Mestrado em Saúde Coletiva

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http://repositorio.ufes.br/handle/10/17586

Nível: Mestrado Acadêmico
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Navegando Mestrado em Saúde Coletiva por Assunto "Abdominal obesity"

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    Fenótipo da cintura hipertrigliceridêmica e fatores nutricionais : um estudo com participantes do estudo longitudinal de saúde do adulto-Elsa-Brasil
    (Universidade Federal do Espírito Santo, 2016-04-26) Andrade, Juliana Rodrigues de; Molina, Maria del Carmen Bisi; Guandalini, Valdete Regina; Cade, Nágela Valadão
    The hypertriglyceridemic waist phenotype (HWP) is used to identify individuals susceptible to cardiovascular risks that have changed markers. The objective was to investigate the association between fat and fiber intakes and HWP. Cross-sectional study conducted from baseline Study of Adult Health Longitudinal - ELSA-Brazil. Anthropometric and blood sampling was performed. Participants were classified according to presence of HWP when circumference ≥102 waist for men and women ≥88cm and triglicerídeos≥150mg/dL. Fat and fiber intakes was estimated from the Food Frequency Questionnaire. Socioeconomic, demographic and behavioral variables were collected in the questionnaire. We used the Kolmogorov-Smirnov test and later the Mann-Whitney test, Kruskal-Wallis test, chi-square and logistic regression model, with 5% significance. The presence of HWP was 16.4% in the population. Mean BMI, total cholesterol, HDL-C and LDL-C were, respectively, 26.6 ± 5.5kg/m2 214 ±4mg/dL, 57±1mg/dl and 131±3 mg/dL. There was no association between fiber and fat intakes with HWP. Men were less chance to have the HWP (OR=0.649, 95%CI=0.575 to 0.733) and participants who practiced low physical activity (OR=1.535, 95%CI=1.244 to 1.894), with a history of smoking (OR=1.525, 95 % =1.352 to 1.719), smoking (OR=1.543, 95% CI=1.307 to 1.816), which belonged the first (OR =1.461, 95% CI=1.275 to 1.675) and second tertiles income (OR=1.342; 95%CI=1.169 to 1.541), overweight (OR=6.587, 95%CI=5.372 to 8.078) and obesity (OR=21.789; 95%CI=17.844 to 26.606) were more chance. No association between fat and fiber intakes with HWP was found, although researchs have already demonstrated the effects of these factors on health.
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    Prevalência de síndrome metabólica e fatores associados : um estudo de base populacional em Vitória/ES
    (Universidade Federal do Espírito Santo, 2007-04-26) Salaroli, Luciane Bresciani; Molina, Maria del Carmen Bisi; Bezerra, Olívia Maria de Paula Alves; Mill, José Geraldo
    Metabolic Syndrome (MS) can be defined as a complex disorder represented by a number of cardiovascular risk factors. This research aims at researching its prevalence and identifying its associated problems in Vitoria/ES, the data were collected from the project MONICA/WHO/Vitoria, which was carried out from 1999 to 2000. Socioeconomic, biochemical, anthropometric and hemodynamic parameters were collected among 1.663 individuals aged 25 to 64. The criteria used in diagnosing MS were the NCEP-ATP III and data collection were made according to appropriate parameters recommended for each procedure. Expected prevalence in Vitoria was of 26,9% (IC 95%: 26,6-27,1). Gender- related differences were insignificant. In the 25 to 34 age group, MS prevalence was of 15,7% and reached 48,4% among the 55-64 age group. There was a progressive increase of MS in women with higher socioeconomic level, when compared to women who belong to lower classes. The most frequent parameters observed in the subgroup of man were hypertension, hypertriglyceridemia, low HDL cholesterol levels, hyperglycemia and abdominal obesity. In the subgroup of women, hypertension was the most frequent symptom, followed by low HDL-c levels, abdominal obesity, hypertriglyceridemia and hyperglycemia. A high concentration of uric acid was identified as the variable predictor that contributed most for MS outcome, followed by body mass index (BMI) and age. However, in women, socioeconomic level was the first variable predictor. Calcium intake, as well as the percentage of appropriate diets, was lower in individuals with MS. It is possible to conclude that MS prevalence is also high in young individuals and that high blood pressure helps diagnosing it. Socioeconomic level was a crucial point related to MS incidence in women. It is important to control risk factors in a way to reduce diabetes incidence and cardiovascular illnesses in young people.