Razão triglicerídeos/HDL em idosos atendidos na Estratégia Saúde da Família de Viçosa-MG

• Autor(a) principal: Martins, Marcos Vidal
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: LOCUS Repositório Institucional da UFV
• Texto Completo: http://locus.ufv.br/handle/123456789/2790
• topic: Idosos; Doenças cardiovasculares em idosos; Antropometria; Senior citizens; Cardiovascular disease in the elderly; Anthropometry; CNPQ::CIENCIAS DA SAUDE::NUTRICAO

Cardiovascular disease is a condition that is affecting many elderly, accounting for an increase in the prevalence of mortality in this age group. Knowing the factors involved in the pathology becomes relevant in order to prevent and treat it. The research objective was to identify cutoff points of anthropometric measures to predict cardiovascular risk in elderly, besides detecting factors associated with this risk. It is a cross-sectional study with elderly pattients in the Family Health Strategy of Viçosa, Minas Gerais. The cardiovascular risk was calculated by the ratio between the levels of triglycerides and HDL-cholesterol, and it is considered a value in cardiovascular risk greater than 3.5. In the first meeting, a questionnaire was given to socio-demographic information, lifestyle assessment, blood pressure measurement, test for the presence of depressive symptoms, and anthropometric measurements as body mass index, waist circumference, waist hip, waist height and conicity index. In a second meeting, biochemical tests were performed. To identify cutoffs anthropometric measurements to predict cardiovascular risk, it was used the student t test to compare means of independent groups with normal distribution and the Mann-Whitney test for nonparametric variables with distribution. The anthropometric measurements were compared with cardiovascular risk also through the Receiver Operating Characteristic curves. To assess risk factors for cardiovascular risk, it was performed by multiple linear regression analysis. For males, all indexes can be used to predict cardiovascular risk. However, in women, only body mass index was able to predict. The independent variables were gender, age, marital status, work status, education, ethnia, smoking, exposure to drinking, physical activity level, family history of chronic diseases, depressive symptoms, sedentary behavior, glucose levels and blood pressure. It was used a multiple regression, with p value <0.05. The elderly of higher social class, ex- smokers, with high glucose and history of heart disease were the most likely to have cardiovascular risk. These findings reflect the importance of studies on cardiovascular risk in the elderly, should the health professionals be familiar with the parameters that classify individuals with cardiovascular risk factors, and the relationship between triglycerides and HDL-cholesterol is an easy method, noninvasive and reliable to intervence in a better quality of life for seniors.