Metabolic syndrome screening in the participants at the Open University of the Third Age

Authors

DOI:

https://doi.org/10.5433/1679-0367.2024v45n1p101

Keywords:

Screening, Anthropometry, Cardiovascular diseases, Aging, Epidemiology

Abstract

Inadequate dietary habits, sedentary lifestyle, and increased life expectancy significantly contribute to the
prevalence of metabolic syndrome. This condition predisposes an individual to develop type 2 diabetes
mellitus and cardiovascular diseases, which have a broad impact on public health, inducing a burden on
the healthcare system and reducing the quality of life of affected individuals. Metabolic syndrome is a
multifactorial disease and is related to the aging process; however, there is still a significant gap in terms
of studies on the prevalence of the condition in elderly populations. In this context, this study aimed
to screen the prevalence of metabolic syndrome in participants of the Open University for the Third
Age (UNATI), located in Francisco Beltrão, Paraná. The diagnostic criteria for metabolic syndrome
addressed in this research include: abdominal circumference ≥ 90 cm for men and ≥ 80 cm for women,
triglycerides ≥ 150 mg/dL, HDL ≤ 40 mg/dL for men and ≤ 50 mg/dL for women, systolic blood pressure
≥ 130 mmHg and/or diastolic blood pressure ≥ 85 mmHg or being on pharmacotherapy for hypertension,
in addition to fasting glucose ≥ 100 mg/dL or being on pharmacological treatment for diabetes. A total
of 44 elderly individuals were evaluated, with a mean age of 66.9 ± 7.1 years, predominantly women
(88%). The results revealed an alarming prevalence of metabolic syndrome, affecting 36.4% of the
studied sample. Furthermore, a high prevalence of associated conditions was observed, such as arterial
hypertension (67.2%), overweight (58.6%), and visceral obesity (31%). These findings underscore the
importance of implementing preventive measures aimed at promoting healthy lifestyles and controlling
metabolic risk factors

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Author Biographies

João Victor Alves Toledo, Universidade Estadual do Oeste do Paraná - Unioeste

Graduating in Medicine at the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná

Nerlan Massami Takeda, Universidade Estadual do Oeste do Paraná - Unioeste

Graduating in Medicine at the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná

Guilherme Alfonso Vieira Adami, Universidade de São Paulo - HCFMUSP

Graduation in Medicine from the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná, Brazil. Resident in Sports and Exercise Medicine at the Hospital das Clínicas of the Faculty of Medicine of the Universidade de São Paulo (HCFMUSP), São Paulo, São Paulo

Nicole Schneider, Universidade Estadual do Oeste do Paraná - Unioeste

Graduating in Medicine at the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná

Fernando Henrique Pavão, Universidade Paranaense - Unipar

Master of the Associate Postgraduate Program in Physical Education of the Universidade Estadual de Londrina (UEL) and the Universidade Estadual de Maringá (UEM). Professor of the Paranaense University (Unipar), Francisco Beltrão, Paraná

Aline Graciele Henriques Campos, Universidade Estadual do Oeste do Paraná - Unioeste

Graduating in Medicine at the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná.

Lirane Elize Defante Ferreto, niversidade Estadual do Oeste do Paraná - Unioeste

Doctored in Health Collective by the Universidade Estadual de Campinas (Unicamp), Campinas, São Paulo, Brazil. Associate Professor of the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná

Geraldo Emílio Vicentini, Universidade Estadual do Oeste do Paraná - Unioeste

Doctored in Pharmaceutical Sciences from the Universidade Estadual de Maringá (UEM), Maringá, Paraná, Brazil. Associate Professor at the Universidade Estadual do Oeste do Paraná (Unioeste), Francisco Beltrão, Paraná

References

Alexander CM, Landsman PB, Teutsch SM, Haffner SM; Third National Health and Nutrition Examination Survey (NHANES III); National Cholesterol Education Program (NCEP). NCEP-defined metabolic syndrome, diabetes, and prevalence of coronary heart disease among NHANES III participants age 50 years and older. Diabetes. 2003;52(5):1210-4. doi: 10.2337/diabetes.52.5.1210. DOI: https://doi.org/10.2337/diabetes.52.5.1210

Barroso WKS, Rodrigues CIS, Bortolotto LA, Mota-Gomes MA, Brandão AA, Feitosa ADM, et al. Brazilian Guidelines of Hypertension - 2020. Arq Bras Cardiol. 2021;116(3):516-658. doi: 10.36660/abc.20201238. DOI: https://doi.org/10.36660/abc.20201238

Bhat RC, Santhosh T, Sudha KM.Metabolic syndrome: a comprehensivereview. Int J Basic Clin Pharmacol. 2024;13:181-3. doi: 10.18203/2319-2003.ijbcp20233913. DOI: https://doi.org/10.18203/2319-2003.ijbcp20233913

Calixto SCS, Vinagre RMFD, Rocha GF, França TG. Prevalência da síndrome metabólica em idosos: prevalence of metabolic syndrome in the elderly. Rev Saúde em Foco. 2016;3(2):119-35. doi: 10.12819/rsf.2016.3.2.9. DOI: https://doi.org/10.12819/rsf.2016.3.2.9

de Carvalho Vidigal F, Bressan J, Babio N, Salas-Salvadó J. Prevalence of metabolic syndrome in Brazilian dults: a systematic review. BMC Public Health. 2013;13:1198. doi: 10.1186/1471-2458-13-1198. DOI: https://doi.org/10.1186/1471-2458-13-1198

Huh JH, Kang DR, Kim JY, Koh KK. Metabolic syndrome fact sheet 2021: executive report. Cardiometab Syndr J. 2021;1(2):125-34. doi: 10.51789/cmsj.2021.1.e15. DOI: https://doi.org/10.51789/cmsj.2021.1.e15

Instituto Brasileiro de Geografia e Estatística. População cresce, mas número de pessoas com menos de 30 anos cai 5,4% de 2012 a 2021 [Internet]. 2022 jul 22 [citado 2022 dez 12]. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-noticias/2012-agencia-de-noticias/noticias/34438-populacao-cresce-mas-numero-de-pessoas-com-menos-de-30-anos-cai-5-4-de-2012-a-2021

Kaur J. A comprehensive review on metabolic syndrome. Cardiol Res Pract. 2014;2014:943162. doi: 10.1155/2014/943162. Epub 2014 Mar 11. Retraction in: Cardiol Res Pract. 2019;2019:4301528. doi: 10.1155/2019/4301528. DOI: https://doi.org/10.1155/2019/4301528

López-Jaramillo P, Sánchez RA, Diaz M, Cobos L, Bryce A, Parra Carrillo JZ, et al. Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome. J Hypertens. 2013;31(2):223-38. doi: 10.1097/HJH.0b013e32835c5444. DOI: https://doi.org/10.1097/HJH.0b013e32835c5444

Loureiro NSL, Amaral TLM, Amaral CA, Monteiro GTR, Vasconcellos MTL, Bortolini MJS. Relação de indicadores antropométricos com fatores de risco para doença cardiovascular em adultos e idosos de Rio Branco, Acre. Rev Saúde Pública. 2020;54:24. doi: 10.11606/s1518-8787.2020054001088. DOI: https://doi.org/10.11606/s1518-8787.2020054001088

Márquez-Sandoval F, Macedo-Ojeda G, Viramontes-Hörner D, Fernández Ballart JD, Salas Salvadó J, Vizmanos B. The prevalence of metabolic syndrome in Latin America: a systematic review. Public Health Nutr. 2011;14(10):1702-13. doi: 10.1017/S1368980010003320. DOI: https://doi.org/10.1017/S1368980010003320

Malachias MVB, Barbosa ECD, Martim JF, Rosito GBA, Toledo JY, Passarelli O Júnior. 7th Brazilian Guideline of Arterial Hypertension: Chapter 14 - Hypertensive Crisis. Arq Bras Cardiol. 2016;107(3 Suppl 3):79-83. doi: 10.5935/abc.20160164. DOI: https://doi.org/10.5935/abc.20160164

Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894:i-xii,1-253.

Oliveira LVA, Santos BNSD, Machado ÍE, Malta DC, Velasquez-Melendez G, Felisbino-Mendes MS. Prevalence of the metabolic syndrome and its components in the Brazilian adult population. Cien Saude Colet. 2020;25(11):4269-80. doi: 10.1590/1413-812320202511.31202020. DOI: https://doi.org/10.1590/1413-812320202511.31202020

Paula TP, Viana LV, Neto AT, Leitão CB, Gross JL, Azevedo MJ. Effects of the DASH Diet and Walking on Blood Pressure in Patients With Type 2 Diabetes and Uncontrolled Hypertension: a randomized controlled trial. J Clin Hypertens (Greenwich). 2015;17(11):895-901. doi: 10.1111/jch.12597. DOI: https://doi.org/10.1111/jch.12597

Pereira IF, Spyrides MH, Andrade LM. Estado nutricional de idosos no Brasil: uma abordagem multinível [Nutritional status of elderly Brazilians: a multilevel approach]. Cad Saude Publica. 2016;32(5):S0102-311X2016000500709. doi: 10.1590/0102-311X00178814. DOI: https://doi.org/10.1590/0102-311X00178814

Pucci G, Alcidi R, Tap L, Battista F, Mattace-Raso F, Schillaci G. Sex- and gender-related prevalence, cardiovascular risk and therapeutic approach in metabolic syndrome: a review of the literature. Pharmacol Res. 2017;120:34-42. doi: 10.1016/j.phrs.2017.03.008. DOI: https://doi.org/10.1016/j.phrs.2017.03.008

Ramires EKNM, Menezes RCE, Longo-Silva G, Santos TG, Marinho PM, Silveira JAC. Prevalência e fatores associados com a síndrome metabólica na população adulta brasileira: Pesquisa Nacional de Saúde - 2013. Arq Bras Cardiol. 2018;110:455-66. doi: 10.5935/abc.20180072. DOI: https://doi.org/10.5935/abc.20180072

Rosa EC, Zanella MT, Ribeiro AB, Kohlmann Junior O. Obesidade visceral, hipertensão arterial e risco cárdio-renal: uma revisão [Visceral obesity, hypertension and cardio-renal risk: a review]. Arq Bras Endocrinol Metabol. 2005;49(2):196-204. doi: 10.1590/s0004-27302005000200005. DOI: https://doi.org/10.1590/S0004-27302005000200005

Saad MAN, Cardoso GP, Martins WA, Velarde LGC, Cruz Filho RA. Prevalência de síndrome metabólica em idosos e concordância entre quatro critérios diagnósticos. Arq Bras Cardiol. 2014;102:263-9. doi: 10.5935/abc.20140013. DOI: https://doi.org/10.5935/abc.20140013

Schiavo M, Lunardelli A, Oliveira JR. Influência da dieta na concentração sérica de triglicerídeos. J Bras Patol E Med Lab. 2003;39:283-8. doi: 10.1590/S1676-24442003000400004. DOI: https://doi.org/10.1590/S1676-24442003000400004

Souza TS, Carneiro JAO, Costa SM, Oliveira YNS, Santos DB, Casotti CA. Fatores associados à síndrome metabólica em idosos residentes em comunidade. Res Soc Dev. 2021;10(13):e189101319190-e189101319190. doi: 10.33448/rsd-v10i13.19190. DOI: https://doi.org/10.33448/rsd-v10i13.19190

Viana MV, Moraes RB, Fabbrin AR, Santos MF, Gerchman F. Avaliação e tratamento da hiperglicemia em pacientes graves [Assessment and treatment of hyperglycemia in critically ill patients]. Rev Bras Ter Intensiva. 2014;26(1):71-6. doi: 10.5935/0103-507x.20140011. DOI: https://doi.org/10.5935/0103-507X.20140011

Vieira EC, Peixoto Mdo R, Silveira EA. Prevalence and factors associated with metabolic syndrome in elderly users of the Unified Health System. Rev Bras Epidemiol. 2014;17(4):805-17. doi: 10.1590/1809-4503201400040001. DOI: https://doi.org/10.1590/1809-4503201400040001

Vicentini GE, Campos AGH, Tonetti LC, Calixto MRP. Prevalência de escore de risco para hipotireoidismo clássico em acadêmicos da Universidade da Terceira Idade. Rev Faz Ciênc. 2023;25(42). doi: 10.48075/rfc.v25i42.30939. DOI: https://doi.org/10.48075/rfc.v25i42.30939

Published

2024-07-22

How to Cite

1.
Toledo JVA, Takeda NM, Adami GAV, Schneider N, Pavão FH, Campos AGH, et al. Metabolic syndrome screening in the participants at the Open University of the Third Age. Semin. Cienc. Biol. Saude [Internet]. 2024 Jul. 22 [cited 2024 Sep. 1];45(1):101-10. Available from: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/50122

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