BackgroundMetabolic syndrome (MetS) is an aggregation of risk factors associated with increased incidence of cardiovascular disease, type 2 diabetes mellitus, and all-cause mortality. Information on MetS prevalence is scarce in the northeast region, Brazil. This study aims to estimate the prevalence of MetS according to different diagnostic criteria in a community sample of men during the November Blue Campaign living in the metropolitan area of Natal, Rio Grande do Norte, Brazil.MethodsThis is a cross-sectional study on 500 men aged 40 years or older invited by the Blue November Campaign of 2015, an awareness program aimed at the prevention of male diseases. The evaluation included blood pressure, anthropometric measurements (weight, height, and waist circumference), fasting blood glucose, and blood lipid profile. The diagnosis of MetS was made according to the criteria of International Diabetes Federation (IDF)/American Heart Association (AHA)/National Heart, Lung, and Blood Institute (NHLBI), IDF, and National Cholesterol Education Program’s Adult Treatment Panel III (NCEP-ATPIII).ResultsThe prevalence was high by considering the following three criteria: IDF/AHA/NHLBI (66.8%), IDF (60.0%), and NCEP-ATPIII (46.4%). Concordance between diagnostic criteria measured by the kappa statistic (k) was excellent between IDF/AHA/NHLBI and IDF (k=0.85, P<0.0001) and moderate between IDF/AHA/NHLBI and NCEP-ATPIII (k=0.59) and IDF and NCEP-ATPIII (k=0.54).ConclusionPrevalence of MetS in the male population was high using the three diagnostic criteria. IDF/AHA/NHLBI and IDF criteria have a high level of agreement, but NCEP-ATPIII criteria identify a lower number of MetS cases.
RESUMOO objetivo deste artigo é avaliar o conhecimento adquirido sobre prevenção de incapacidades no controle da hanseníase pelos participantes de um grupo de autocuidado em um hospital de referência. Trata-se de estudo de natureza qualitativa, realizado em um hospital de referência em doenças infecto-contagiosas de Natal-RN, reunindo 16 membros de um grupo de autocuidado em hanseníase. Os dados foram coletados nos meses de setembro a novembro de 2012 por meio de uma questão aberta e adotou-se o método de análise de conteúdo de Bardin para analisar e interpretar as respostas obtidas. Dos achados emergiram as categorias: cuidados na prevenção de úlceras e no curativo; prevenção de quedas e reabilitação socioeconômica. Os resultados permitiram a constatação de que a participação dos usuários nas reuniões do grupo contribuiu significativamente para a aquisição do conhecimento sobre práticas de autocuidado. Palavras-chave: Hanseníase; Autocuidado; Enfermagem; Educação de Pacientes como Assunto.
ABSTR ACT
Introduction: Leprosy is a disease that carried the characteristic of incurable and disfiguring for years, causing the social segregation of patients before the family and society.Objective: To describe the repercussion of segregation in the lives of children separated by leprosy who lived in Oswaldo Cruz School.Method: This is a qualitative study with the methodological referential Oral History of Life. The sample consisted of 52 family members of former patients segregated in the São Francisco of Assis Cologne Hospital, registered in the Reintegration Movement of People Affected by Leprosy in RN (MORHAN Potiguar). The network was structured from the zero point and consists of ten collaborators. Data were collected through individual interviews, which were recorded, transcribed and submitted to thematic content analysis.Results: Emerged four themes: broken ties (broach the consequences in family relationships established by the experience of having a relative affected by leprosy); stigmatized (emphasize the obstacles in social relationships experienced by family member of leprosy former patients, who although healthy, were victims of social exclusion, stigma and prejudice); primary school (reveals the bad treatment experienced in Oswaldo Cruz School, as well as the resilience process of education received); from leprosy to Hansen's disease (were presented reflections made by collaborators related to leprosy control policy in the past and present).
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