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Luis Damaso Ê, Bettiol H, Cardoso VC, de Nadai MN, Moisés ECD, Vieira CS, Cavalli RC. Sociodemographic and reproductive risk factors associated with metabolic syndrome in a population of Brazilian women from the city of Ribeirão Preto: a cross-sectional study. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRÍCIA 2024; 46:e-rbgo8. [PMID: 38765525 PMCID: PMC11075418 DOI: 10.61622/rbgo/2024ao08] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 08/28/2023] [Indexed: 05/22/2024] Open
Abstract
Objective To identify sociodemographic and reproductive risk factors associated with MetS in women in their fourth decade of life. Methods Cohort study conducted on women born from June 1978 to May 1979 in Ribeirão Preto, Brazil. Sociodemographic, clinical, and obstetric data were collected by interview and clinical evaluation. Univariable and multivariable binomial logistic regression models were constructed to identify the risk factors of metabolic syndrome and the adjusted relative risk (RR) was calculated. Results The cohort included 916 women, and 286 (31.2%) of them have metabolic syndrome. MetS was associated with lack of paid work (RR 1.49; 95% CI 1.14-1.95), marital status of without a partner (RR 1.33; 95% CI 1.03-1.72), low educational level (less than 8 years of schooling [RR 1.72; 95% CI 1.23-2.41], 8 to 12 years of schooling [RR 1.37; 95% CI 1.06-1.76], when compared with more than 12 years of schooling), and teenage pregnancy (RR 2.00; 95% CI 1.45-2.77). There was no association between MetS, and the other covariates studied. Conclusion Metabolic syndrome in a population of women in the fourth decade of life was associated with lack of employment, lack of a partner, low educational level, and teenage pregnancy.
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Affiliation(s)
- Ênio Luis Damaso
- Universidade de São PauloBauru Dental SchoolDepartment of Pediatric Dentistry, Orthodontics and Public HealthBauruSPBrazilDepartment of Pediatric Dentistry, Orthodontics and Public Health, Bauru Dental School, Universidade de São Paulo, Bauru, SP, Brazil.
| | - Heloisa Bettiol
- Universidade de São PauloFaculdade de Medicina de Ribeirão PretoRibeirão PretoSPBrazilFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Viviane Cunha Cardoso
- Universidade de São PauloFaculdade de Medicina de Ribeirão PretoRibeirão PretoSPBrazilFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Mariane Nunes de Nadai
- Universidade de São PauloBauru Dental SchoolDepartment of Pediatric Dentistry, Orthodontics and Public HealthBauruSPBrazilDepartment of Pediatric Dentistry, Orthodontics and Public Health, Bauru Dental School, Universidade de São Paulo, Bauru, SP, Brazil.
| | - Elaine Christine Dantas Moisés
- Universidade de São PauloFaculdade de Medicina de Ribeirão PretoRibeirão PretoSPBrazilFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Carolina Sales Vieira
- Universidade de São PauloFaculdade de Medicina de Ribeirão PretoRibeirão PretoSPBrazilFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Ricardo Carvalho Cavalli
- Universidade de São PauloFaculdade de Medicina de Ribeirão PretoRibeirão PretoSPBrazilFaculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
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Galvão NMS, Matos SMAD, Almeida MDCCD, Gabrielli L, Barreto SM, Aquino EML, Schmidt MI, Amorim LDAF. Patterns of metabolic syndrome and associated factors in women from the ELSA-Brasil: a latent class analysis approach. CAD SAUDE PUBLICA 2023; 39:e00039923. [PMID: 38088734 PMCID: PMC10715568 DOI: 10.1590/0102-311xen039923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 08/26/2023] [Accepted: 09/18/2023] [Indexed: 12/18/2023] Open
Abstract
This study aimed to identify patterns of metabolic syndrome among women and estimate their prevalence and relationship with sociodemographic and biological characteristics. In total, 5,836 women were evaluated using baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Patterns of metabolic syndrome were defined via latent class analysis, using the following metabolic abnormalities as indicators: abdominal obesity, hyperglycemia, hypertension, hypertriglyceridemia, and reduced HDL cholesterol. The relationship between these patterns and individual characteristics was assessed using latent class analysis with covariates. Three patterns of metabolic syndrome were identified: high metabolic expression, moderate metabolic expression, and low metabolic expression. The first two patterns represented most women (53.8%) in the study. Women with complete primary or secondary education and belonging to lower social classes were more likely to have higher metabolic expression. Black and mixed-race women were more likely to have moderate metabolic expression. Menopausal women aged 50 years and older were more often classified into patterns of greater health risk. This study addressed the heterogeneous nature of metabolic syndrome, identifying three distinct profiles for the syndrome among women. The combination of abdominal obesity, hyperglycemia, and hypertension represents the main metabolic profile found among ELSA-Brasil participants. Sociodemographic and biological factors were important predictors of patterns of metabolic syndrome.
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Affiliation(s)
| | | | | | - Ligia Gabrielli
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
| | - Sandhi Maria Barreto
- Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
| | - Estela M L Aquino
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
| | - Maria Inês Schmidt
- Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brasil
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Rosário-Dos-Santos HL, Miranda SS, Gomes-Filho IS, Cruz SSD, Figueiredo ACMG, Souza ES, Hintz AM, Loomer PM, Passos-Soares JDS. Periodontitis severity relationship with metabolic syndrome: A systematic review with meta-analysis. Oral Dis 2023; 29:2512-2520. [PMID: 36346175 DOI: 10.1111/odi.14428] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2022] [Revised: 10/31/2022] [Accepted: 11/03/2022] [Indexed: 11/10/2022]
Abstract
The objective of this study was to investigate the association between periodontitis severity and metabolic syndrome (MetS) through systematic review, registered in PROSPERO: CRD42021232120. Selected articles were independently chosen by three reviewers from six databases, including using article reference lists, up until March 2022. Eligible studies were observational, without language limitation, and in subjects aged at least 18 years. The methodological quality of selected studies was assessed using the Newcastle-Ottawa Scale. Random effects models calculated summary measurements (odds ratio-OR, 95% confidence interval, 95%CI). The I2 test evaluated the statistical heterogeneity of the data. Sensitivity, subgroup, and meta-regression analyses were performed. For the reliability of evidence, the Grading of Recommendations, Assessment, Development, and Evaluations tool was used. A total of 2133 records were identified, and 14 studies were included comprising 24,567 participants. The summary odds ratio showed a positive association between individuals with moderate (ORadjusted = 1.26; 95%CI = 2.10-5.37; I2 = 45.85%), and severe periodontitis (ORadjusted = 1.50; 95%CI:1.28-1.71; I2 = 56.46%), and MetS. Subgroup and meta-regression analyses showed that study effect size was influenced by year of publication, study design, and MetS diagnostic criteria, contributing to inter-study variability. The findings showed that moderate and severe levels of periodontitis are associated with MetS, suggesting a possible dose-response effect.
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Affiliation(s)
| | | | | | - Simone Seixas da Cruz
- Health Sciences Center, Federal University of Recôncavo of Bahia, Santo Antônio de Jesus, Brazil
| | | | - Elivan Silva Souza
- Department of Health Sciences, University of Brasilia, Distrito Federal, Brazil
| | | | - Peter Michael Loomer
- School of Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
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Santana AIC, Merces MCD, D’Oliveira A. Association between Metabolic Syndrome and professional category: a cross-sectional study with Nursing professionals. Rev Lat Am Enfermagem 2022; 30:e3579. [PMID: 35830123 PMCID: PMC9264912 DOI: 10.1590/1518-8345.5758.3579] [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: 12/05/2021] [Accepted: 01/25/2022] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to evaluate the association of Metabolic Syndrome and its components among Primary Health Care Nursing professionals in the state of Bahia, Brazil, according to professional category. METHOD a cross-sectional, population-based and multicenter study conducted with 1,125 Nursing professionals. The independent variable was the professional category, dichotomized into technical and higher education levels. The outcome was Metabolic Syndrome following criteria from the National Cholesterol Education Program Adult Treatment Panel III based on anthropometric measurements and blood samples. The statistical analysis was performed by calculating the prevalence ratios and using Pearson's Chi-square test. RESULTS the prevalence of Metabolic Syndrome was higher in the technical level category (PR=1.64; CI=1.29 - 2.06; p≤0.01). When compared to Nurses, these professionals were older, had lower incomes, worked more on duty and performed less physical activity on a regular basis. Among the Nurses, the most prevalent component was altered cholesterol (40.5%) and among the Nursing Technicians/Assistants, it was abdominal obesity (47.3%). CONCLUSION the association between the Nursing category and Metabolic Syndrome was evident, with higher occurrence among technical level professionals.
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Sebastian RS, Fanelli Kuczmarski MT, Goldman JD, Moshfegh AJ, Zonderman AB, Evans MK. Usual Intake of Flavonoids Is Inversely Associated with Metabolic Syndrome in African American and White Males but Not Females in Baltimore City, Maryland, USA. Nutrients 2022; 14:1924. [PMID: 35565891 PMCID: PMC9100333 DOI: 10.3390/nu14091924] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/28/2022] [Accepted: 05/02/2022] [Indexed: 11/16/2022] Open
Abstract
Despite research that suggests flavonoids protect against metabolic syndrome (MetS) and evidence that intake of these compounds differs by race, knowledge about whether flavonoid-MetS associations vary among racial groups is limited. This study sought to estimate usual total flavonoid intake in African American and White adults and assess its sex- and sex/race-specific associations with MetS and its risk factors. Analysis of cross-sectional data from 1837 adults participating in the Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study were analyzed. Usual total flavonoid intake was estimated using the NCI Method, and logistic regression measured its linkages with health outcomes. Among males overall and when stratified by race, odds of MetS and its risk factors low high-density lipoprotein cholesterol (HDL-C) and elevated glucose were lower at the 75th percentile of usual total flavonoid intake than at the 25th percentile (OR for MetS = 0.62; 95% CI = 0.53, 0.71). However, low HDL-C and elevated glucose were positively associated with usual flavonoid intake among females. The comparable associations by race within sex imply that the relationships between flavonoid and health outcomes may be evident across an array of intakes.
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Affiliation(s)
- Rhonda S. Sebastian
- U.S. Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, 10300 Baltimore Avenue, Building 005, Beltsville, MD 20705-2350, USA; (J.D.G.); (A.J.M.)
| | - Marie T. Fanelli Kuczmarski
- National Institutes of Health, National Institute on Aging, Laboratory of Epidemiology & Population Sciences, 251 Bayview Boulevard, Baltimore, MD 21224, USA; (A.B.Z.); (M.K.E.)
| | - Joseph D. Goldman
- U.S. Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, 10300 Baltimore Avenue, Building 005, Beltsville, MD 20705-2350, USA; (J.D.G.); (A.J.M.)
| | - Alanna J. Moshfegh
- U.S. Department of Agriculture, Agricultural Research Service, Beltsville Human Nutrition Research Center, Food Surveys Research Group, 10300 Baltimore Avenue, Building 005, Beltsville, MD 20705-2350, USA; (J.D.G.); (A.J.M.)
| | - Alan B. Zonderman
- National Institutes of Health, National Institute on Aging, Laboratory of Epidemiology & Population Sciences, 251 Bayview Boulevard, Baltimore, MD 21224, USA; (A.B.Z.); (M.K.E.)
| | - Michele K. Evans
- National Institutes of Health, National Institute on Aging, Laboratory of Epidemiology & Population Sciences, 251 Bayview Boulevard, Baltimore, MD 21224, USA; (A.B.Z.); (M.K.E.)
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de Siqueira Valadares LT, de Souza LSB, Salgado Júnior VA, de Freitas Bonomo L, de Macedo LR, Silva M. Prevalence of metabolic syndrome in Brazilian adults in the last 10 years: a systematic review and meta-analysis. BMC Public Health 2022; 22:327. [PMID: 35172790 PMCID: PMC8848905 DOI: 10.1186/s12889-022-12753-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 02/07/2022] [Indexed: 11/30/2022] Open
Abstract
Background A cluster of interconnected cardiometabolic risk factors characterizes metabolic Syndrome (MS). The prevalence of MS is increasing worldwide, but there is not a meta-analysis of this prevalence in the Brazilian population. We aimed to determine the prevalence of metabolic syndrome among adult general population in Brazil through a meta‑analysis study. Methods Original research studies were searched at PubMed, Scopus, Web of Science, and SciELO databases, from 2011 to 2021. We used the Joanna Briggs Institute tool to assess the quality of included studies. The random effect model was used to estimate the pooled prevalence of MS. Subgroup and meta-regression analysis were conducted for explored heterogeneity and used the Funnel Plot and Egger’s test to assess publication bias. The study was performed based on the criteria of Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Results The search in electronic databases identified 1598 records. From this total, 26 studies were eligible to be included in the final analysis. The overall pooled prevalence among the general population of Brazil was 33% with high heterogeneity observed. By gender, the prevalences were 26% in males and 38% in females. By criteria that was used to define MS, the prevalence were 31% in NCEP ATP III, 25% in JIS, 37% in IDF/NHLBI/AHA/WHF/IAS/IASO and 33% in IDF criteria. The prevalence in different habitat was 34% in urban, 15% in rural, 28% in quilombola and 37% in indigenous. In different regions was 37% in the South, 30% in Southeast, 38% in North, 31% in Northeast and 39% in Midwest. The pooled prevalence of MS with age was < 45 years: 43% and ≥ 45 years: 42% and the prevalence based on year of study implementation was 31% in 2015–2019, 35% in 2010–2014 and 28% in 2005–2009. There were no statistically significant differences between subgroups. Most of the studies showed high quality assessment criteria’s except adequate sample size criteria and many studies participants were not sampled in an appropriate way. Conclusions Our review indicates a high prevalence of MS in the healthy Brazilian adult population, when compared to others countries and with a world estimate. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-12753-5.
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Affiliation(s)
| | | | - Valdir Alves Salgado Júnior
- Universidade Federal de Juiz de Fora, Campus Governador Valadares, Governador Valadares, Minas Gerais, Brazil
| | | | | | - Maísa Silva
- Department of Basic Life Sciences, Universidade Federal de Juiz de Fora, Governador Valadares Campus, Avenida Moacir Paleta, nº 1167, no bairro São Pedro.CEP 35020-360, Governador Valadares, MG, Brazil.
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Santos ISC, Boery RNSDO, Fernandes JD, Rosa RS, Ribeiro ÍJDS, Souza ADS. Factores asociados con síndrome metabólico y calidad de vida de adultos en un municipio noreste de brasileño. REVISTA CUIDARTE 2021. [DOI: 10.15649/cuidarte.1678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introducción: El Síndrome Metabólico (SM) se considera actualmente una enfermedad multifactorial relacionada con la inflamación asintomática, insidiosa y deletérea que predispone al individuo a la vulnerabilidad al agregar marcadores de riesgo cardiovascular. Objetivo: analizar los factores asociados al síndrome metabólico y calidad de vida en adultos usuarios de una unidad de salud. Materiales y Métodos: estudio transversal realizado con 108 usuarios adultos. La recogida de datos se realizó mediante un cuestionario sociodemográfico, clínico y metabólico, estructurado y mediante el cuestionario The Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Para el diagnóstico de Síndrome Metabólico se utilizaron los siguientes criterios: aumento de la circunferencia abdominal e hipertensión arterial, diabetes, hipertrigliceridemia y colesterol HDL bajo. El análisis estadístico se realizó utilizando el software Statistical Package for Social Sciences (SPSS) 21.0. Resultados: Se identificó síndrome metabólico en el 88,0% de los adultos. De este total de usuarios evaluados con el síndrome, el 87,4% de los individuos eran mujeres; 71,7% con diabetes; 87,0% tenía hipertensión arterial; Se identificó sedentarismo en 53,7%. En la valoración del IMC, predominaron el sobrepeso y la obesidad en 68,4% y 24,9%, respectivamente. Los dominios con las puntuaciones más bajas de calidad de vida fueron Salud general y Vitalidad. Conclusiones: el estudio permitió identificar el Síndrome Metabólico en la mayoría de los adultos evaluados. Hubo una baja percepción de la calidad de vida entre los adultos en todos los dominios, excepto en los aspectos físicos y vitalidad. Por tanto, es necesaria la vigilancia y educación sanitaria de la población estudiada y la mejora de su calidad de vida.
Como citar este artículo: Santos, Isleide Santana Cardoso; Boery, Rita Narriman Silva de Oliveira; Fernandes, Josicélia Dumêt; Rosa, Randson Souza; Ribeiro, Ícaro José dos Santos; Souza, Andréa dos Santos. Factors associated with metabolic syndrome and quality of life of adults in a northeast brazilian municipality. Revista Cuidarte. 2021;12(2):e.1678 http://dx.doi.org/10.15649/cuidarte1678
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Rey HCV. The Importance of Recognizing the Co-Occurrence of Cardiometabolic Risk Factors in the Population to Establish Priorities in Public Policies. Arq Bras Cardiol 2021; 117:49-50. [PMID: 34320067 PMCID: PMC8294716 DOI: 10.36660/abc.20210511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Helena Cramer Veiga Rey
- Instituto Nacional de CardiologiaRio de JaneiroRJBrasilInstituto Nacional de Cardiologia, Rio de Janeiro, RJ - Brasil
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Xavier IGG, Vieira MC, Rodrigues Junior LF, Sperandio da Silva GM, da Silva PS, de Holanda MT, Maciel ER, Carneiro FM, Mazzoli-Rocha F, Sangenis LHC, Mendes FDSNS, Hasslocher-Moreno AM, de Sousa AS, da Costa AR, Saraiva RM, do Brasil PEAA, Mediano MFF. Prevalence of metabolic syndrome and associated factors among patients with chronic Chagas disease. PLoS One 2021; 16:e0249116. [PMID: 33798206 PMCID: PMC8018626 DOI: 10.1371/journal.pone.0249116] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Accepted: 03/12/2021] [Indexed: 12/28/2022] Open
Abstract
The increase in life expectancy and the migration of individuals with Chagas disease (ChD) from rural to urban centers exposes them to the development of chronic-degenerative abnormalities that may increase the prevalence of metabolic syndrome (MetS). The present study aimed to identify the prevalence of MetS and its components in individuals with chronic ChD. This is a cross-sectional study with 361 patients of both sexes, aging >18 years, followed at a national reference center (Rio de Janeiro, Brazil). MetS diagnosis followed the International Diabetes Federation 2005 criteria. The association between the variables was determined through logistic regression models. The mean age was and 60.7±10.8 years. About half (56.2%) were female and the majority self-reported their race as mulatto (59.8%). The percentage of individuals with MetS was 40.4%. The variables independently associated with MetS were age (OR 1.06; 95%CI 1.04-1.09), high education levels (OR 0.36; 95%CI 0.17-0.79) and cardiac form with heart failure (OR 0.34; 95%CI 0.17-0.68). Therefore, a high prevalence of MetS was found in this Brazilian chronic ChD cohort. The identification of the associated factors can facilitate the development of effective approaches for preventing and managing MetS in ChD patients.
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Affiliation(s)
- Isis Gabrielli Gomes Xavier
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Marcelo Carvalho Vieira
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
- Center for Cardiology and Exercise, Aloysio de Castro State Institute of Cardiology, Rio de Janeiro, RJ, Brazil
| | | | | | - Paula Simplicio da Silva
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Marcelo Teixeira de Holanda
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Erica Rodrigues Maciel
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Fernanda Martins Carneiro
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Flavia Mazzoli-Rocha
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | | | | | | | - Andrea Silvestre de Sousa
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Andrea Rodrigues da Costa
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | - Roberto Magalhães Saraiva
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
| | | | - Mauro Felippe Felix Mediano
- Evandro Chagas National Institute of Infectious Disease, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil
- Department of Research and Education, National Institute of Cardiology, Rio de Janeiro, RJ, Brazil
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Gouveia ÉR, Gouveia BR, Marques A, Peralta M, França C, Lima A, Campos A, Jurema J, Kliegel M, Ihle A. Predictors of Metabolic Syndrome in Adults and Older Adults from Amazonas, Brazil. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:1303. [PMID: 33535582 PMCID: PMC7908119 DOI: 10.3390/ijerph18031303] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 01/01/2021] [Accepted: 01/27/2021] [Indexed: 12/17/2022]
Abstract
Metabolic syndrome has been considered a factor of vulnerability and a major public health problem because it increases the risk of cardiovascular disease and type 2 diabetes. The present study from Amazonas, Brazil aimed to estimate the prevalence of the individual and general components of metabolic syndrome in adults and older adults and identify the independent predictors of metabolic syndrome. The sample of the present cross-sectional study comprised 942 participants (590 women), with a mean age of 59.8 ± 19.7 (range: 17.5 to 91.8). Blood pressure in men (62.5%), abdominal obesity in women (67.3%), and lower high-density lipoprotein cholesterol (HDL-C) in both (52.2% in men and 65.0% in women) were the most prevalent individual risk factors for metabolic syndrome. Women had a higher prevalence of abdominal obesity (p < 0.001), low HDL-C (p < 0.001), and metabolic syndrome (p < 0.001) than men; however, opposite results were seen in men for blood pressure (p < 0.001). The overall prevalence of metabolic syndrome was 47.5%. Advanced age, being female, having a higher body mass index, and a having lower educational level independently increased the odds of metabolic syndrome. Due to the association of metabolic syndrome with deterioration of health status and increased vulnerability, this study sustains the need for early public health interventions in the Amazonas region.
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Affiliation(s)
- Élvio Rúbio Gouveia
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal;
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal;
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland; (M.K.); (A.I.)
| | - Bruna R. Gouveia
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal;
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland; (M.K.); (A.I.)
- Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
- Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal
| | - Adilson Marques
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Lisbon, Portugal; (A.M.); (M.P.); (A.L.)
- ISAMB, Faculdade de Medicina, Universidade de Lisboa, 1649-020 Lisbon, Portugal
| | - Miguel Peralta
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Lisbon, Portugal; (A.M.); (M.P.); (A.L.)
- ISAMB, Faculdade de Medicina, Universidade de Lisboa, 1649-020 Lisbon, Portugal
| | - Cíntia França
- Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal;
- LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal;
| | - Alex Lima
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, 1495-751 Lisbon, Portugal; (A.M.); (M.P.); (A.L.)
- Centro Universitário do Norte, 69020-010 Manaus, Brazil
| | | | | | - Matthias Kliegel
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland; (M.K.); (A.I.)
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, Lausanne and Geneva, 1022 Chavannes-près-Renens, Switzerland
| | - Andreas Ihle
- Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland; (M.K.); (A.I.)
- Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
- Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, Lausanne and Geneva, 1022 Chavannes-près-Renens, Switzerland
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Pinho LD, Ruas Oliveira R, Gonçalves Pereira L, Oliveira Nobre de Andrade M, Natália Oliveira Teixeira A, Fagundes Neto Soares M. Avaliação da síndrome metabólica em agentes comunitários de saúde em município do norte de Minas Gerais. REVISTA BRASILEIRA DE MEDICINA DE FAMÍLIA E COMUNIDADE 2020. [DOI: 10.5712/rbmfc15(42)2605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Abstract
Introdução: A síndrome metabólica se relaciona a doenças crônicas, possui prevalência crescente no Brasil e leva riscos cardiovasculares à população. Objetivo: Comparar a prevalência da síndrome metabólica em agentes comunitários de saúde em município do Norte de Minas Gerais segundo diferentes critérios diagnósticos. Métodos: Foi realizada coleta de dados de 675 profissionais que compunham as variáveis dos critérios diagnósticos propostos pela Internacional Diabetes Federation e National Cholesterol Education Program’s Adult Treatment Panel III. Resultados: Segundo critérios da Internacional Diabetes Federation, diagnosticou-se 42,2% de indivíduos com síndrome metabólica e 33,6% segundo National Cholesterol Education Program’s Adult Treatment Panel III. Há aumento diretamente proporcional ao avançar da idade (p=0,000 para ambos os critérios) e relação intrínseca à dislipidemia e pressão arterial elevada. Conclusão: Pôde-se concluir que a síndrome metabólica tem prevalência muito relevante no público estudado. Em relação às variáveis analisadas, encontrou-se similaridade entre critérios. Assim, nota-se que essas informações são importantes para realização de um diagnóstico precoce e manutenção da saúde dos agentes comunitários de saúde.
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Gustavo de Sousa Barbalho Y, Morato Stival M, Ramos de Lima L, Cristina Rodrigues da Silva I, de Oliveira Silva A, Vieira Gomes da Costa M, Cristina Morais Santa Barbara Rehem T, Schwerz Funghetto S. Impact of Metabolic Syndrome Components in High-Risk Cardiovascular Disease Development in Older Adults. Clin Interv Aging 2020; 15:1691-1700. [PMID: 33061322 PMCID: PMC7513792 DOI: 10.2147/cia.s252589] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 07/25/2020] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE Analyze the influence between the components of metabolic syndrome and the independent risk for cardiovascular disease (CVD) in the elderly. METHODS A descriptive cross-sectional study was carried out with 205 older adults from a primary healthcare unit of the Federal District, Brazil. The cardiovascular risk was determined by the Framingham Risk Score (FRS). The National Cholesterol Evaluation Program for Adult Treatment Panel III 2001 (NCEP-ATP III) criteria were considered to analyze metabolic syndrome (MS) diagnoses. RESULTS There was a strong association between MS and high cardiovascular risk (OR = 8.86). The univariate analysis main findings revealed that male gender, diabetes, smoking habit, systolic blood pressure, HDL level, high blood glucose, glycated hemoglobin, and LDL level were associated with high cardiovascular risk. FRS increases significantly with the presence of four or more MS components (by 30%, if 4 components are present, and by 40%, if 5 components) when compared with the presence of three or fewer components (P <0.001). A logistic regression analysis of high-risk predictors was described to reduce the effects of confounding and bias factors. CONCLUSION The identification of MS associated with high FRS values represents a cascading of adverse effects on the population's aging process.
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Affiliation(s)
- Yuri Gustavo de Sousa Barbalho
- Graduate Department of Health Sciences and Technologies, University of Brasilia (UnB), Brasilia, Federal District, Brazil
| | - Marina Morato Stival
- Graduate Department of Health Sciences and Technologies, University of Brasilia (UnB), Brasilia, Federal District, Brazil
| | - Luciano Ramos de Lima
- Graduate Department of Health Sciences and Technologies, University of Brasilia (UnB), Brasilia, Federal District, Brazil
| | | | | | - Manoela Vieira Gomes da Costa
- Graduate Department of Health Sciences and Technologies, University of Brasilia (UnB), Brasilia, Federal District, Brazil
| | | | - Silvana Schwerz Funghetto
- Graduate Department of Health Sciences and Technologies, University of Brasilia (UnB), Brasilia, Federal District, Brazil
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13
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Félix NDDC, da Nóbrega MML. Metabolic Syndrome: conceptual analysis in the nursing context. Rev Lat Am Enfermagem 2019; 27:e3154. [PMID: 31432914 PMCID: PMC6703105 DOI: 10.1590/1518-8345.3008.3154] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2018] [Accepted: 02/17/2019] [Indexed: 12/26/2022] Open
Abstract
OBJECTIVE to analyze the metabolic syndrome concept and to identify its essential features, antecedents, and outcomes within the context of nursing. METHOD conceptual analysis, based on the methodological steps of a model. We carried out an integrative review by accessing four databases online: Medical Literature Analysis and Retrieval System Online, Scientific Electronic Library Online, Latin American and Caribbean Health Sciences Literature, and Índice Bibliográfico Español en Ciencias de la Salud. RESULTS the essential features most frequently involved the diagnostic criteria of metabolic syndrome. Inadequate nutrition and physical inactivity were highlighted as the most common antecedents of the syndrome, and the outcomes were occurrences of cardiovascular disease and diabetes mellitus type 2. As implication, we highlight relevant empirical data to the broad definition of the concept. CONCLUSION we could analyze the concept under study regarding essential features, antecedents, and outcomes, operationally defining it as a potential nursing phenomenon, which demands health care focusing on reducing risks and morbidity and mortality for cardiovascular diseases.
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14
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das Merces MC, Santana AIC, Lua I, da Silva DAR, E Silva DDS, Gomes AMT, Miranda MCDM, Barbosa CDS, Magalhães LBNC, Coelho JMF, Servo MLS, Portella DDA, de Souza MC, Lago SB, Araújo EMQ, Marques SC, Figueiredo VP, D'Oliveira Júnior A. Metabolic Syndrome Among Primary Health Care Nursing Professionals: A Cross-Sectional Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2686. [PMID: 31357596 PMCID: PMC6696523 DOI: 10.3390/ijerph16152686] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/23/2019] [Revised: 07/24/2019] [Accepted: 07/25/2019] [Indexed: 01/04/2023]
Abstract
This research aims at evaluating prevalence and factors associated with metabolic syndrome (MS) in primary health care (PHC) nursing professionals. A multicenter, population-based and cross-sectional study was conducted in a team-tested sample of 1125 PHC nurses in the state of Bahia, Brazil. Sociodemographic, labor, lifestyle and human biology variables were investigated by mean of anamnesis. MS was evaluated according to the criteria of the first Brazilian Guideline for Metabolic Syndrome, which fully adopts the criteria of the National Cholesterol Education Program's Adult Treatment Panel III. MS-associated factors were tested by using robust Poisson Regression. The prevalence of MS found was 24.4%; low High Density Lipoprotein (HDL) cholesterol was the most prevalent component of the syndrome. In the multivariate analysis, physical inactivity (PR = 1.25, 95% CI = 1.02-1.53), alcohol use (PR = 1.84, 95% CI = 1.22-2.77), acanthosis nigricans (PR = 3.23, 95% CI = 2.65-3.92), burnout syndrome (PR = 1.45, 95% CI = 1.17-1.81), (PR = 1.37, 95% CI = 1.12-1.69), working as a nursing technician (PR = 1.43, 95% CI = 1.14-1.80), were associated to MS. It was found that the prevalence of MS was high, which evidences the need for interventions in the PHC environment, improvement of working conditions, monitoring of worker safety and health, diet programs and physical activity.
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Affiliation(s)
- Magno Conceição das Merces
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Brazil.
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil.
| | - Amália Ivine Costa Santana
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | - Iracema Lua
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana 44036-900, Brazil
| | | | - Douglas de Souza E Silva
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | | | | | - Caroline da Silva Barbosa
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
| | | | | | - Maria Lucia Silva Servo
- Department of Health, State University of Feira de Santana (UEFS), Feira de Santana 44036-900, Brazil
| | | | - Marcio Costa de Souza
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Brazil
| | - Sueli Bonfim Lago
- Department of Life Sciences, State University of Bahia (UNEB), Salvador 41150-000, Brazil
| | | | - Sergio Correa Marques
- School of Nursing, State University of Rio de Janeiro (UERJ), Rio de Janeiro 20551-030, Brazil
| | | | - Argemiro D'Oliveira Júnior
- Health Sciences Postgraduate Program, School of Medicine, Federal University of Bahia (UFBA), Salvador 40026-010, Bahia, Brazil
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Scorsatto M, Rosa G, Pimentel ADC, Luiz RR, Oliveira GMMD. Is it Possible to Easily Identify Metabolically Healthy Obese Women? Arq Bras Cardiol 2018; 111:733-737. [PMID: 30484514 PMCID: PMC6248237 DOI: 10.5935/abc.20180228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2018] [Accepted: 08/08/2018] [Indexed: 11/20/2022] Open
Abstract
Background: Obesity is recognized as a major risk factor for the development of
several metabolic complications. However, some obese individuals have a
favorable metabolic profile. Objective: The aim of this study was to identify an easy parameter for
recognizing metabolically healthy obese (MHO) women. Methods: A total of 292 non-diabetic women with a body mass index (BMI) ≥
30 kg/m2 were selected, and 239 composed the final cohort. We
classified the participants according to their metabolic state determined by
homeostasis model assessment (HOMA) into MHO or metabolically unhealthy obese
(MUO). Both groups were compared regarding biochemical, anthropometric, and body
composition characteristics. Results: The average age of the cohort was 43.9 ± 10.9 years and the
average BMI was 37.2 ± 5.3 kg/m2. In total, 75.7% of the
participants were classified as MHO by HOMA. A cutoff of 108.2 cm for waist
circumference (WC) identified MHO participants with a sensitivity of 72.4% (95%
confidence interval [CI]: 59.8-82.3%), specificity of 66.9% (95% CI:
59.71-73.3%), and negative likelihood ratio of 0.41 (95% CI: 0.36-0.47).
Additionally, a visceral adiposity index cutoff value of 99.2 identified MHO
women with a sensitivity of 89.7% (95% CI: 79.2-95.2%), specificity of 48.6%
(95% CI: 41.4-55.9%), and negative likelihood ratio of 0.21 (95% CI:
0.15-0.30). Conclusion: Women classified as MHO exhibited smaller WC measurements and lower
body fat percentages, as well as lower blood glucose and insulin levels. WC
emerged as an easy parameter for identifying MHO women.
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Affiliation(s)
- Mauara Scorsatto
- Programa de Pós-Graduação em Cardiologia - Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brazil
| | - Glorimar Rosa
- Instituto de Nutrição Josué de Castro - Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brazil
| | - Aline de Castro Pimentel
- Programa de Pós-Graduação em Cardiologia - Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brazil
| | - Ronir Raggio Luiz
- Instituto de Estudos de Saúde Coletiva da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ - Brazil
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