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

Detalhes bibliográficos
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
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.
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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). 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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.
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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.
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