0243/2016 - Elevada prevalência de obesidade abdominal em idosos e associação com diabetes, hipertensão e doenças respiratórias High prevalence of abdominal obesity in elderly and association with diabetes, hypertension and respiratory diseases
• Liana Lima Vieira - Vieira, Liana Lima - Universidade Federal de Goiás, Faculdade de Medicina - <lianavieira@yahoo.com.br>
• Jacqueline Danesio Souza - Souza, Jacqueline Danesio - Universidade Federal de Goiás, Faculdade de Medicina - <jackdanesio@yahoo.com.br>
Área Temática:
Saúde do Idoso
Resumo:
Fundamento: O envelhecimento populacional acelerado e a obesidade abdominal (OA) são problemas de saúde pública mundial entre idosos ainda pouco investigados. Objetivos: Identificar a prevalência da OA em idosos, verificar sua associação com diferentes morbidades e variáveis sociodemográficas e de estilo de vida, conforme sexo. Método: Estudo transversal, com amostra representativa de idosos, residentes em Goiânia, Brasil. Foram realizadas visitas domiciliares para mensuração de peso, altura e circunferência abdominal (CA), pressão arterial e aplicação de questionário padronizado. A variável desfecho foi definida a partir da CA >102cm nos homens e >88 cm nas mulheres. Realizou-se regressão de Poisson múltipla, a partir de modelo hierárquico adotando-se nível de significância 5%. Resultados: A prevalência de OA foi de 55,1%, sendo de 65,5% nas mulheres e 34,8% nos homens, com diferença significativa (p<0,001). Nos homens a OA foi associada a faixa de idade entre 70 e 74 anos, presença de doenças do aparelho respiratório e hipertensão arterial. Nas mulheres, à OA manteve-se associada com a presença de diabetes mellitus. Conclusões: Os resultados contribuem para a compreensão da OA e desenvolvimento de abordagens preventivas em saúde coletiva.
Palavras-chave:
obesidade abdominalidosodiabetes mellitushipertensãodoenças respiratóriascircunferência da cintura
Abstract:
Background: The quick population aging process and the abdominal obesity (AO) are worldwide public health problems among elderly have been little investigated. Objectives: To identify the prevalence of OA in the elderly, its association with different morbidities, sociodemographic variables, and lifestyle according to sex. Methods: Cross-sectional study with a representative sample of elderly resident in Goiânia, Brazil. Home visits were performed to measure weight, height, waist circumference (WC), blood pressure, and to fulfill a standardized form. The outcome variable, was calculated from the WC> 102 cm in men and> 88 cm in women. Multiple Poisson regression was made from hierarchical model, adopting a significance level of 5%. Results: The OA prevalence was 55.1%, with 65.5% in women and 34.8% in men, with a significant difference (p <0.001). In men, OA was associated with age range between 70 and 74 years, presence of respiratory diseases and high blood pressure. In women, the OA remained associated with the presence of diabetes mellitus. Conclusions: The results contribute to the understanding of OA and developing preventive approaches in public health.
High prevalence of abdominal obesity in elderly and association with diabetes, hypertension and respiratory diseases
Resumo (abstract):
Background: The quick population aging process and the abdominal obesity (AO) are worldwide public health problems among elderly have been little investigated. Objectives: To identify the prevalence of OA in the elderly, its association with different morbidities, sociodemographic variables, and lifestyle according to sex. Methods: Cross-sectional study with a representative sample of elderly resident in Goiânia, Brazil. Home visits were performed to measure weight, height, waist circumference (WC), blood pressure, and to fulfill a standardized form. The outcome variable, was calculated from the WC> 102 cm in men and> 88 cm in women. Multiple Poisson regression was made from hierarchical model, adopting a significance level of 5%. Results: The OA prevalence was 55.1%, with 65.5% in women and 34.8% in men, with a significant difference (p <0.001). In men, OA was associated with age range between 70 and 74 years, presence of respiratory diseases and high blood pressure. In women, the OA remained associated with the presence of diabetes mellitus. Conclusions: The results contribute to the understanding of OA and developing preventive approaches in public health.
Silveira, E.A., Vieira, Liana Lima , Souza, Jacqueline Danesio. Elevada prevalência de obesidade abdominal em idosos e associação com diabetes, hipertensão e doenças respiratórias. Cien Saude Colet [periódico na internet] (2016/jun). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/elevada-prevalencia-de-obesidade-abdominal-em-idosos-e-associacao-com-diabetes-hipertensao-e-doencas-respiratorias/15668?id=15668&id=15668
