The aim of this study was to identify the metabolic syndrome (MS) components mostly influencing face shape in elderly individuals. This is a cross-sectional epidemiological study carried out with elderly individuals living in Aiquara County, Bahia State. Facial images at frontal view and MS were classified according to the National Cholesterol Education Program's Adult Treatment Panel III (revised version). Discriminant function, cross validation and distance Mahalanobis D2 were used to extract face shape variations due to MS. Principal Component Analysis (PCA) was used to evaluate MS components’ influence on face shape. The total of 193 elderly individuals were selected; there were significant differences in face shape due to MS (p <0.01) in both sexes. PCA 1 showed HDL-C in men, which accounted for 37% of the total variation. HDL-C in biplot is associated with individuals who do not have MS and with elderly individuals with MS - there was correlation between waist circumference and triglycerides. PCA 1 represented 33.2% of the total variation in women; this outcome is explained by triglycerides. There was association between blood glucose and waist circumference in biplot. HDL-C is related to women who do not have MS. Facial variations affected by MS did not derive from the action of any of the MS components, but from the association between them. Thus, geometric morphometrics emerges as a promising method that makes it possible identifying heart disease and metabolic risk factors according to face shape features.
Introdução: A hipertensão arterial sistêmica tem mostrando-se altamente prevalente entre os idosos, configurando-se como um preocupante problema de saúde pública, visto os desfechos que pode culminar às condições de saúde e à autonomia dos acometidos. Mediante a este contexto, o treinamento concorrente tem sido recomendado como terapia não medicamentosa, auxiliar ao seu tratamento. Objetivo: Averiguar os efeitos do treinamento concorrente à autonomia de idosos hipertensos, por meio de uma revisão de literatura. Métodos: Trata-se de uma revisão de literatura sistematizada, realizada nas bases de dados Literatura Latina-Americana e do Caribe, Scientific Electronic Library Online e Medical Literature Analysis and Retrieval System Online. Resultados: Após as buscas foram encontrados 511 manuscritos científicos. Destes, seis artigos foram selecionados à presente revisão, atendendo ao objetivo e critério propostos. O treinamento concorrente mostrou-se eficiente em promover diminuições nos níveis de pressão e rigidez arterial, melhorias na composição corporal, aptidão física e aumentos nos níveis do colesterol HDL (High Density Lipoprotein). Conclusão: Averiguou-se que o treinamento concorrente pode ser uma estratégia não farmacológica eficiente para promoção e manutenção da autonomia de idosos hipertensos, visto que mostrou-se eficiente em promover importantes repercussões morfológicas, fisiológicas e metabólicas, dentro da respectiva população.
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