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Previous issue date: 2008-07-28 / The metabolic syndrome (MetS) involves a group of risk factors and is associated with a significantly higher risk of developing cardiovascular diseases (CVD) and type 2
diabetes. Recent studies have shown the importance of preventing CVD through early diagnosis and treatment of patients with MetS. The objective of our study was to
determine the prevalence of MetS by different diagnostic criteria in postmenopausal women and analyze the influence of socioeconomic factors on cardiovascular risk in this sample of the population. A cross-sectional study involving 127 postmenopausal women (45 to 64 years) from Natal and Mossor?, Brazil. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte. The experimental protocol consisted of applying structured interview, clinical examination and implementation of dosages blood. The diagnosis of MetS was based on NCEP-ATP III (National Cholesterol Education Program-Adult Treatment Panel III) and IDF (International Diabetes Federation) criteria. The research was accomplished with the participation of an interdisciplinary team in their several phases. The result of the sample studied had mean age of 53.9 ? 4.6 years and per capita income of 54.5 dollars.
The prevalence of MetS, according to NCEP-ATP III and IDF criteria, was 52.8% and 61.4$, respectively. The agreement rate between NCEP-ATP III and IDF criteria was 81.9%, with a kappa value of 0.63 (CI 95%, 0.49-0.76), indicating good agreement between the two definitions. The most prevalent cardiovascular risk factor was HDL < 50 mg/dl, observed in 96.1% of the women analyzed, followed by increased waist circumference (≥ 80 cm) in 78.0%, elevated blood pressure in 51.2%, triglycerides ≥ 150 mg/dl in 40.9% and glycemia ≥ 100 mg/dl in 37.0% of the women. The occurrence of MetS was significantly associated with schooling and body mass index (BMI). High blood pressure was significantly associated with low family income, low schooling and
weight gain. There was no significant association between the intensity of climacteric symptomatology and the occurrence of MetS. The conclusions of the research were that MetS and its individual components show a high prevalence in postmenopausal Brazilian women, and significant associations with weight gain and low socioeconomic indicators. The data point to the need for an interdisciplinary approach at the basic
health care level, directed toward the early identification of risk factors and the promotion of cardiovascular health of climacteric women. / A s?ndrome metab?lica (SM) engloba um grupo de fatores de risco, estando associada com aumento significativo do risco para desenvolvimento de doen?as cardiovasculares
(DCV) e diabetes tipo 2. Recentes pesquisas t?m demonstrado a import?ncia da identifica??o precoce e tratamento de pacientes com SM, visando ? preven??o das DCV. O objetivo do nosso trabalho foi determinar a preval?ncia de SM por diferentes crit?rios diagn?sticos em mulheres na p?s-menopausa e analisar a influ?ncia da
intensidade dos fatores s?cio-econ?micos sobre o risco cardiovascular nessa amostra da popula??o. Foi realizado estudo transversal envolvendo 127 mulheres na p?s-
menopausa (idade de 45 a 64 anos) residentes em Natal e Mossor?, Rio Grande do Norte. O estudo foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade
Federal do Rio Grande do Norte. O protocolo experimental constou da aplica??o de entrevista estruturada, exame cl?nico e realiza??o de dosagens sangu?neas. O diagn?stico de SM foi estabelecido com base nos crit?rios NCEP-ATP III (National Cholesterol Education Program - Adult Treatment Panel III) e da IDF (International Diabetes Federation). A pesquisa foi realizada com a participa??o de uma equipe interdisciplinar nas suas diversas fases. O resultado da amostra estudada apresentou m?dia de idade de 53,9 ? 4,6 anos e renda per capita m?dia de 54,5 d?lares. A
preval?ncia de SM conforme os crit?rios NCEP-ATP III e IDF foi de 52,8% e 61,4%, respectivamente. A taxa de concord?ncia entre os crit?rios NCEP-ATP III e IDF foi de
81,9%, com valor de kappa de 0,63 (IC 95%, 0,49-0,76), indicando haver boa concord?ncia entre as duas defini??es. O fator de risco cardiovascular mais prevalente
foi HDL<50 mg/dl, observado em 96,1% das mulheres analisadas, seguido por circunfer?ncia da cintura aumentada (≥80 cm) em 78,0%, eleva??o da press?o arterial em 51,2%, triglicer?deos ≥ 150 mg/dl em 40,9% e glicemia ≥ 100 mg/dl em 37,0% das mulheres. A ocorr?ncia de SM foi significativamente associada com a escolaridade e ?ndice de massa corporal (IMC). Press?o arterial elevada foi significativamente associada com baixa renda familiar, baixa escolaridade e ganho de peso. N?o houve associa??o significativa entre a intensidade da sintomatologia climat?rica e ocorr?ncia de SM. As conclus?es da pesquisa foram que a SM e seus componentes individuais apresentam elevada preval?ncia em mulheres brasileiras na p?s-menopausa, havendo
associa??es significativas com o ganho de peso e indicadores de baixo n?vel s?cio-econ?mico. Os dados apontam para a necessidade da abordagem interdisciplinar no n?vel da aten??o b?sica em sa?de, voltada para a identifica??o precoce de fatores de
risco e promo??o da sa?de cardiovascular das mulheres no climat?rio.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/13209 |
| Date | 28 July 2008 |
| Creators | Silveira, Inavan Lopes da |
| Contributors | CPF:67381286491, http://lattes.cnpq.br/1088076378928302, Silva, Ester da, CPF:51145316891, http://lattes.cnpq.br/0120120410847507, Diniz, Rosiane Viana Zuza, CPF:81331045487, http://lattes.cnpq.br/9248204623363592, Azevedo, George Dantas de |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Ci?ncias da Sa?de, UFRN, BR, Ci?ncias da Sa?de |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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