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Previous issue date: 2013-01-11 / The prevalence of metabolic syndrome (MS) has a wide range depending on the population and the diagnostic criteria used. MS is characterized by alterations in glucose metabolism, obesity, hypertension and dyslipidemia. Regarding bone mass, the higher the peak reached by the individual, the greater your reservation calcium for the period of aging and lower your susceptibility to fractures. This study aimed to describe bone mass and assess its relationship with the metabolic syndrome and vitamin D levels in indigenous middle-aged and elderly in rural areas of southern Brazil. This is a cohort study, cross-sectional, descriptive and analytical. Participated in the study, 73 Indians aged 40 or older in the municipality of Nonoai, RS, Brazil. The prevalence of MS was estimated by applying the diagnostic criteria recommended by the National Cholesterol Education Program - Adult Treatment Panel III. Biochemical tests were performed to determine the levels of total cholesterol, HDL cholesterol, blood glucose and TGL and vitamin D. Were also obtained anthropometric data and dietary data through a questionnaire frequency of food intake.
The evaluation of bone densitometry was performed by the regions of the spine and femur. The prevalence of MS was 56 (76.7%) being more prevalent in females. Regarding bone mass observed that the major changes were located in Column 46 (63%). With respect to the femur bone, only 19% of subjects analyzed had abnormal. With respect to serum levels of vitamin D found that 49 (67.1%) were altered When the criteria for SM were compared with changes in bone mass was not significant, however HDL values were related to reductions in the levels of Vitamin D. Regarding food frequency, there was an association between bone mass, SM and serum vitamin D in thier adding salt to food. We observed a significant relationship between intake of fatty foods and meat with SM and altered levels of vitamin D. It is believed that the health education of individuals with bone changes associated with MS is the best way to control this problem, since it promotes its suitability for Indian culture and motivation to change habits in order to improve quality of life. / A preval?ncia da s?ndrome metab?lica (SM) tem ampla varia??o dependendo da popula??o e do crit?rio de diagn?stico utilizado. A SM ? caracterizada por altera??es no metabolismo glic?dico, obesidade, hipertens?o e dislipidemia. Em rela??o ? massa ?ssea, quanto maior o pico atingido pelo indiv?duo, maior ser? a sua reserva de c?lcio para o per?odo do envelhecimento e menor ser? a sua suscetibilidade a fraturas. A presente pesquisa teve por objetivo descrever a massa ?ssea e a avaliar sua rela??o com a S?ndrome Metab?lica e n?veis de vitamina D em ind?genas de meia idade e idosos do meio rural do sul do Brasil. Este ? um estudo transversal, descritivo e anal?tico. Participaram do estudo, 73 ind?genas com 40 anos de idade ou mais do munic?pio de Nonoai, RS, Brasil. A preval?ncia da SM foi estimada aplicando-se os crit?rios diagn?sticos preconizados pelo National Cholesterol Education Program - Adult Treatment Panel III. Foram realizados testes bioqu?micos para determina??o dos n?veis de colesterol total, colesterol HDL, glicemia e triglicer?deos e vitamina D. Foram tamb?m obtidos dados antropom?tricos e dados da dieta por meio da aplica??o de um question?rio de freq??ncia de ingest?o de alimentos.
A avalia??o da massa ?ssea foi realizada por densitometria das regi?es da coluna e f?mur. A preval?ncia da SM foi em 56 (76,7%) sendo mais prevalente no sexo feminino. Em rela??o ? massa ?ssea, observou-se que as principais altera??es localizavam-se na coluna 46 (63%). Com rela??o ? massa ?ssea do f?mur, apenas 19% dos indiv?duos analisados apresentavam altera??es. Em rela??o aos n?veis s?ricos de vitamina D, observou-se que 49 (67,1%) estavam alterados Quando os crit?rios para SM foram comparados com altera??o de massa ?ssea n?o houve signific?ncia, entretanto os valores de HDL estavam relacionados com redu??es nos n?veis de vitamina D. Em rela??o ? freq??ncia alimentar, houve uma associa??o entre massa ?ssea, SM e n?veis s?ricos de vitamina D em rela??o ? adi??o de sal nos alimentos. Observou-se rela??o significativa entre a ingest?o de alimentos gordurosos e carne com a SM e com n?veis alterados de vitamina D. Acredita-se que a educa??o para a sa?de dos indiv?duos portadores de altera??o de massa ?ssea associada a SM seja o melhor caminho para o controle desse problema, desde que se promova a sua adequa??o para a cultura ind?gena e a motiva??o para mudan?as de h?bitos visando ? melhora da qualidade de vida.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/2692 |
| Date | 11 January 2013 |
| Creators | Rocha, Ana Karina Silva da |
| Contributors | Machado, Denise Cantarelli |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Gerontologia Biom?dica, PUCRS, BR, Instituto de Geriatria e Gerontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| 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 | 4438661476953179033, 500, 600, 2296420844541114010 |
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