Fatores associados à síndrome metabólica em idosos usuários do sistema único de saúde de Goiânia

• Autor(a) principal: VIEIRA, Edna Cunha
• 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
• 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

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.