35 至 65 岁参加巴西家庭健康计划的女性中代谢综合征的流行情况及其相关因素。

Prevalence of metabolic syndrome and associated factors in women aged 35 to 65 years who were enrolled in a family health program in Brazil.

机构信息

Department of Physical Therapy, Speech Therapy, and Occupational Therapy, University of São Paulo School of Medicine, São Paulo, Brazil.

出版信息

Menopause. 2013 Apr;20(4):470-6. doi: 10.1097/gme.0b013e318272c938.

DOI:10.1097/gme.0b013e318272c938

PMID:23211876

Abstract

OBJECTIVE

The aims of this study were to estimate the prevalence of metabolic syndrome among women aged 35 to 65 years and to identify associated factors.

METHODS

This was a cross-sectional study. We randomly selected 581 women (aged 35-65 y) from among those enrolled in a family health program in the city of Pindamonhangaba, Brazil. Metabolic syndrome was identified in accordance with the definition of the National Cholesterol Education Program Adult Treatment Panel III. Health conditions and lifestyle habits were evaluated by a survey, and anthropometric measurements were obtained. The prevalence of metabolic syndrome was estimated, and Poisson regression was used to evaluate the associations between metabolic syndrome `and the factors investigated.

RESULTS

The prevalence of metabolic syndrome was 42.2% (95% CI, 38.1-46.2). The most common metabolic syndrome component was abdominal obesity (60.6%), followed by low levels of high-density lipoprotein cholesterol (51.3%), high levels of triglycerides (41.4%), high blood pressure (31.7%), and diabetes (13.9%). The following factors were associated with metabolic syndrome: the 45- to 54-year age group (prevalence ratio, 1.54; 95% CI, 1.08-2.01), the 55- to 65-year age group (prevalence ratio, 3.51; 95% CI, 1.49-3.10), hyperuricemia (prevalence ratio, 2.95; 95% CI, 1.15-1.86), and sleep apnea risk (prevalence ratio, 2.41; 95% CI, 1.16-1.82). We found an inverse association between metabolic syndrome and having had more than 5 years of schooling (prevalence ratio, 0.65; 95% CI, 0.65-1.04).

CONCLUSIONS

The prevalence of metabolic syndrome is high, and the associated clinical factors are hyperuricemia and risk of sleep apnea.

摘要

目的

本研究旨在评估 35 至 65 岁女性代谢综合征的患病率，并确定相关因素。

方法

这是一项横断面研究。我们从巴西平达蒙加巴市的一个家庭健康计划中随机选择了 581 名女性（35-65 岁）。代谢综合征根据国家胆固醇教育计划成人治疗专家组 III 的定义来确定。通过调查评估健康状况和生活方式习惯，并进行人体测量。估计代谢综合征的患病率，并使用泊松回归评估代谢综合征与所调查因素之间的关联。

结果

代谢综合征的患病率为 42.2%（95%可信区间，38.1-46.2）。最常见的代谢综合征组分是腹部肥胖（60.6%），其次是高密度脂蛋白胆固醇水平低（51.3%）、甘油三酯水平高（41.4%）、血压高（31.7%）和糖尿病（13.9%）。以下因素与代谢综合征相关：45-54 岁年龄组（患病率比，1.54；95%可信区间，1.08-2.01）、55-65 岁年龄组（患病率比，3.51；95%可信区间，1.49-3.10）、高尿酸血症（患病率比，2.95；95%可信区间，1.15-1.86）和睡眠呼吸暂停风险（患病率比，2.41；95%可信区间，1.16-1.82）。我们发现代谢综合征与受教育时间超过 5 年之间呈负相关（患病率比，0.65；95%可信区间，0.65-1.04）。