Metabolic Syndrome and nutritional status of elderly registered in the HiperDia system

Carolina Böettge Rosa, Joice Andreia Agostini, Patrícia Dall'Agnol Bianchi, Solange Beatriz Billig Garces, Dinara Hansen, Paulo Ricardo Moreira, Carla Helena Augustin Schwanke

Abstract


Aims: To analyze the association of metabolic syndrome and its components with the nutritional status of elderly enrolled in the HiperDia system.

Methods: This was a cross-sectional study with a sample of elderly enrolled in the HiperDia of Central Specialty Unit of Municipal Health Department from Cruz Alta, Rio Grande do Sul, whose records contained the information necessary for the study. Metabolic syndrome diagnosis was based on criteria established by the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III) and recommended by the Brazilian Society of Cardiology in the I Brazilian Guidelines for Diagnosis and Treatment of Metabolic Syndrome. Nutritional status was assessed by body mass index, according to the classification of II Guidelines on Geriatric Cardiology of the Brazilian Society of Cardiology. In the statistical analysis, the Student t test and the chi-square test were used, with analysis of adjusted residuals.

Results: At all 485 seniors met the inclusion criteria and were selected. The sample mean age was 68.9±6.8 years (range 60 to 94 years). Most participants were female (62.5%) had metabolic syndrome (61.2%), and overweight/obesity (59%). When analyzing the association between nutritional status and metabolic syndrome and its components, significant associations of obesity with metabolic syndrome, central obesity, hypertriglyceridemia, and presence of four/five components of the syndrome (p <0.001) were found. The most common metabolic syndrome component was high blood pressure (81.3%), and the less frequent was hypertriglyceridemia (48.2%). Regarding gender, the frequency of metabolic syndrome was significantly higher among women (p=0.004; 66.3% versus 52.7%).

Conclusions: The frequency of metabolic syndrome and its components and its association with nutritional status of elderly enrolled in HiperDia provides evidence that metabolic syndrome and nutritional status should also be monitored through this system.


Keywords


metabolic syndrome X; aged; nutritional status; body mass index; primary health care.

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DOI: http://dx.doi.org/10.15448/1980-6108.2016.3.23100

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