Relações hipotéticas entre os determinantes sociais da saúde que influenciam na obesidade em idosos

Abstract

ResumoOs elevados índices de prevalência de obesidade em idosos suscitam a necessidade de compreender os fatores envolvidos nesta desordem nutricional, por meio de métodos quantitativos que permitam uma análise relacional desses determinantes. O objetivo deste estudo foi propor um modelo hipotético que estabeleça as relações entre os determinantes sociais da saúde associados à obesidade em idosos. Para a construção do modelo hipotético, foram delineadas as variáveis latentes e observadas de acordo com a análise de 45 artigos nacionais e internacionais e em concordância com o referencial da Modelagem de Equações Estruturais. Foi construído um diagrama representativo para evidenciar as correlações entre os 11 determinantes sociais da saúde relacionados à obesidade no idoso: atividade física, tabagismo, etilismo, consumo alimentar, contato social, ocupação, renda, escolaridade, idade, sexo e estado civil. Espera-se que as relações hipotéticas estabelecidas no estudo contribuam para a compreensão das relações dos fatores que estão envolvidos nesse contexto visando ao desenvolvimento de estratégias para a saúde da pessoa idosa. AbstractThe high prevalence rates of obesity in elderly raise the need to understand the factors involved in this nutritional disorder using quantitative methods that allow a relational analysis of these determinants. This study aimed to propose a hypothetical model to establish the relationship between the social determinants of health associated with obesity in elderly. For construction of the hypothetical model were delineated latent and observed variables according to the analysis of 45 national and international papers in reference of Structural Equation Modeling. It was constructed a representative diagram to show the correlations between the eleven social of health related to obesity in the elderly: physical activity, smoking, alcohol consumption, dietary, social contact, occupation, income, education, age, sex and marital status. It is expected that the hypothetical relationships (established in this study contribute to the understanding of the relationships of factors involved in this context for the development of strategies for the health of the elderly.Palavras-chave: Obesidade. Idoso. Modelagem de Equações Estruturais.

Obesity is associated with lack of access to dental care and physical activity among older adults: a cross-sectional study

“…21 The country is following the worldwide trend of increasing prevalence of obesity and chronic diseases in older adults, as has been observed in several countries in recent decades. 22 Age was associated with obesity in the present study, with advancing age showing an association with decreased prevalence. This trend has been observed in previous studies.…”

Dietary patterns of the elderly: characteristics and association with socioeconomic aspects

“…Other studies have shown that this population has a lower calorie diet than those with a high income. It is known that income is a key factor in diet quality, as, because of insufficient economic resources, elderly persons have an inferior dietary pattern than those with greater purchasing power 3,33,34 .…”

“…The health profile of this population group is characterized by the replacement of acute or fatal illnesses with an increase in the number of individuals affected by chronic noncommunicable diseases (CND) and their complications, which have a direct relationship with dietary intake [3][4][5][6][7] . A better understanding of the reality of the diet of the elderly is possible through the development and use of dietary patterns that establish different relationships between nutrition and health processes [8][9][10] .…”