Article linked to the research: Prevalência de Síndrome metabólica em idosos de comunidades urbana e rural participantes do programa HIPERDIA do município de Coimbra/MG, Brasil. Conflicts of interest: none.Received date: March 25, 2014. Original articleMetabolic syndrome prevalence in elderly of urban and rural communities participants in the HIPERDIA in the city of Coimbra/MG, Brazil Objective. To identify the prevalence of metabolic syndrome (MS), and the influence of gender and place of residence for elders served by the Family Health Strategy in the municipality of Coimbra (Minas Gerais state, Brazil). Methodology. The sample consisted of 435 individuals of both sexes, with mean of age 72 ± 8 years. Results. Women had higher prevalence rates of MS (urban= 40%, rural= 37%) with differences (p<0.05, φ= 0.168 and 0.284) for men (urban= 13%, rural= 22%). Odds Ratio for SM was significant in age groups over 65 years in urban areas, with women having higher chances compared with men (OR=3.07 times), becoming 5.8 times aged 75 to 79 years. Women are more exposed to obesity (urban= 80.4 %, rural= 78.6%) than men, regardless of place of residence (p<0.05, φ=0.46 and 0.47 respectively), and the urban women are still exposed to hypertension (65%, p= 0.022, φ= 0.12). Conclusion. The prevalence of MS and exposure to risk factors such as obesity and hypertension was higher in women, mainly in urban areas. Health professionals, like nurses, should note that the elderly population in urban areas have greater exposure to risk factors for MS, which should strengthen educational programs that promote healthy lifestyles.Key words: metabolic syndrome X; cross-sectional studies; rural health; urban health; aged; life style. Prevalencia de síndrome metabólico em ancianos de comunidades urbanas y rurales participantes de HIPERDIA del município de Coimbra/MG, BrasilObjetivo. Identificar la prevalencia de Síndrome Metabólico (SM), la influencia del sexo y zona de residencia en ancianos atendidos 326 • Invest Educ Enferm. 2015;33(2) por la Estrategia de Salud Familiar en el municipio de Coimbra (Estado de Minas Gerais, Brasil). Metodología. La muestra estuvo compuesta por 435 individuos de ambos sexos, con un promedio de edad de 72 años. Resultados. Las mujeres tuvieron mayores tasas de prevalencia de SM en ambas zonas (urbana=40%; rural=37%) con relación a los hombres (urbana=13%; rural=22%). La razón de prevalencias para SM fue significativa en las personas mayores de 65 años de la zona urbana; las mujeres presentaron los mayores riesgos en relación con los hombres (Razón de prevalencias -RP-=3.1), llegando a ser la RP de 5.8 veces en el grupo de 75 a 79 años. En cuanto a los factores de riesgo, las mujeres, en ambas zonas, estuvieron más expuestas que los hombres a la obesidad (urbana=80.4%; rural=78.6%) y a la hipertensión arterial (urbana=78.6%; rural=65.1%). Conclusión. La prevalencia de SM y la exposición a factores de riesgo como la obesidad y la hipertensión fue mayor en las mujeres, principalmente en la zona urbana. Enferme...
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