Boscatto Elaine Caroline, Duarte Maria de Fátima da Silva, Coqueiro Raildo da Silva, Barbosa Aline Rodrigues
Postgraduate Program in Physical Education, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.
Rev Assoc Med Bras (1992). 2013 Jan-Feb;59(1):40-7. doi: 10.1590/s0104-42302013000100010.
To verify factors associated with nutritional status in an oldest elderly communitydwelling population in Southern Brazil.
This cross-sectional epidemiological and household-based study involved all subjects (n = 134) aged > 80 years who were living in Antônio Carlos (Santa Catarina state, Brazil). Nutritional status was assessed by body mass index (BMI < 22.0 kg/m², underweight; BMI > 27.0 kg/m², overweight). Explanatory variables in the study were: gender (women/ men), literacy (knows how to write and read - yes/no), living conditions (lives alone/with company), cognitive function (normal/altered), eating difficulty (yes/no), medication use (none to two/three or more), morbidity (none to two/three or more diseases), alimentary pattern (adequate/inadequate), alcohol consumption (none to one day a week, two or more days a week), cigarette smoking (never/current or former smoker), physical activity level (< 150 min/week; > 150 min/week), and sitting time (< 4 hours/day; > 4 hours but < 6 hours/ day; > 6 hours/day).
Prevalence of underweight was 27.3% in men and 12.8% in women (p < 0.01), and was positively associated with altered cognitive function (OR: 3.52) and inversely related with greater medication use (OR: 0.34). Overweight affected 25.5% of men and 53.8% of women. It was negatively associated with illiteracy (OR: 0.12) and positively associated with female gender (OR: 2.58).
There are differences between men and women regarding nutritional status. The factors associated to nutritional status of the oldest elderly from Antônio Carlos are specific to the vulnerability condition (underweight and overweight).
验证巴西南部一个社区中高龄老年人群营养状况的相关因素。
这项基于家庭的横断面流行病学研究纳入了所有居住在巴西圣卡塔琳娜州安东尼奥·卡洛斯市的80岁以上老人（n = 134）。通过体重指数评估营养状况（体重指数<22.0kg/m²为体重过轻；体重指数>27.0kg/m²为超重）。研究中的解释变量包括：性别（女性/男性）、识字能力（会读写-是/否）、生活状况（独居/有陪伴）、认知功能（正常/改变）、进食困难（是/否）、用药情况（无至两种/三种或更多）、发病率（无至两种/三种或更多疾病）、饮食模式（充足/不充足）、饮酒量（每周无至一天、每周两天或更多天）、吸烟情况（从不/当前或既往吸烟者）、身体活动水平（<150分钟/周；>150分钟/周）以及久坐时间（<4小时/天；>4小时但<6小时/天；>6小时/天）。
男性体重过轻患病率为27.3%，女性为12.8%（p<0.01），且与认知功能改变呈正相关（比值比：3.52），与更多用药呈负相关（比值比：0.34）。超重影响了25.5%的男性和53.8%的女性。超重与文盲呈负相关（比值比：0.12），与女性性别呈正相关（比值比：2.58）。
男性和女性在营养状况方面存在差异。安东尼奥·卡洛斯市高龄老年人营养状况的相关因素因脆弱状况（体重过轻和超重）而异。
