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[High prevalence of abdominal obesity among the elderly and its association with diabetes, hypertension and respiratory diseases].

Abstract：

:Rapid population aging and abdominal obesity (AO) are worldwide public health problems among the elderly and have been insufficiently investigated. This article sets out to identify the prevalence of AO among the elderly, its association with different morbidities, sociodemographic variables, and lifestyle according to sex. It is a cross-sectional study with a representative sample of elderly people resident in Goiânia, Brazil. Home visits were conducted to measure weight, height, waist circumference (WC), blood pressure, and to fill out a standardized form. The outcome variable, was calculated at WC> 102 cm for men and> 88 cm for women. Multiple Poisson regression was performed using a hierarchical model, adopting a significance level of 5%. The prevalence of AO was 55.1%, with 65.5% in women and 34.8% in men, with a significant difference (p <0.001). In men, AO was associated with age range between 70 and 74 years, the presence of respiratory diseases and high blood pressure. In women, AO continued to be associated with the presence of diabetes mellitus. The results contribute to the understanding of AO and developing preventive approaches in public health. :O envelhecimento populacional acelerado e a obesidade abdominal (OA) são problemas de saúde pública mundial entre idosos ainda pouco investigados. O artigo tem por objetivos identificar a prevalência da OA em idosos, verificar sua associação com diferentes morbidades e variáveis sociodemográficas e de estilo de vida, conforme sexo. Estudo transversal, com amostra representativa de idosos, residentes em Goiânia, Brasil. Foram realizadas visitas domiciliares para mensuração de peso, altura e circunferência abdominal (CA), pressão arterial e aplicação de questionário padronizado. A variável desfecho foi definida a partir da CA ≥ 102cm nos homens e ≥ 88 cm nas mulheres. Realizou-se regressão de Poisson múltipla, a partir de modelo hierárquico adotando-se nível de significância 5%. A prevalência de OA foi de 55,1%, sendo de 65,5% nas mulheres e 34,8% nos homens, com diferença significativa (p < 0,001). Nos homens a OA foi associada a faixa de idade entre 70 e 74 anos, presença de doenças do aparelho respiratório e hipertensão arterial. Nas mulheres, a OA manteve-se associada com a presença de diabetes mellitus. Os resultados contribuem para a compreensão da OA e o desenvolvimento de abordagens preventivas em saúde coletiva.

journal_name

Cien Saude Colet

journal_title

Ciencia & saude coletiva

authors

Silveira EA,Vieira LL,Souza JD

doi

10.1590/1413-81232018233.01612016

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

903-912

issue

eissn

1413-8123

issn

1678-4561

pii

S1413-81232018000300903

journal_volume

pub_type

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[High prevalence of abdominal obesity among the elderly and its association with diabetes, hypertension and respiratory diseases].