Prevalence and factors associated with Metabolic syndrome in elderly users of the Unified Health System
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2014-12
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Objective: To evaluate the prevalence and factors associated with metabolic syndrome in the
elderly. Methods: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System
in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat
percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and
years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk
and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by
the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding
factors. Results: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 – 67.1), with 60.5% (95%CI
49.01 – 71.18) for females and 55.7% (95%CI 41.33 – 69.53) for males. Hypertension was the most prevalent
component of the syndrome in both men, with 80.8% (95%CI 64.5 – 90.4), and women, with 85.2% (95%CI
75.5 – 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence
ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. Conclusions: The prevalence of
metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in
the control of risk factors through prevention strategies and comprehensive care to the elderly.
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Metabolic syndrome, Risk factors, Elderly, Epidemiology, Nutrition, National Health System, Síndrome Metabólica, Fatores de risco, Idoso, Epidemiologia, Nutrição, Sistema Único de Saúde
Citação
VIEIRA, Edna Cunha; PEIXOTO, Maria do Rosário Gondim; SILVEIRA, Erika Aparecida da. Prevalence and factors associated with Metabolic syndrome in elderly users of the Unified Health System. Revista Brasileira de Epidemiologia, São Paulo, v. 17, n. 4, p. 805-817, Oct./Dec. 2014.