Fernanda Silva Franco

Comparison of functional autonomy with associated sociodemographic factors, lifestyle, chronic diseases (CD) and neuropsychiatric factors in elderly patients with or without the metabolic syndrome (MS)

The objective of this study was to compare autonomy and its associated factors in the elderly with and without MS. This study was a cross-sectional evaluation comprised of 402 subjects aged 60 years or older, of both sexes, consulting at the Family Health program, in Viçosa/MG. Autonomy was classified according to the Group of Latin American Development to Maturity (GDLAM) protocol and MS according to classification of the International Diabetes Federation. The independent variables were sociodemographic gender, age, marital status, education, those related to lifestyle including levels of physical activity and sedentary behavior, neuropsychological aspects included depressive symptoms, level of cognition and the presence of CD. A multiple linear regression model was used to estimate associations of variables with autonomy in the elderly with or without the MS. In the elderly group without MS, autonomy was associated with increasing age, sedentary behavior and depressive symptoms. In the group of elderly patients with MS, in addition to these factors, autonomy was also associated with being illiterate, not being physically active and presenting chronic illness. It was concluded that the presence of MS worsened the functional autonomy of elderly persons.

Anthropometric indicators of obesity as predictors of cardiovascular risk in the elderly

BACKGROUND Various anthropometric indicators can be used as predictors of cardiovascular risk in the elderly. OBJECTIVE Evaluate the predictive capacity of anthropometric measurements in identifying cardiovascular risk in elderly patients at the Family Health Strategy of Viçosa-MG. METHODOLOGY This was a cross-sectional epidemiological study with 349 elderly persons. Cardiovascular risk was calculated using the ratio of triglyceride levels with HDL-cholesterol (TG/HDL-c) levels. The anthropometric variables measured were waist circumference, body mass index, waist-to-height ratio, and conicity index. A biochemical assessment of triglycerides and HDL-cholesterol was performed. The anthropometric measurements were also related to cardiovascular risk using Receiver Operating Characteristic (ROC) curves. RESULTS The observed results suggest that all these anthropometric indexes can be used to predict cardiovascular risk in males. However, in females, only BMI showed predictive capacity. The cutoff points identified appeared very close to the cutoffs recommended and recognized in other studies, with the exception of waist circumference measured at the midpoint between the last rib and the iliac crest, which showed a considerable difference. CONCLUSION All anthropometric indices can be used to predict cardiovascular risk in males and females. Waist circumference at the midpoint between the last rib and the iliac crest was the best anthropometric measure to predict cardiovascular risk in males and smaller waist circumference and waist-height were the best anthropometric measures in females.

LIPID PROFILE AND ASSOCIATED FACTORS AMONG ELDERLY PEOPLE, ATTENDED AT THE FAMILY HEALTH STRATEGY, VIÇOSA/MG.

BACKGROUND the aging population has been accompanied by epidemiological changes of the Brazilian population, with the highlight being the continued growth of the prevalence of non-communicable chronic diseases especially cardiovascular or artery-coronary, resulting from changes in the lipid profile of the elderly. OBJECTIVE this study had the aim to describe the behavioral, anthropometric, lifestyle and body composition factors and their association with changes in the lipid profile of elderly people. METHODOLOGY the sample included 402 participants attended at the Family Health Strategy, Viçosa (MG), to which a questionnaire with socio-demographic, behavioral and lifestyle information was applied. Blood sample was collected to obtain the lipid fractions, and the weight, height, waist circumference and body fat percentage were measured. Multiple linear regression was performed to identify independently associated factors with changes in each of the selected lipid fractions. RESULTS the factors independently associated with increased levels of total cholesterol were the presence of sedentary behavior, high body fat percentage, greater waist height and greater waist circumference. The consumption of alcoholic beverages and a higher waist-hip ratio remained independently associated with decreased high-density lipoprotein levels. The increased waist circumference was independently associated with low values of the low-density lipoprotein levels. The value of increased triglyceride was independently associated with higher waist-hip ratio, higher body mass index and smoking. CONCLUSIONS modifiable risk factors associated with a changed lipid profile should be prioritized among the actions to be considered in structuring health programs for the elderly.

Abdominal perimeter is associated with food intake, sociodemographic and behavioral factors among adults in southern Brazil: a population-based study

OBJECTIVE The aim of this study is to investigate the abdominal perimeter determinants in adults who live in the city of Lages, SC. DESIGN A population-based cross-sectional study in adults from 20 to 59 years-old of the urban area (n=2.022). The dependent variable is the abdominal perimeter, the independent variables are: age, skin color self-reported, marital status, number of children, per capita income, education, physical activity, smoking, nutrition, self-reported diabetes mellitus, high blood pressure, body weight index. The differences between the mean perimeters were tested using ANOVA test and multiple linear regression for confounding adjustment. RESULTS The response rate was 98.2%, 52.3% were women. The mean abdominal perimeter for men was 93.66 cm (SD 13.8) and for women 92.80 cm (SD 14.5). There was a positive association of abdominal circumference with age (p.

Predictive capacity of indicators of adiposity in the metabolic syndrome in elderly individuals

1 Universidade Federal de Viçosa, Departamento de Nutrição e Saúde, Programa de Pós-Graduação em Ciência da Nutrição. Av. PH Rolfs, s/n., CCB-II, 36570-000, Viçosa, MG, Brasil. Correspondência para/Correspondence to: KBD MORAIS. E-mail: <keila_bacelar@yahoo.com.br>. 2 Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Nutrição, Programa de Pós-Graduação em Nutrição e Saúde. Belo Horizonte, MG, Brasil. Article based on the master’s thesis of KBD MORAIS, entitled “Capacidade preditiva de indicadores de adiposidade sobre o risco cardiometabólico em idosos de Viçosa (MG)”. Universidade Federal de Viçosa; 2014. Support: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.

Association between triglycerides and HDL-cholesterol ratio and cardiovascular risk factors among elderly persons receiving care under the family health strategy of Viçosa, Minas Gerais

Objetivo: Avaliar a associacao entre razao Triglicerideos e HDL-colesterol (TG/HDL-c) e fatores de risco cardiovascular em idosos. Metodo: Estudo epidemiologico transversal, com amostra probabilistica de idosos (n=349), de ambos os sexos, atendidos na Estrategia Saude da Familia do municipio de Vicosa, MG. O risco cardiovascular foi calculado pela relacao entre os niveis de TG sobre os niveis de HDL-c, sendo considerado em risco um valor maior que 3,5. Foram investigadas variaveis sociais e economicas de estilo de vida, doencas cronicas nao transmissiveis, niveis sericos de glicose, circunferencia da cintura (CC) e indice de massa corporal. Para avaliar a associacao entre a razao TG/HDL-c e as demais variaveis, foi utilizada regressao linear multipla. As variaveis que se associaram a variavel dependente com nivel de significância menor que 0,20, na analise de regressao univariada, foram incluidas no modelo final (Stepwise-forward), adotando-se nivel de significância p<0,05. Resultados: Os maiores valores da razao TG/HDL-c associaram-se com a presenca da hipertensao arterial, ter sido ou ser fumante, apresentar elevados niveis sericos de glicose e possuir maior CC. Conclusao: Os achados refletem a importância de estudos sobre risco cardiovascular em idosos, devendo os profissionais da area da saude ter familiaridade com os parâmetros que classificam os individuos com risco cardiovascular, sendo a razao TG/HDL-c um metodo confiavel, com facil aplicabilidade e boa correlacao com efeitos adversos a saude.

Padrão alimentar de idosos: caracterização e associação com aspectos socioeconômicos

Objective: To investigate the association between dietary patterns and the socioeconomic aspects of elderly patients registered with the Family Health Strategy in Vicosa, Minas Gerais. Method: A cross-sectional study with a probabilistic sample was employed. To identify dietary patterns, dietary intake was assessed through a Food Frequency Questionnaire (FFQ) adapted for an elderly population. From the FFQ dietary patterns were identified by factor analysis. After the identification of the dietary patterns, logistic regression was performed considering each different dietary pattern and the related socioeconomic variables. Results: The consumption of a Fat and sugar pattern was greater among women and lower in elderly persons who considered themselves as mixed race. The consumption of the Balanced pattern was also lower among mixed race, married individuals, with one to four years of schooling and from the CDE economic classes. The Fruit and fish pattern was less consumed by elderly persons with 1-4 years of schooling, while the opposite was observed among those with five years or more of study. But the consumption of a Leafy vegetables pattern was lower among those with five or more years of schooling. Conclusion: The evaluation of the consumption of dietary patterns and the establishment of a relationship with the socioeconomic aspects of the elderly helps to achieve a better understanding of risk and protective factors for health.Objective: To investigate the association between dietary patterns and the socioeconomic aspects of elderly patients registered with the Family Health Strategy in Viçosa, Minas Gerais. Method: A cross-sectional study with a probabilistic sample was employed. To identify dietary patterns, dietary intake was assessed through a Food Frequency Palavras-chave: Consumo de Alimentos. Saúde do Idoso. Fatores Socioeconômicos. http://dx.doi.org/10.1590/1981-22562016019.160035 Padrão alimentar e aspectos socioeconômicos de idosos 971 Questionnaire (FFQ) adapted for an elderly population. From the FFQ dietary patterns were identified by factor analysis. After the identification of the dietary patterns, logistic regression was performed considering each different dietary pattern and the related socioeconomic variables. Results: The consumption of a Fat and sugar pattern was greater among women and lower in elderly persons who considered themselves as mixed-race. The consumption of the Balanced pattern was also lower among mixed-race, married individuals, with one to four years of schooling and from the CDE economic classes. The Fruit and fish pattern was less consumed by elderly persons with 1-4 years of schooling, while the opposite was observed among those with five years or more of study. But the consumption of a Leafy vegetables pattern was lower among those with five or more years of schooling. Conclusion: The evaluation of the consumption of dietary patterns and the establishment of a relationship with the socioeconomic aspects of the elderly helps to achieve a better understanding of risk and protective factors for health.