Objetivo: investigar a associação entre demência e indicadores antropométricos em idosos de Florianópolis. Método: estudo transversal, de base populacional, realizado com 1197 idosos (?60 anos) em 2013/2014. A demência foi considerada como a presença conjunta de escore baixo no Miniexame do Estado Mental (MEEM) e a incapacidade funcional moderada/grave nas atividades de vida diária (AVD). As variáveis independentes avaliadas foram: índice de massa corporal (IMC), perímetro da cintura (PC), índice de conicidade e relação cintura/estatura (RCEst). A regressão logística (bruta e ajustada) foi utilizada para identificar os fatores associados. Resultados: a prevalência estimada de demência foi de 15,1%. Após ajustes para características sociodemográficas, estilo de vida e sintomas depressivos, a demência foi positivamente associada aos tercis superiores do IMC (OR: 2,32; IC95%: 1,26-4,25), PC (OR: 2,22; IC95%: 1,20-4,11) e RCEst. (OR: 2,30; IC95%: 1,19-4,43). Conclusão: De acordo com os resultados, tanto a obesidade quanto a gordura abdominal foram associados ao desfecho, sugerindo que o IMC, o PC e a RCEst. devam ser considerados na investigação dessa relação.
Palavras-chave:
Antropometria; Índice de massa corporal; Gordura abdominal; Desordem cognitiva.
Abstract:
Objective: To investigate the association between dementia and anthropometric indicators in older adults of Florianópolis. Method: This was a cross-sectional population-based survey. A total of 1197 older adults were examined in 2013/2014 (≥60 years). Dementia was defined according to the combination of low MMSE (Mini-Mental State Examination) score and moderate/severe dependence in the activities of daily living. The independent variables were body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and conicity index. Logistic regression (crude and adjusted) was used. Results: The estimation of the prevalence of dementia was 15,1%. After adjustement for sociodemographic characteristics, lifestyle and depressive symptoms, the dementia was positively associated with the upper tertiles of the BMI (OR: 2,32; IC95%: 1,26-4,25), WC (OR: 2,22; IC95%: 1,20-4,11) and WHtR (OR: 2,30; IC95%: 1,19-4,43). Conclusion: According to the results, both obesity and abdominal fat were associated with the outcome, suggesting that BMI, WC and WHtR should be considered in the investigation of this relationship.
Keywords:
Anthropometry; Body mass index; Abdominal obesity; Cognitive disorde
Anthropometric indicators associated with dementia in older adultsFlorianópolis - SC: EpiFloripa Ageing Study.
Resumo (abstract):
Objective: To investigate the association between dementia and anthropometric indicators in older adults of Florianópolis. Method: This was a cross-sectional population-based survey. A total of 1197 older adults were examined in 2013/2014 (≥60 years). Dementia was defined according to the combination of low MMSE (Mini-Mental State Examination) score and moderate/severe dependence in the activities of daily living. The independent variables were body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR) and conicity index. Logistic regression (crude and adjusted) was used. Results: The estimation of the prevalence of dementia was 15,1%. After adjustement for sociodemographic characteristics, lifestyle and depressive symptoms, the dementia was positively associated with the upper tertiles of the BMI (OR: 2,32; IC95%: 1,26-4,25), WC (OR: 2,22; IC95%: 1,20-4,11) and WHtR (OR: 2,30; IC95%: 1,19-4,43). Conclusion: According to the results, both obesity and abdominal fat were associated with the outcome, suggesting that BMI, WC and WHtR should be considered in the investigation of this relationship.
Palavras-chave (keywords):
Anthropometry; Body mass index; Abdominal obesity; Cognitive disorde
Confortin, S. C., Meneghini, Vandrize, Ono, Lariane Mortean, Garcia, KC, Schneider, IJC, d’Orsi, E, Barbosa, A. R.. Indicadores antropométricos associados à demência em idosos de Florianópolis - SC: Estudo EpiFloripa Idoso.. Cien Saude Colet [periódico na internet] (2017/Set). [Citado em 04/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/indicadores-antropometricos-associados-a-demencia-em-idosos-de-florianopolis-sc-estudo-epifloripa-idoso/16405?id=16405
