Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011

Detalhes bibliográficos
Autor(a) principal: Mazzucchetti, Lalucha [UNIFESP]
Data de Publicação: 2014
Tipo de documento: Tese
Idioma: por
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1514610
https://repositorio.unifesp.br/handle/11600/47048
Resumo: Objective: To identify the changes in the morbidities profile related to metabolic syndrome (MS) among the Khisêdjê indigenous adults and elderly residents in the Xingu Indigenous Park, over the period 1999-2000 to 2010-2011. Methods: This is an epidemiological study, with a serial cross-sectional design (conducted in 1999-2000 and 2010-2011), which allowed the calculation of the measure of cumulative incidence. Both were carried in the Ngôjwêre village. We invited to participate in the study all the subjects of both sexes with ages ?20 years of ethnicity Khisêdjê or residents in the villages of the area covered by the Wawi Indigenous Post Surveillance - Special Health District Xingu Indigenous (Mato Grosso/Brazil). While in the years of 1999-2000 86 individuals were evaluated, in the years of 2010-2011 179 were evaluated; 78 subjects were evaluated in both moments. We used a standard form for data collection. The collection of anthropometric measurements followed the procedures recommended by the World Health Organization in 1995. For the measurement of the body composition a tetrapolar bioelectrical impedance device model was used. For identification of MS and its components the criteria diagnostic proposed by Alberti and colleagues in 2009 were used. The MS was defined by the concomitant presence of at least three metabolic abnormalities: abdominal obesity, glucose intolerance, hypertension, hypertriglyceridemia and low HDL cholesterol. The Stata software was used for all analysis steps. Results: The evaluation conducted in 2010-2011 enabled the identification of a population that is in high metabolic and cardiovascular risk, since 30.7% of SM was found. The comparison the 1999-2000 data with those of 2010-2011 showed deterioration in the morbidities profile related to MS. The main damages were increasing prevalence of overweight of 37.2% to 48.0%; of hypertension of 3.6% to 25.1%; of diabetes mellitus 1.3% to 3.9%; and of hyperuricemia of 5.2% to 15.1%. In terms of body composition, the data suggest that the presence of excessive weight is associated with increased muscle mass. The concomitant evaluation of some individuals made possible the identification, in 10 years of follow-up, the cumulative incidence of 37.5% of SM; of 47.4% of hypertriglyceridemia; of 38.9% of arterial hypertension (AH); of 32.0% of central obesity; of 30.4% of overweight; of 29.1% of hypercholesterolemia; of 25.0% of low HDL-C; of 10.4% of high LDLc; and of 2.9% of diabetes mellitus (DM). The age proved to be a risk factor for the incidence of hypertension, DM and high LDLc, regardless of sex; being male was a protective factor for the incidence of central obesity, independent of age. Conclusions: Deteriorations of most health indicators evaluated were identified, the Khisêdjê are exposed to high cardiometabolic risk. This result may be related to changes in traditional lifestyle.
id UFSP_13cd15b77d98b9262580fff4615685ab
oai_identifier_str oai:repositorio.unifesp.br/:11600/47048
network_acronym_str UFSP
network_name_str Repositório Institucional da UNIFESP
repository_id_str 3465
spelling Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011Metabolic syndrome in the Khisêdjê population, resident in the Xingu Indigenous Park - Central Brazil: changes between 1999-2000 and 2010-2011indigenous peoplemetabolic syndrome xbioelectrical impedanceincidencenon communicable chronic diseasesindígenassíndrome x metabólicaimpedância bioelétricaincidênciadoenças crônicas não transmissíveisObjective: To identify the changes in the morbidities profile related to metabolic syndrome (MS) among the Khisêdjê indigenous adults and elderly residents in the Xingu Indigenous Park, over the period 1999-2000 to 2010-2011. Methods: This is an epidemiological study, with a serial cross-sectional design (conducted in 1999-2000 and 2010-2011), which allowed the calculation of the measure of cumulative incidence. Both were carried in the Ngôjwêre village. We invited to participate in the study all the subjects of both sexes with ages ?20 years of ethnicity Khisêdjê or residents in the villages of the area covered by the Wawi Indigenous Post Surveillance - Special Health District Xingu Indigenous (Mato Grosso/Brazil). While in the years of 1999-2000 86 individuals were evaluated, in the years of 2010-2011 179 were evaluated; 78 subjects were evaluated in both moments. We used a standard form for data collection. The collection of anthropometric measurements followed the procedures recommended by the World Health Organization in 1995. For the measurement of the body composition a tetrapolar bioelectrical impedance device model was used. For identification of MS and its components the criteria diagnostic proposed by Alberti and colleagues in 2009 were used. The MS was defined by the concomitant presence of at least three metabolic abnormalities: abdominal obesity, glucose intolerance, hypertension, hypertriglyceridemia and low HDL cholesterol. The Stata software was used for all analysis steps. Results: The evaluation conducted in 2010-2011 enabled the identification of a population that is in high metabolic and cardiovascular risk, since 30.7% of SM was found. The comparison the 1999-2000 data with those of 2010-2011 showed deterioration in the morbidities profile related to MS. The main damages were increasing prevalence of overweight of 37.2% to 48.0%; of hypertension of 3.6% to 25.1%; of diabetes mellitus 1.3% to 3.9%; and of hyperuricemia of 5.2% to 15.1%. In terms of body composition, the data suggest that the presence of excessive weight is associated with increased muscle mass. The concomitant evaluation of some individuals made possible the identification, in 10 years of follow-up, the cumulative incidence of 37.5% of SM; of 47.4% of hypertriglyceridemia; of 38.9% of arterial hypertension (AH); of 32.0% of central obesity; of 30.4% of overweight; of 29.1% of hypercholesterolemia; of 25.0% of low HDL-C; of 10.4% of high LDLc; and of 2.9% of diabetes mellitus (DM). The age proved to be a risk factor for the incidence of hypertension, DM and high LDLc, regardless of sex; being male was a protective factor for the incidence of central obesity, independent of age. Conclusions: Deteriorations of most health indicators evaluated were identified, the Khisêdjê are exposed to high cardiometabolic risk. This result may be related to changes in traditional lifestyle.Objetivo: Identificar as mudanças ocorridas no perfil de morbidades relacionadas à síndrome metabólica (SM) entre os indígenas Khisêdjê adultos e idosos, residentes no Parque Indígena do Xingu, ao longo do período de 1999-2000 a 2010-2011. Métodos: Trata-se de um estudo epidemiológico, de delineamento do tipo transversal seriado (realizado em 1999-2000 e 2010-2011), que possibilitou o cálculo da medida de incidência acumulada. Ambos foram realizados na aldeia Ngôjwêre. Foram convidados a participar da pesquisa todos os indivíduos de ambos os sexos e com idade ?20 anos da etnia Khisêdjê ou residentes nas aldeias da área de abrangência do Polo Base Wawi do Distrito Sanitário Especial Indígena do Xingu (Mato Grosso/Brasil). Enquanto nos anos de 1999-2000 foram avaliados 86 indivíduos, nos anos de 2010-2011 foram avaliados 179; 78 indivíduos foram avaliados nos dois momentos da pesquisa. Utilizou-se um formulário padrão para coleta dos dados. A coleta das medidas antropométricas seguiu os procedimentos recomendados pela World Health Organization em 1995. Na mensuração da composição corporal, foi utilizado aparelho de impedância bioelétrica modelo tetrapolar. Para identificação da SM e de seus componentes, foram adotados os critérios diagnósticos propostos, por Alberti e colaboradores em 2009. A síndrome metabólica foi definida pela presença concomitante de pelo menos três alterações metabólicas: obesidade central, intolerância a glicose, hipertensão arterial, hipertrigliceridemia ou baixo HDL colesterol. O programa Stata foi adotado em todas as etapas da análise. Resultados: A avaliação realizada, em 2010-2011, possibilitou a identificação de uma população que se encontra em elevado risco metabólico e cardiovascular, uma vez que se constatou 30,7% de SM. A comparação dos dados de 1999-2000 com os de 2010-2011 evidenciou deterioração no perfil das morbidades relacionadas à SM, sendo que os principais prejuízos verificados foram o aumento das prevalências de excesso de peso de 37,2% para 48,0%; de hipertensão arterial de 3,6% para 25,1%; de diabetes mellitus de 1,3% para 3,9%; e de hiperuricemia de 5,2% para 15,1%. No que se refere à composição corporal, os dados sugerem que a presença de excesso de peso esteja associada à maior quantidade de massa muscular. A avaliação, concomitante, de alguns indivíduos possibilitou ainda identificar, em 10 anos de seguimento, a incidência acumulada de 37,5% de SM; 47,4% de hipertrigliceridemia; 38,9% de hipertensão arterial (HA); 32,0% de obesidade central; 30,4% de excesso de peso; 29,1% de hipercolesterolemia; 25,0% de baixo HDLc; 10,4% de elevado LDLc; e 2,9% de diabetes mellitus (DM). A idade se mostrou um fator de risco para incidência de HA, DM e elevado LDLc, independente do sexo; ser do sexo masculino foi fator de proteção para incidência de obesidade central, independente da idade. Conclusões: Identificou-se deterioração de grande parte dos indicadores de saúde avaliados, estando os Khisêdjê expostos a elevado risco cardiometabólico. Esse resultado pode estar relacionado a alterações no estilo de vida tradicional.Dados abertos - Sucupira - Teses e dissertações (2013 a 2016)Coordenação de Aperfeiçoamento Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Federal de São Paulo (UNIFESP)Gimeno, Suely Godoy Agostinho [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Mazzucchetti, Lalucha [UNIFESP]2018-07-27T15:51:17Z2018-07-27T15:51:17Z2014-09-16info:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersion167 p.application/pdfhttps://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1514610MAZZUCCHETTI, Lalucha. Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011. 2014. 167 f. Tese (Doutorado) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2014.Lalucha Mazzucchetti.pdfhttps://repositorio.unifesp.br/handle/11600/47048porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-09T03:27:25Zoai:repositorio.unifesp.br/:11600/47048Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-09T03:27:25Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.none.fl_str_mv Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
Metabolic syndrome in the Khisêdjê population, resident in the Xingu Indigenous Park - Central Brazil: changes between 1999-2000 and 2010-2011
title Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
spellingShingle Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
Mazzucchetti, Lalucha [UNIFESP]
indigenous people
metabolic syndrome x
bioelectrical impedance
incidence
non communicable chronic diseases
indígenas
síndrome x metabólica
impedância bioelétrica
incidência
doenças crônicas não transmissíveis
title_short Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
title_full Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
title_fullStr Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
title_full_unstemmed Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
title_sort Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011
author Mazzucchetti, Lalucha [UNIFESP]
author_facet Mazzucchetti, Lalucha [UNIFESP]
author_role author
dc.contributor.none.fl_str_mv Gimeno, Suely Godoy Agostinho [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
dc.contributor.author.fl_str_mv Mazzucchetti, Lalucha [UNIFESP]
dc.subject.por.fl_str_mv indigenous people
metabolic syndrome x
bioelectrical impedance
incidence
non communicable chronic diseases
indígenas
síndrome x metabólica
impedância bioelétrica
incidência
doenças crônicas não transmissíveis
topic indigenous people
metabolic syndrome x
bioelectrical impedance
incidence
non communicable chronic diseases
indígenas
síndrome x metabólica
impedância bioelétrica
incidência
doenças crônicas não transmissíveis
description Objective: To identify the changes in the morbidities profile related to metabolic syndrome (MS) among the Khisêdjê indigenous adults and elderly residents in the Xingu Indigenous Park, over the period 1999-2000 to 2010-2011. Methods: This is an epidemiological study, with a serial cross-sectional design (conducted in 1999-2000 and 2010-2011), which allowed the calculation of the measure of cumulative incidence. Both were carried in the Ngôjwêre village. We invited to participate in the study all the subjects of both sexes with ages ?20 years of ethnicity Khisêdjê or residents in the villages of the area covered by the Wawi Indigenous Post Surveillance - Special Health District Xingu Indigenous (Mato Grosso/Brazil). While in the years of 1999-2000 86 individuals were evaluated, in the years of 2010-2011 179 were evaluated; 78 subjects were evaluated in both moments. We used a standard form for data collection. The collection of anthropometric measurements followed the procedures recommended by the World Health Organization in 1995. For the measurement of the body composition a tetrapolar bioelectrical impedance device model was used. For identification of MS and its components the criteria diagnostic proposed by Alberti and colleagues in 2009 were used. The MS was defined by the concomitant presence of at least three metabolic abnormalities: abdominal obesity, glucose intolerance, hypertension, hypertriglyceridemia and low HDL cholesterol. The Stata software was used for all analysis steps. Results: The evaluation conducted in 2010-2011 enabled the identification of a population that is in high metabolic and cardiovascular risk, since 30.7% of SM was found. The comparison the 1999-2000 data with those of 2010-2011 showed deterioration in the morbidities profile related to MS. The main damages were increasing prevalence of overweight of 37.2% to 48.0%; of hypertension of 3.6% to 25.1%; of diabetes mellitus 1.3% to 3.9%; and of hyperuricemia of 5.2% to 15.1%. In terms of body composition, the data suggest that the presence of excessive weight is associated with increased muscle mass. The concomitant evaluation of some individuals made possible the identification, in 10 years of follow-up, the cumulative incidence of 37.5% of SM; of 47.4% of hypertriglyceridemia; of 38.9% of arterial hypertension (AH); of 32.0% of central obesity; of 30.4% of overweight; of 29.1% of hypercholesterolemia; of 25.0% of low HDL-C; of 10.4% of high LDLc; and of 2.9% of diabetes mellitus (DM). The age proved to be a risk factor for the incidence of hypertension, DM and high LDLc, regardless of sex; being male was a protective factor for the incidence of central obesity, independent of age. Conclusions: Deteriorations of most health indicators evaluated were identified, the Khisêdjê are exposed to high cardiometabolic risk. This result may be related to changes in traditional lifestyle.
publishDate 2014
dc.date.none.fl_str_mv 2014-09-16
2018-07-27T15:51:17Z
2018-07-27T15:51:17Z
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format doctoralThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1514610
MAZZUCCHETTI, Lalucha. Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011. 2014. 167 f. Tese (Doutorado) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2014.
Lalucha Mazzucchetti.pdf
https://repositorio.unifesp.br/handle/11600/47048
url https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=1514610
https://repositorio.unifesp.br/handle/11600/47048
identifier_str_mv MAZZUCCHETTI, Lalucha. Síndrome metabólica na população Khisêdjê, residente no Parque Indígena do Xingu - Brasil Central: mudanças no período de 1999-2000 a 2010-2011. 2014. 167 f. Tese (Doutorado) - Escola Paulista de Medicina, Universidade Federal de São Paulo (UNIFESP), São Paulo, 2014.
Lalucha Mazzucchetti.pdf
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 167 p.
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
publisher.none.fl_str_mv Universidade Federal de São Paulo (UNIFESP)
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv biblioteca.csp@unifesp.br
_version_ 1814268285261185024