Metabolic syndrome, abdominal obesity, and cardiovascular risk in elderly women

Cabrera, Marcos Aparecido Sarriá; Gebara, Otávio; Diament, J; Nussbacher, Amit; Rosano, Giuseppe; Wajngarten, Maurı́cio

doi:10.1016/j.ijcard.2006.01.019

Cited by 53 publications

(52 citation statements)

References 25 publications

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“…Tanto el sobrepeso y la obesidad generan una serie de trastornos metabólicos que predisponen a la aparición de enfermedades crónicas no trasmisibles y un indicador simple para identificar estos factores de riesgo es el IMC, que mide la relación entre el peso y la talla elevada al cuadrado (20). En este estudio, el IMC fue significativamente más alto en los adultos mayores que presentaron SM por criterios de IDF, comparado con el grupo sin este, que podría deberse a que el IMC correlaciona de forma directa con la grasa corporal total, incluyendo la abdominal.…”

Section: Resultsunclassified

Síndrome metabólico en un grupo de adultos mayores no institucionalizados según criterios de organismos internacionales

Giraldo

Perdomo

Aristizábal

et al. 2017

Perspect Nutr Humana

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ResumenAntecedentes: aunque el síndrome metabólico es frecuente en los adultos mayores, no es claro si aumenta el riesgo cardiovascular en este grupo poblacional. Objetivo: determinar la proporción de síndrome metabólico en un grupo de adultos mayores, según los criterios de organismos internacionales. Materiales y métodos: estudio descriptivo transversal en 141 adultos ≥ 60 años de Medellín-Colombia. El síndrome metabólico se clasificó según los criterios del National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) y la International Diabetes Federation (IDF). Se evaluaron variables sociodemográficas, antropométricas, clínicas, bioquímicas y estilos de vida. Resultados: el 73,8 % fueron mujeres y 84,4 % tenían edades entre 60-74 años. El sín-drome metabólico fue 45,4 % según criterios de IDF y 27,0 % según ATP III. Los componentes más frecuentes fueron obesidad central, colesterol HDL bajo e hipertrigliceridemia. La presencia del síndrome según criterios de IDF fue superior en mujeres (p=0,026), en adultos mayores con nivel educativo bajo (p=0,011) y con IMC más altos (p<0,001). Conclusión: la proporción del síndrome metabólico fue mayor según los criterios de IDF, encontrándose asociación con el sexo femenino, el nivel educativo bajo y el índice de masa corporal alto. The metabolic syndrome was diagnosed in 45.4 % of the population based on the IDF criteria and 27.0 % according to ATPIII. Abdominal obesity, low HDL cholesterol and hypertriglyceridemia were the most frequent components found. The metabolic syndrome based on IDF criteria was more frequent in women (p= 0,026), in elderly people with low educational level (p=0,011), and with higher BMI (p <0,001). Conclusion: The proportion of MS was high according to IDF criteria; In addition, association with female gender, level of education and BMI was found.

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Section: Resultsunclassified

Síndrome metabólico en un grupo de adultos mayores no institucionalizados según criterios de organismos internacionales

Giraldo

Perdomo

Aristizábal

et al. 2017

Perspect Nutr Humana

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“…No entanto, maior prevalência de SM em mulheres tem sido observada em outros estudos, tanto nacionais quanto internacionais [16,18,[20][21][22]. No Brasil, conforme revisão da literatura realizada por Lopes [24], em todos os estudos que apresentaram a prevalência da SM de acordo com o gênero, as mulheres apresentaram prevalência superior a dos homens, informação que também se repete na comparação com outras pesquisas brasileiras realizadas entre idosos [25][26][27][28][29][30][31].…”

Section: Resultsunclassified

“…Quando comparada à de estudos brasileiros [25][26][27][28][29][30][31], a prevalência de SM também foi maior na presente amostra. O ambiente de pesquisa que mais se aproximou do presente estudo, ou seja, um ambulatório de atenção terciária, foi o estudado por Cabrera et al [25], em que foram investigadas mulheres idosas atendidas em um ambulatório de geriatria de um hospital universitário paranaense.…”

Section: Resultsunclassified

Síndrome metabólica em idosos assistidos na atenção terciária à saúde em Curitiba, Paraná: prevalência e associação com saúde, capacidade funcional, estilo de vida e fatores sociodemográficos

Pereira

Gomes

Schwanke

2016

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT Aims:To evaluate the prevalence of metabolic syndrome in elderly assisted in tertiary health care and the association between metabolic syndrome and health, functional capacity, life style, and demographic and socioeconomic factors. Methods: A cross-sectional study was conducted involving elderly assisted in an outpatient medical clinic of a university hospital in Curitiba, capital of Paraná State, Brazil. Metabolic syndrome was defined according to the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII). The variables evaluated were: metabolic syndrome and its components; demographic and socioeconomic factors (age, sex, education, family income); lifestyle (smoking, alcohol use, adherence to diet, physical activity); health profile (non-communicable diseases, continued use of medicines); and functional capacity, determined by Katz and Lawton scales. Results:The study included 133 elderly, with a mean age of 68.7±5.8 years (60-85 years), most of them women (66.9%). The prevalence of metabolic syndrome was 63.9%, being 71.8% in women and 28.2% in men (p=0.16). Metabolic syndrome was more frequent in individuals aged 60-69 years compared with those above that age (64.7% versus 35.3%; p=0.03). There was also association of metabolic syndrome with reporting five or more chronic diseases (60.0% versus 29.2%, p<0.001) and with using seven or more continuous medicines (36.5% versus 1.6%, p<0.001). Abdominal obesity was more frequent among women (98.4% versus 66.7%; p=0.001) and hyperglycemia was more frequent among men (95.8% versus 75.4%; p=0.03). Only 7.1% of the elderly with metabolic syndrome were considered dependent. Conclusions: Prevalence of metabolic syndrome was high in this sample of elderly assisted in tertiary health care setting. The distribution of two of the five components of metabolic syndrome was different between sexes (central obesity more frequent in women and hyperglycemia more frequent in men). Elderly people with metabolic syndrome were more often less than 70 years old, reported more chronic diseases and used more continuous medicines. There was no association of metabolic syndrome with sex, socioeconomic factors, lifestyle or functional capacity.

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“…Several investigations have shown that WC is an indicator of central obesity in adults and elderly women 1,[8][9][10][11][12]21,23,33 , consequently it is directly associated with health risks 17,18,34 . Additionally, WC has a greater predictive cutoff point for hypertension than BMI in men 19 and mainly in the first WC cutoff point (WC ≥80) in adult women 14 , WC has an odds ratio for hypertension of 1.76 between 80-88cm and OR 2.18 for WC ≥88cm 13 , and it is a strong predictor of CVD in women aged 25 to 74 years 34 .…”

Section: Discussionmentioning

confidence: 99%

“…Although central obesity has been shown to alter the cardiovascular, renal, and metabolic systems, triggering inflammatory responses, the cause-effect relationship between adiposity and hypertension is not quite understood. However, it is common agreement that individuals with elevated central adiposity have an increase in the risk for hypertension, cardiovascular disease and mortality 3,6,[8][9][10][11][12] . Additionally, central obesity has been strongly associated with a high prevalence of hypertension 6,[8][9][10][12][13][14][15][16][17][18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

Associação de aptidão cardiorrespiratória e circunferência abdominal com hipertensão em mulheres idosas brasileiras

Krause¹,

Hallage²,

Gama³

et al. 2009

Arq. Bras. Cardiol.

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Metabolic syndrome, abdominal obesity, and cardiovascular risk in elderly women

Cited by 53 publications

References 25 publications

Síndrome metabólico en un grupo de adultos mayores no institucionalizados según criterios de organismos internacionales

Síndrome metabólico en un grupo de adultos mayores no institucionalizados según criterios de organismos internacionales

Síndrome metabólica em idosos assistidos na atenção terciária à saúde em Curitiba, Paraná: prevalência e associação com saúde, capacidade funcional, estilo de vida e fatores sociodemográficos

Associação de aptidão cardiorrespiratória e circunferência abdominal com hipertensão em mulheres idosas brasileiras

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