, performing the Pearson´s chi-square test, Fisher´s chi-square test, Student´s T Test, Mann Whitney´s Test and Poisson´s regression for the association tests. The prevalence of MS in this sample was 58.65% (CI 49.8 to 67.1) and 60.5% (CI 49.1 to 71.2) for women and 55.7% (CI 41.3 - 69.5) for men. Hypertension was the most prevalent component of MS for men - 80.8% (CI 64.5 to 90.4) and women - 85.2% (CI 75.5 to 92.1). After multivariate analysis, only the excess weight as measured by BMI (p <0.01) remained associated with MS. The prevalence of MS in this sample was high, indicating the need for systematic action of health professionals, particularly nutritionists, the control of risk factors and the need for studies to substantiate nutritional intervention strategies. |
publishDate |
2010 |
dc.date.issued.fl_str_mv |
2010-12-20 |
dc.date.available.fl_str_mv |
2011-04-28 |
dc.date.accessioned.fl_str_mv |
2014-07-29T15:23:41Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
VIEIRA, Edna Cunha. Factors associated with metabolic syndrome in elderly users of the single health system in Goiânia. 2010. 120 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2010. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tde/1459 |
identifier_str_mv |
VIEIRA, Edna Cunha. Factors associated with metabolic syndrome in elderly users of the single health system in Goiânia. 2010. 120 f. Dissertação (Mestrado em Ciencias da Saude) - Universidade Federal de Goiás, Goiânia, 2010. |
url |
http://repositorio.bc.ufg.br/tede/handle/tde/1459 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Mestrado em Nutricao e Saude |
dc.publisher.initials.fl_str_mv |
UFG |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Ciencias da Saude |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UFG instname:Universidade Federal de Goiás (UFG) instacron:UFG |
instname_str |
Universidade Federal de Goiás (UFG) |
instacron_str |
UFG |
institution |
UFG |
reponame_str |
Repositório Institucional da UFG |
collection |
Repositório Institucional da UFG |
bitstream.url.fl_str_mv |
http://repositorio.bc.ufg.br/tede/bitstreams/54a26caf-cefa-4e22-b3e3-07af892bcd8c/download http://repositorio.bc.ufg.br/tede/bitstreams/2008cafe-62dc-4066-bf18-5a0203a94333/download http://repositorio.bc.ufg.br/tede/bitstreams/0d9d37fe-54e9-45a5-8494-b749d25b25c6/download |
bitstream.checksum.fl_str_mv |
ad1acf34b566a4922247cd7c71cff6dc 380fa39ea3ce8ab8bd0c70971c6ccdfe 096b5e8a5f31b34aad441a16ae04c731 |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
repository.mail.fl_str_mv |
tasesdissertacoes.bc@ufg.br |
_version_ |
1798044379591475200 |