de Paula Josiane Aparecida Teixeira, Moreira Osvaldo Costa, da Silva Cristiano Diniz, Silva Diogo Santos, dos Santos Amorim Paulo Roberto
Faculdade Ubaense Governador Ozanam Coelho, FAGOC, Brazil.
Universidade Federal de Viçosa, Florestal, MG, Brazil,
Invest Educ Enferm. 2015;33(2):325-33. doi: 10.17533/udea.iee.v33n2a15.
To identify the prevalence of metabolic syndrome (MS), and the influence of gender and place of residence for elders served by the Family Health Strategy in the municipality of Coimbra (Minas Gerais state, Brazil).
The sample consisted of 435 individuals of both sexes, with mean of age 72 ± 8 years.
Women had higher prevalence rates of MS (urban= 40%, rural= 37%) with differences (p<0.05, = 0.168 and 0.284) for men (urban= 13%, rural= 22%). Odds Ratio for SM was significant in age groups over 65 years in urban areas, with women having higher chances compared with men (OR=3.07 times), becoming 5.8 times aged 75 to 79 years. Women are more exposed to obesity (urban= 80.4 %, rural= 78.6%) than men, regardless of place of residence (p<0.05, =0.46 and 0.47 respectively), and the urban women are still exposed to hypertension (65%, p= 0.022, = 0.12).
The prevalence of MS and exposure to risk factors such as obesity and hypertension was higher in women, mainly in urban areas. Health professionals, like nurses, should note that the elderly population in urban areas have greater exposure to risk factors for MS, which should strengthen educational programs that promote healthy lifestyles.
确定科英布拉市（巴西米纳斯吉拉斯州）家庭健康战略所服务老年人的代谢综合征（MS）患病率，以及性别和居住地点对其的影响。
样本包括435名男女个体，平均年龄为72±8岁。
女性的MS患病率较高（城市=40%，农村=37%），男性患病率（城市=13%，农村=22%）与之存在差异（p<0.05，分别为0.168和0.284）。城市地区65岁以上年龄组中，MS的优势比显著，女性患病几率高于男性（优势比=3.07倍），75至79岁时为5.8倍。无论居住地点如何，女性比男性更易患肥胖症（城市=80.4%，农村=78.6%）（p<0.05，分别为0.46和0.47），城市女性还易患高血压（65%，p=0.022，=0.12）。
MS患病率以及肥胖和高血压等风险因素的暴露率在女性中较高，主要是在城市地区。像护士这样的卫生专业人员应注意，城市地区的老年人口更易暴露于MS的风险因素中，这应加强促进健康生活方式的教育项目。
