Hudsara Aparecida de Almeida Paula

Comparação de diferentes critérios de definição para diagnóstico de síndrome metabólica em idosas

FUNDAMENTO: Los criterios para mejor definicion del sindrome metabolico/(SM), especialmente para la poblacion de adultos mayores, son todavia poco conocidos, y su comprension se convierte en cada vez mas necesaria. OBJETIVO: Comparar cuatro propuestas de definicion del SM, dos oficiales (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII e International Diabetes Federation/IDF) y dos candidatas definiciones propuestas (sindrome metabolico - National Cholesterol Education Programs Adult Treatment Panel III - modificada/SM-ATPM y Sindrome Metabolico - International Diabetes Federation - cambiada/SM-IDFM), derivadas del cambio de criterios oficiales. METODOS: Participaron en este estudio 113 mujeres (60-83 anos), sometidas a evaluacion antropometrica, de presion arterial, de perfil lipidico, de glucemia de ayuno y de cuestiones relacionadas a habitos de vida y condiciones de salud. Analisis estadisticas se efectuaron por medio de las pruebas chi-cuadrado y de determinacion del coeficiente Kappa. RESULTADOS: La frecuencia de los altos niveles de presion fue similar en las dos definiciones oficiales (54,8%), con reduccion en las dos definiciones propuestas (33,6%). La alteracion en la homeostasis de glucosa fue mayor por la definicion IDF y SM-IDFM (30,1%). La hipertrigliceridemia y los bajos niveles de HDL-c fueron similares en todas las definiciones (35,4%). En lo que se refiere a la obesidad abdominal, la mayor ocurrencia se registro por medio del criterio del IDF (88,5%). La presencia de sindrome metabolico tuvo mayor y menor frecuencias de acuerdo con la propuesta del IDF (45,1%) y SM-IDFM (22,1%), respectivamente. Se encontro una mayor concordancia entre la definicion cambiada SM-ATPM con NCEP-ATPIII y SM-IDFM (Kappa: 0,79 y 0,77; p<0,00001). CONCLUSION: La propuesta SM-ATPM se hallo mas adecuada para la deteccion del SM en las mujeres adultas mayores evaluadas.BACKGROUND The criteria for best defining the metabolic syndrome (MS), especially in the elderly population, are still little known, and the understanding is increasingly necessary. OBJECTIVE Compare the four MS definition proposals, two official ones (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII and International Diabetes Federation/IDF) and two proposed definitions (Metabolic Syndrome - National Cholesterol Education Programs Adult Treatment Panel III - modified/MS-ATPM and Metabolic Syndrome - International Diabetes Federation - modified/MS-IDFM), derived from the changes in the official criteria. METHODS A total of 113 women (60-83 years old) participated in this study; they were submitted to anthropometric, blood pressure, lipid profile, fasting glycemia tests and answered questions related to life style habits and health conditions. Statistical analyses were performed using the chi-square test and Kappa coefficient determination. RESULTS The frequency of the high pressure levels was similar in the two official definitions (54.8%), with a reduction in the two proposed definitions (33.6%). The homeostasis change of the glucose was higher as per the IDF and MS-IDFM (30.1%). The hypertriglyceridemia and the low levels of HDL-c were similar in all the definitions (35.4%). In relation to the abdominal obesity, the higher occurrence was registered by the IDF criteria (88.5%). The presence of the metabolic syndrome presented higher and lower frequencies as per the IDF proposal (45.1%) and MS-IDFM (22.1%), respectively. Higher agreement was found between the modified definition MS-ATPM with NCEP-ATPIII and MS-IDFM (Kappa: 0.79 and 0.77; p < 0.00001). CONCLUSION The MS-ATPM proposal was found more adequate for the MS detection in the evaluated elderly women.

Yacon (Smallanthus Sonchifolius): A Food with Multiple Functions

Functional foods are the focus of many studies worldwide. This is justified by the effects they have on public health and thus interest in elucidation of the mechanisms involved in their actions. The present review aims to broaden the discussions of the functional properties attributed to yacon (Smallanthus sonchifolius), considered a food with multiple functions since it possesses bioactive compounds (antimicrobial, antioxidant, and probiotic substances) that exert beneficial effects on the body. Although some studies have already demonstrated several of these functions, clinical evidence is scarce, making it necessary that more studies are conducted in this area. Still, since the availability of this food in the market is relatively new, its popularity depends on publications aimed at consumer education and development of new products by the food industry.

Classic Anthropometric and Body Composition Indicators Can Predict Risk of Metabolic Syndrome in Elderly

Background/Aims: Although a variety of classical body measurements have been used to assess adiposity, it is still uncertain which is the best indicator to predict effects arising from the accumulation of body fat (BF) in the elderly. The objective of this study was to analyze different classical anthropometric and body composition measurements and their potential for predicting metabolic syndrome (MS) in elderly women. Methods: There were 113 women (60–83 years old) participating in the study, all of whom had their anthropometric, biochemical, hemodynamic and health conditions evaluated. Statistical analysis consisted of correlation coefficient and receiver operating characteristic (ROC) curves, and calculation of the area under the curve. Results: The waist-hip ratio (WHR) and waist circumference correlated with three (hyperglycemia, hypertriglyceridemia and low concentrations of high density lipoprotein-cholesterol) of the seven cardiometabolic risk factors studied. Body mass index, BF, percentage of BF, and the sum of skinfolds were less related to metabolic risk factors. Among the indicators used to characterize central adiposity, WHR was the index that showed the greatest area under the ROC curve. Conclusions: It is suggested that the WHR, an indicator of abdominal adiposity, should be incorporated into the identification of risk of MS in elderly women.

Comparison of the different definition criteria for the diagnosis of the metabolic syndrome in elderly women

FUNDAMENTO: Los criterios para mejor definicion del sindrome metabolico/(SM), especialmente para la poblacion de adultos mayores, son todavia poco conocidos, y su comprension se convierte en cada vez mas necesaria. OBJETIVO: Comparar cuatro propuestas de definicion del SM, dos oficiales (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII e International Diabetes Federation/IDF) y dos candidatas definiciones propuestas (sindrome metabolico - National Cholesterol Education Programs Adult Treatment Panel III - modificada/SM-ATPM y Sindrome Metabolico - International Diabetes Federation - cambiada/SM-IDFM), derivadas del cambio de criterios oficiales. METODOS: Participaron en este estudio 113 mujeres (60-83 anos), sometidas a evaluacion antropometrica, de presion arterial, de perfil lipidico, de glucemia de ayuno y de cuestiones relacionadas a habitos de vida y condiciones de salud. Analisis estadisticas se efectuaron por medio de las pruebas chi-cuadrado y de determinacion del coeficiente Kappa. RESULTADOS: La frecuencia de los altos niveles de presion fue similar en las dos definiciones oficiales (54,8%), con reduccion en las dos definiciones propuestas (33,6%). La alteracion en la homeostasis de glucosa fue mayor por la definicion IDF y SM-IDFM (30,1%). La hipertrigliceridemia y los bajos niveles de HDL-c fueron similares en todas las definiciones (35,4%). En lo que se refiere a la obesidad abdominal, la mayor ocurrencia se registro por medio del criterio del IDF (88,5%). La presencia de sindrome metabolico tuvo mayor y menor frecuencias de acuerdo con la propuesta del IDF (45,1%) y SM-IDFM (22,1%), respectivamente. Se encontro una mayor concordancia entre la definicion cambiada SM-ATPM con NCEP-ATPIII y SM-IDFM (Kappa: 0,79 y 0,77; p<0,00001). CONCLUSION: La propuesta SM-ATPM se hallo mas adecuada para la deteccion del SM en las mujeres adultas mayores evaluadas.BACKGROUND The criteria for best defining the metabolic syndrome (MS), especially in the elderly population, are still little known, and the understanding is increasingly necessary. OBJECTIVE Compare the four MS definition proposals, two official ones (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII and International Diabetes Federation/IDF) and two proposed definitions (Metabolic Syndrome - National Cholesterol Education Programs Adult Treatment Panel III - modified/MS-ATPM and Metabolic Syndrome - International Diabetes Federation - modified/MS-IDFM), derived from the changes in the official criteria. METHODS A total of 113 women (60-83 years old) participated in this study; they were submitted to anthropometric, blood pressure, lipid profile, fasting glycemia tests and answered questions related to life style habits and health conditions. Statistical analyses were performed using the chi-square test and Kappa coefficient determination. RESULTS The frequency of the high pressure levels was similar in the two official definitions (54.8%), with a reduction in the two proposed definitions (33.6%). The homeostasis change of the glucose was higher as per the IDF and MS-IDFM (30.1%). The hypertriglyceridemia and the low levels of HDL-c were similar in all the definitions (35.4%). In relation to the abdominal obesity, the higher occurrence was registered by the IDF criteria (88.5%). The presence of the metabolic syndrome presented higher and lower frequencies as per the IDF proposal (45.1%) and MS-IDFM (22.1%), respectively. Higher agreement was found between the modified definition MS-ATPM with NCEP-ATPIII and MS-IDFM (Kappa: 0.79 and 0.77; p < 0.00001). CONCLUSION The MS-ATPM proposal was found more adequate for the MS detection in the evaluated elderly women.

Comparación entre distintos criterios de definición para diagnóstico de síndrome metabólico en mujeres adultas mayores

FUNDAMENTO: Los criterios para mejor definicion del sindrome metabolico/(SM), especialmente para la poblacion de adultos mayores, son todavia poco conocidos, y su comprension se convierte en cada vez mas necesaria. OBJETIVO: Comparar cuatro propuestas de definicion del SM, dos oficiales (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII e International Diabetes Federation/IDF) y dos candidatas definiciones propuestas (sindrome metabolico - National Cholesterol Education Programs Adult Treatment Panel III - modificada/SM-ATPM y Sindrome Metabolico - International Diabetes Federation - cambiada/SM-IDFM), derivadas del cambio de criterios oficiales. METODOS: Participaron en este estudio 113 mujeres (60-83 anos), sometidas a evaluacion antropometrica, de presion arterial, de perfil lipidico, de glucemia de ayuno y de cuestiones relacionadas a habitos de vida y condiciones de salud. Analisis estadisticas se efectuaron por medio de las pruebas chi-cuadrado y de determinacion del coeficiente Kappa. RESULTADOS: La frecuencia de los altos niveles de presion fue similar en las dos definiciones oficiales (54,8%), con reduccion en las dos definiciones propuestas (33,6%). La alteracion en la homeostasis de glucosa fue mayor por la definicion IDF y SM-IDFM (30,1%). La hipertrigliceridemia y los bajos niveles de HDL-c fueron similares en todas las definiciones (35,4%). En lo que se refiere a la obesidad abdominal, la mayor ocurrencia se registro por medio del criterio del IDF (88,5%). La presencia de sindrome metabolico tuvo mayor y menor frecuencias de acuerdo con la propuesta del IDF (45,1%) y SM-IDFM (22,1%), respectivamente. Se encontro una mayor concordancia entre la definicion cambiada SM-ATPM con NCEP-ATPIII y SM-IDFM (Kappa: 0,79 y 0,77; p<0,00001). CONCLUSION: La propuesta SM-ATPM se hallo mas adecuada para la deteccion del SM en las mujeres adultas mayores evaluadas.BACKGROUND The criteria for best defining the metabolic syndrome (MS), especially in the elderly population, are still little known, and the understanding is increasingly necessary. OBJECTIVE Compare the four MS definition proposals, two official ones (National Cholesterol Education Programs Adult Treatment Panel III/NCEP-ATPIII and International Diabetes Federation/IDF) and two proposed definitions (Metabolic Syndrome - National Cholesterol Education Programs Adult Treatment Panel III - modified/MS-ATPM and Metabolic Syndrome - International Diabetes Federation - modified/MS-IDFM), derived from the changes in the official criteria. METHODS A total of 113 women (60-83 years old) participated in this study; they were submitted to anthropometric, blood pressure, lipid profile, fasting glycemia tests and answered questions related to life style habits and health conditions. Statistical analyses were performed using the chi-square test and Kappa coefficient determination. RESULTS The frequency of the high pressure levels was similar in the two official definitions (54.8%), with a reduction in the two proposed definitions (33.6%). The homeostasis change of the glucose was higher as per the IDF and MS-IDFM (30.1%). The hypertriglyceridemia and the low levels of HDL-c were similar in all the definitions (35.4%). In relation to the abdominal obesity, the higher occurrence was registered by the IDF criteria (88.5%). The presence of the metabolic syndrome presented higher and lower frequencies as per the IDF proposal (45.1%) and MS-IDFM (22.1%), respectively. Higher agreement was found between the modified definition MS-ATPM with NCEP-ATPIII and MS-IDFM (Kappa: 0.79 and 0.77; p < 0.00001). CONCLUSION The MS-ATPM proposal was found more adequate for the MS detection in the evaluated elderly women.