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Ultra-processed food consumption and its association with nutritional, functional, and health characteristics in Brazilian elders. PAJAR - PAN AMERICAN JOURNAL OF AGING RESEARCH 2022. [DOI: 10.15448/2357-9641.2022.1.42968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Aims: to estimate the dietary energy contribution of ultra-processed foods and the association on nutritional dietary profile, nutritional status, chronic disease, and functional capacity of Brazilian elders. Methods: we performed an epidemiology cross-sectional study conducted with 332 participants (≥60 years old). Food consumption was measured by three 24-h food recall. Foods were classified according to NOVA classification as in natura/minimally processed foods, processed culinary ingredients, processed foods, and ultra-processed foods. Anthropometric variables were used to assess nutritional status, and scales of activities of daily living to assess functional capacity. Chronic diseases were self-reported. Results: the average daily consumption of energy was 2433,96 kcal, being 10.44% from ultra-processed foods. Elders with higher ultra-processed foods intake showed higher consumption of energy, added sugar, total and saturated fat, and fewer consumption of proteins, fibres, potassium, magnesium, iron, zinc, copper, selenium, B6 vitamin e folate. Most participants were independent for functional capacity, overweight, and very high risk for cardiovascular disease, but no statistical significance was observed. No association was found between ultra-processed foods and nutritional dietary profile, nutritional status, chronic disease, and functional capacity. Conclusions: elders who had the highest ultra-processed foods consumption had lower diet quality, although no influences on nutritional status and health variables assessed were observed in this sample.
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Gomes CS, Silveira EA, Velasquez-Melendez G. Neighborhood environment is associated with unhealthy food intake in a Brazilian urban area. Appetite 2022; 172:105972. [PMID: 35176434 DOI: 10.1016/j.appet.2022.105972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 01/28/2022] [Accepted: 02/11/2022] [Indexed: 11/20/2022]
Abstract
Unhealthy food intake is one of the main risk factors for morbidity and mortality for non-communicable diseases (NCDs), and is associated with multiple factors, including the neighborhood environment. The present study aimed to examine the association between the neighborhood context and unhealthy food intake in adults. This is a cross-sectional study, carried out in Belo Horizonte, Brazil. This study used the database of Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel), which was georeferenced and linked to a database with information on the physical and social realities of a neighborhood context. The administrative boundary of the basic health units (ABBHU) was used as a neighborhood unit. Unhealthy food intake was assessed by the regular consumption of meat with excess fat, soft drinks, and red meat, as well as the irregular consumption of fruits and vegetables. To characterize the physical and social realities of a neighborhood, this study used georeferenced data of establishments selling foods, population density, homicide rates, health vulnerability Index, and total income. For data analysis, multilevel logistic regression was used. The sample consisted of 5783 adults. It was observed that younger, males, people with a lower-level education, who were inactive during leisure time, who had abusive alcohol consumption, and who were current smokers, were associated with a greater chance of having an unhealthy food intake. After adjusting for individual characteristics, it was observed that living in ABBHU, with a low mean income and an extremely high vulnerability, increases the individual's chances of having an unhealthy food intake. An unhealthy food intake is partially explained by demographic characteristics and socioeconomic conditions in the neighborhood. The present study can contribute to improving the understanding of the importance of the urban environment in food choices.
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Affiliation(s)
- Crizian Saar Gomes
- Department of Maternal and Child Nursing and Public Health, School of Nursing, Federal Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Erika Aparecida Silveira
- Health Science Post-graduate Program, Medicine Faculty, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Gustavo Velasquez-Melendez
- Department of Maternal and Child Nursing and Public Health, School of Nursing, Federal Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
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Silva GMD, Assumpção DD, Barros MBDA, Barros Filho ADA, Corona LP. [Low intake of dietary fibers among the elderly: 2014/2015 ISACAMP population-based study]. CIENCIA & SAUDE COLETIVA 2021; 26:3865-3874. [PMID: 34468679 DOI: 10.1590/1413-81232021269.2.28252019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Accepted: 12/04/2019] [Indexed: 12/12/2022] Open
Abstract
The scope of this article is to evaluate the prevalence of inadequate dietary fiber intake and associated factors among elderly adults. A cross-sectional population-based study evaluating participants from the Health Survey of the City of Campinas (ISACAMP) was conducted in 2014/2015, with 1,074 elderly individuals (≥60 years). Dietary fiber intake was obtained using a 24-hour recall, and the prevalence of inadequate fibers was estimated according to the cut-off point of the Institute of Medicine (30 g/day for men and 21 g/day for women). The factors evaluated were sociodemographic conditions (sex, age, schooling, income, marital status), health (number of reported diseases) and lifestyle (physical activity, smoking and alcohol consumption). The prevalence of inadequate dietary fiber intake was 86.6%, being higher in men (RP=1.10), single or divorced (RP=1.09) and physically inactive (PR=1.07). Elderly adults with higher incomes and who reported having 1 to 2 chronic non-communicable diseases had a higher intake of fibers. The high prevalence of inadequate dietary fiber intake in the elderly adults indicates that health and nutrition actions should be developed to ensure adequate dietary intake of these compounds.
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Affiliation(s)
- Graziele Maria da Silva
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
| | - Daniela de Assumpção
- Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, UNICAMP. Campinas SP Brasil
| | | | | | - Ligiana Pires Corona
- Laboratório de Epidemiologia Nutricional, Faculdade de Ciências Aplicadas, Universidade Estadual de Campinas (UNICAMP). R. Pedro Zaccaria 1300, Jd. Santa Luiza. 13484-350 Limeira SP Brasil.
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Machado-Lima A, Alonso AC, Gozzo D, Zanca GG, Brech GC, Montiel JM, Bastos MF, Longo PL, Mota-Ortiz SR. Corrigendum: Self-Perception of Changes in Routines in Adults and Older Adults Associated to Social Distancing Due to COVID-19-A Study in São Paulo, Brazil. Front Psychol 2021; 12:684729. [PMID: 34093376 PMCID: PMC8170680 DOI: 10.3389/fpsyg.2021.684729] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Accepted: 04/08/2021] [Indexed: 11/30/2022] Open
Affiliation(s)
- Adriana Machado-Lima
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | | | - Débora Gozzo
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | - Gisele Garcia Zanca
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | | | - José Maria Montiel
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | - Marta Ferreira Bastos
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
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Machado-Lima A, Alonso AC, Gozzo D, Zanca GG, Brech GC, Montiel JM, Bastos MF, Longo PL, Mota-Ortiz SR. Self-Perception of Changes in Routines in Adults and Older Adults Associated to Social Distancing Due to COVID-19-A Study in São Paulo, Brazil. Front Psychol 2021; 12:607559. [PMID: 33708158 PMCID: PMC7940366 DOI: 10.3389/fpsyg.2021.607559] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 01/07/2021] [Indexed: 01/14/2023] Open
Abstract
COVID-19 is an acute respiratory illness with higher mortality in older adults. This condition is spread person-to-person through close contact, and among policies employed to decrease transmission are the improvement of hygiene habits and physical distancing. Although social distancing has been recognized as the best way to prevent the transmission, there are concerns that it may promote increased depression symptoms risk and anxiety, mainly in older adults. This cross-sectional study aimed to verify self-concept of social distancing in adults compared to older adults. All participants, over 18 years and residents of São Paulo state (Brazil), were invited to join this research study by a message application and answered an interdisciplinary questionnaire during the period from May 23 to June 23, 2020. The questions were divided into the following aspects: sociodemographic data, financial conditions, routine-related perception, perception of health, physical and emotional state, and eating habits. The younger adult group was composed of 139 participants, with a mean age of 43.15 years (±10.92), and the older adult group was composed of 437 participants with a mean age of 67.59 years (±6.13) of both sex. Changes in routine during the period of social distance were reported by 95% of adults and 96.8% of older adults, but adults indicated more significant alterations in routine. Although there was no difference between groups for several aspects, adults revealed greater alterations in sleep quality, evacuation frequency, and more difficulty to perform daily activities at home. Further studies are necessary to follow up the impacts of social distancing among adults and older adults in different socioeconomic contexts to better understand the long-term alterations and the necessity of interventions.
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Affiliation(s)
- Adriana Machado-Lima
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | | | - Débora Gozzo
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | - Gisele Garcia Zanca
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | | | - José Maria Montiel
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
| | - Marta Ferreira Bastos
- Postgraduate Program in Aging Sciences, São Judas Tadeu University, São Paulo, Brazil
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Evedove AUD, Loch MR. Health risk behaviors in elderly Brazilian widowers. Salud Colect 2020; 16:e2255. [PMID: 32222142 DOI: 10.18294/sc.2020.2255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Accepted: 12/17/2019] [Indexed: 11/24/2022] Open
Abstract
The objective of this study was to compare the prevalence of health risk behaviors among elderly widowers with that of elderly partnered males, as well as single or divorced/separated men. Additionally, we set out to examine the prevalence of risk behaviors in elderly widowered men according to age, education level, and race/skin color. A cross-sectional study was conducted with elderly men (≥ 60 years) who were interviewed through the Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Survey (Vigitel) in 2016 (n=5,384) and 2017 (n=5,801). The Vigitel survey includes representative samples of adults residing in the capitals of Brazilian states and the Federal District, and of those surveyed, 886 were widowers. Identified risk behaviors included physical inactivity during leisure time, irregular consumption of fruits, vegetables and legumes, smoking and alcohol abuse. The prevalence of smoking was lower among partnered elderly men [PR=0.68, CI95% (0.52-0.90)] than among widowers. There were no differences in the prevalence of other risk behaviors between widowers and other groups. When only widowers were taken into account, there was significant association of risk behaviors with age and educational level, but not with race/skin color.
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Affiliation(s)
- André Ulian Dall Evedove
- Magíster en Salud Colectiva. Programa de Saúde Coletiva, Universidade Estadual de Londrina, Londrina, Brasil.
| | - Mathias Roberto Loch
- Doctor en Salud Colectiva. Programa de Pós Graduação em Saúde Coletiva, Universidade Estadual de Londrina, Londrina, Brasil.
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Souza BBD, Cembranel F, Hallal ALC, d'Orsi E. Consumption of fruits and vegetables and association with life habits and nutritional status: a prospective study in a cohort of the elderly. CIENCIA & SAUDE COLETIVA 2019; 24:1463-1472. [PMID: 31066848 DOI: 10.1590/1413-81232018244.03782017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Accepted: 07/01/2017] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to estimate the association between life habits and adequate consumption of fruits and vegetables (F&V) after four years of follow-up among elderly of a cohort in Florianópolis, Santa Catarina. This is a longitudinal population-based study, the sample being composed of individuals 60 years of age or older living in the urban area of the city of Florianópolis-SC. The baseline study took place in 2009-2010 and the second wave in 2013-2014. Adequate consumption was assessed by considering the frequency of ingestion of F&V at least five times a day at least five times a week. Life habits (smoking, alcohol consumption, physical activity and Internet use) and a biological variable (nutritional status) were associated. Multilevel logistic regression was used for the statistical analysis. There was a 5.23% increase in F&V consumption between evaluations. In the adjusted final models, internet use was associated with a greater chance of regular consumption of F&V (OR = 1.48, 95% CI: 1.09 - 2.01), while overweight was associated with a lower chance of outcome (OR = 0.76, 95% CI: 0.61 - 0.95). In conclusion, using the internet has proven to contribute significantly to a more adequate diet in F&V, as well as being overweight has shown to be a risk factor.
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Affiliation(s)
- Bianca Bittencourt de Souza
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal de Santa Catarina (UFSC). Campus Universitário, Trindade. 88040-900 Florianópolis SC Brasil.
| | | | | | - Eleonora d'Orsi
- Departamento de Saúde Pública, UFSC. Florianópolis SC Brasil
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Silva GMD, Durante ÉB, Assumpção DD, Barros MBDA, Corona LP. Elevada prevalência de inadequação do consumo de fibras alimentares em idosos e fatores associados: um estudo de base populacional. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2019; 22:e190044. [DOI: 10.1590/1980-549720190044] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Accepted: 06/11/2018] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Introdução: Vários fatores podem gerar mudanças nas práticas alimentares dos idosos, contribuindo para que as recomendações nutricionais não sejam atendidas. Objetivo: Estimar a prevalência de inadequação do consumo de fibras alimentares e seus fatores associados. Metodologia: Estudo transversal de base populacional que utilizou dados do Inquérito de Saúde no Município de Campinas, realizado em 2008/2009, no qual foram analisados 1.509 indivíduos ≥ 60 anos. O consumo alimentar foi estimado por meio do recordatório de 24 horas, e foi calculada a prevalência de inadequação de acordo com o ponto de corte para fibras totais do Institute of Medicine de 30 g/dia para homens e 21 g/dia para mulheres. Os fatores associados foram identificados utilizando modelo hierárquico de regressão de Poisson para estimativa das razões de prevalência, ajustados por variáveis de bloco distal (sociodemográficos) e bloco proximal (condições de saúde e indicadores de estilo de vida). Resultados: A inadequação do consumo de fibras alimentares foi observada em 90,1% da população, significantemente maior no sexo masculino (RP = 1,06), em idosos com parceiro (RP = 1,05), de menor renda (RP = 0,95), inativos fisicamente (RP = 1,05) e naqueles que não gostariam de mudar o peso corporal (RP = 1,05). Conclusão: Considerando que a inadequação de fibras alimentares foi muito elevada, toda a população de 60 anos ou mais deve ser alvo de intervenção nutricional para garantir o aporte adequado desse nutriente.
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Ferreira-Nunes PM, Papini SJ, Corrente JE. Eating patterns and nutrient intake for older people: analysis with different methodological approaches. CIENCIA & SAUDE COLETIVA 2018; 23:4085-4094. [PMID: 30539993 DOI: 10.1590/1413-812320182312.28552016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 11/11/2016] [Indexed: 11/22/2022] Open
Abstract
This study aims to analyse the eating patterns and nutrient intake in different eating patterns of elderly persons. This is a cross-sectional study with elderly people from Botucatu, São Paulo state, Brazil. The mean daily nutrient intake of individuals with high adherence to the eating patterns identified by factor analysis was analysed, comparing the intake by analysis of variance. Individuals with high adherence to the Healthy eating pattern had the highest mean intake of retinol, vitamin A and vitamin E. Individuals with high adherence to the eating pattern Snacks and weekend meal presented lower means of vitamin B12, vitamin C, phosphorus, and retinol intake and the highest means of iron, manganese and magnesium intake. Individuals with high adherence to Fruits had the lowest mean fibre intake. Individuals with high adherence to Light and whole foods had the highest means of vitamin C intake. Individuals with high adherence to Soft diet showed lower protein intake and increased added sugar intake. Individuals with high adherence to the Traditional eating pattern presented high means of nutrient intake. In general, a better characterization of the eating behaviour of elderly people who adhere to each of these eating patterns was possible.
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Affiliation(s)
| | - Silvia Justina Papini
- Departamento de Enfermagem, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista (Unesp). Botucatu SP Brasil
| | - José Eduardo Corrente
- Departamento de Bioestatística, Instituto de Biociências de Botucatu, Unesp. Botucatu SP Brasil
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Pereira IFDS, Vale D, Bezerra MS, Lima KCD, Roncalli AG, Lyra CDO. [Dietary patterns of the elderly in Brazil: National Heath Survey, 2013]. CIENCIA & SAUDE COLETIVA 2018; 25:1091-1102. [PMID: 32159677 DOI: 10.1590/1413-81232020253.01202018] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Accepted: 07/19/2018] [Indexed: 11/21/2022] Open
Abstract
The study sought to identify dietary patterns and associated factors of elderly Brazilians. It involved a cross-sectional study based on data from the National Health Survey ("PNS/2013") of 11,177 elderly individuals, whose dietary patterns were identified by cluster analysis. Poisson regression with robust variance was used for the analysis of associated factors. The cluster analysis produced 2 clusters of dietary patterns, one healthy (55.4%), with greater consumption of raw and cooked vegetables and legumes, chicken, fruits, natural fruit juices and milk. And an unhealthy cluster (44.6%), with greater consumption of red meat and soft drinks or artificial juices. The prevalence of the healthy dietary pattern was greater for females (PR = 1.32, 95% CI 1.25- 1.40), Caucasian (PR = 1.09, 95% CI 1.02-1.15), elderly individuals with graduate or post-graduate degree (PR=1.56, 95% CI 1.41-1.72), living in the Southeast (PR = 1.54, 95% CI, 1.33-1.79) and South (PR = 1.51, 95% CI 1.30-1.76), non-smokers (PR = 1.19, 95% CI, 1.07-1.31) and physically active (PR = 1.24, 95% CI, 1.17-1.32). These results indicated an association between better social conditions and beneficial life habits with the consumption of healthy foods, reinforcing the hypothesis of social determination and the coexistence of health behaviors.
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Affiliation(s)
- Ingrid Freitas da Silva Pereira
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000, Natal, RN, Brasil.
| | - Diôgo Vale
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000, Natal, RN, Brasil.
| | - Mariana Silva Bezerra
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000, Natal, RN, Brasil.
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Silveira EAD, Vieira LL, Jardim TV, Souza JDD. Obesity and its Association with Food Consumption, Diabetes Mellitus, and Acute Myocardial Infarction in the Elderly. Arq Bras Cardiol 2017; 107:509-517. [PMID: 28558083 PMCID: PMC5210454 DOI: 10.5935/abc.20160182] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 08/26/2016] [Indexed: 11/20/2022] Open
Abstract
Background Obesity affects a large part of elderly individuals worldwide and is
considered a risk predictor for the development of chronic diseases such as
cardiac diseases, the leading causes of death in the elderly population. Objective To investigate the prevalence of obesity and associated factors, with
emphasis on the occurrence of other diseases and on food consumption in
elderly individuals treated at the Brazilian Unified Health System (Sistema
Único de Saúde, SUS). Methods Cross-sectional sampling study performed in the city of Goiânia
(Brazil) including elderly individuals (≥ 60 years) receiving primary
care. During home visits, we performed anthropometric measurements and
applied a structured, standardized, and pre-tested questionnaire assessing
socioeconomic, demographic and lifestyle conditions, occurrence of diseases,
and food consumption. We performed multiple Poisson regression analysis
using a hierarchical model and adopting a significance level of 5%. Results We evaluated 418 elderly patients with a mean age of 70.7 ± 7 years.
Their body mass indices had a mean value of 27.0 kg/m2 and were
higher in women than in men (27.4 kg/m2 versus 26.1
kg/m2, respectively, p = 0.017). Obesity had a prevalence of
49.0%, a risk 1.87 times higher between the ages of 60-69 years and 70-79
years, and a rate 1.4 times higher among individuals with more than four
morbidities. On multivariate analysis, the factors associated with obesity
were age 60-69 and 70-79 years, inadequate consumption of whole-wheat grains
and adequate consumption of fruit, musculoskeletal diseases, diabetes
mellitus, and acute myocardial infarction. Conclusions Obesity had a high prevalence in the evaluated elderly population and was
associated with food consumption, musculoskeletal disease, diabetes
mellitus, and acute myocardial infarction.
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Martins MV, Souza JDD, Martinho KO, Franco FS, Tinôco ALA. Association between triglycerides and HDL-cholesterol ratio and cardiovascular risk factors among elderly persons receiving care under the family health strategy of Viçosa, Minas Gerais. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2017. [DOI: 10.1590/1981-22562017020.160059] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: To evaluate the association between triglycerides and HDL-cholesterol (TG/HDL-c) ratio and cardiovascular risk factors among the elderly. Method: A cross-sectional epidemiological study with a random sample of elderly persons (n=349) of both genders, who received care under the Family Health Strategy in the municipality of Viçosa, in the state of Minas Gerais, was performed. Cardiovascular risk was calculated by the relationship between the TG and the HDL-c levels, with values greater than 3.5 considered a risk. Social and economic variables, lifestyle, noncommunicable chronic diseases, serum glucose levels, waist circumference (WC) and body mass index were evaluated. Multiple linear regression was used to evaluate the association between the TG/HDL-c ratio and other variables. Variables associated with the dependent variable with a level of significance lower than 0.20 in univariate regression analysis were included in the final model (stepwise-forward), applying a significance level of p<0.05. Results: The highest TG/HDL-c ratio values were associated with the presence of hypertension, having been or currently be a smoker, having elevated serum glucose and an increased waist circumference. Conclusion: The findings reflect the importance of studies on cardiovascular risk in the elderly, as health professionals should be familiar with the parameters that classify at risk individuals. The TG/HDL-c ratio is a reliable classification method that is easy to apply and correlates closely with adverse health effects.
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Souza JD, Martins MV, Franco FS, Martinho KO, Tinôco AL. Dietary patterns of the elderly: characteristics and association with socioeconomic aspects. REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2016. [DOI: 10.1590/1981-22562016019.160035] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Abstract Objective: To investigate the association between dietary patterns and the socioeconomic aspects of elderly patients registered with the Family Health Strategy in Viçosa, Minas Gerais. Method: A cross-sectional study with a probabilistic sample was employed. To identify dietary patterns, dietary intake was assessed through a Food Frequency Questionnaire (FFQ) adapted for an elderly population. From the FFQ dietary patterns were identified by factor analysis. After the identification of the dietary patterns, logistic regression was performed considering each different dietary pattern and the related socioeconomic variables. Results: The consumption of a Fat and sugar pattern was greater among women and lower in elderly persons who considered themselves as mixed race. The consumption of the Balanced pattern was also lower among mixed race, married individuals, with one to four years of schooling and from the CDE economic classes. The Fruit and fish pattern was less consumed by elderly persons with 1-4 years of schooling, while the opposite was observed among those with five years or more of study. But the consumption of a Leafy vegetables pattern was lower among those with five or more years of schooling. Conclusion: The evaluation of the consumption of dietary patterns and the establishment of a relationship with the socioeconomic aspects of the elderly helps to achieve a better understanding of risk and protective factors for health.
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