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Previous issue date: 2003-03-26 / Objective : The study attempted to estimate the prevalence of metabolic syndrome (MS) in seniors presenting at the Geriatrics Outpatient Service and analyze the association of metabolic syndrome with morbidity and mortality after a five-year follow-up. Method : A historic cohort study was carried out with patients attending the outpatient service from January through December 1998, at age 60 or older. In the first stage, patient charts were extensively reviewed, identifying patients with metabolic syndrome (MS), morbidity and lifestyle. At the second stage, the patients and/or their families were called for death reports in the period and its possible cause. A descriptive, comparative and multivariate analysis was conducted, and the survival curve was calculated as established by Cox and Kaplan-Meier. Results : Of a total of 383 old patients that attended the outpatient clinic in the period investigated, 283 (73.9%) were contacted. The comparison between the contacted sample and the missing one didn t show differences, suggesting the missing group wouldn t imply bias in the sample.The main results included the observation of: (1) 26.5% (75) MS prevalence; (2) 5.3% (15) mortality in the follow-up period among the seniors investigated, with only one MS patient dying in the period; (3) in the group affected, in addition to morbidities associated to the diagnosis (hypertension, diabetes, obesity, and dyslipidemia), the following disorders were significantly associated to MS: acute myocardial infarction and stable angina. Unlike other morbidities, osteoporosis was inversely associated to MS; (4) given the reduced number of individuals that died, no association between MS and mortality was observed in the study period. Conclusion : In spite of no association with mortality, most results related to MS are in agreement with literature and suggest that this disease is of great impact on geriatric practice. / Objetivo : o estudo realizado buscou estimar a preval?ncia de s?ndrome metab?lica em idosos que freq?entavam um Servi?o Ambulatorial de Geriatria e analisar a associa??o de s?ndrome metab?lica com morbidades e mortalidade ap?s cinco anos de seguimento. Metodologia : um estudo de coorte hist?rica foi realizado com pacientes que freq?entaram o servi?o ambulatorial no per?odo de janeiro a dezembro de 1998, com idade > 60 anos. Na primeira etapa, o prontu?rio dos referidos pacientes foi extensamente revisado, identificando-se pacientes com s?ndrome metab?lica (SM), morbidades e estilo de vida. Na segunda etapa, foi realizado contato telef?nico com os pacientes e/ou seus familiares para a obten??o da informa??o de ocorr?ncia de ?bito no per?odo, e sua poss?vel causa. An?lise estat?stica descritiva, comparativa e multivariada foi realizada, bem como foi calculada a curva de sobreviv?ncia calculada por Cox e Kaplan-Meier. Resultados : de um total de 383 pacientes idosos que freq?entaram o ambulat?rio no per?odo investigado, foram contatados 283 (73,9%). Compara??o entre a amostra contatada e a perdida n?o mostrou diferen?as entre as mesmas, sugerindo-se que tal perda n?o implicaria em um vi?s na amostra. Os principais resultados obtidos incluiram a observa??o de: (1) uma preval?ncia de SM de 26,5% (75); (2) uma mortalidade no per?odo de seguimento de 5,3% (15) dos idosos investigados, sendo que apenas um idosos com SM faleceu no per?odo; (3) no grupo afetado al?m das morbidades associadas ao diagn?stico (hipertens?o, diabetes, obesidade e dislipidemia) as seguintes outras doen?as foram significativamente associadas a SM: infarto agudo do mioc?rdio e angina est?vel. Ao contr?rio das outras morbidades, osteoporose foi inversamente associada a SM; (4) dado o n?mero reduzido de indiv?duos que foram a ?bito, n?o foi observada associa??o entre SM e mortalidade no per?odo investigado. Conclus?o : Apesar da n?o associa??o com mortalidade, a maioria dos resultados obtidos em rela??o a SM est?o em concord?ncia com a literatura e sugerem ser tal doen?a de grande impacto na cl?nica geri?trica.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1766 |
| Date | 26 March 2003 |
| Creators | Bonardi, Gislaine |
| Contributors | Cruz, Ivana Beatrice M?nica da |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| 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:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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