Silveira Erika Aparecida da, Vieira Liana Lima, Jardim Thiago Veiga, Souza Jacqueline Danesio de
Universidade Federal de Goiás, Goiânia, GO, Brazil.
Arq Bras Cardiol. 2016 Dec;107(6):509-517. doi: 10.5935/abc.20160182.
Obesity affects a large part of elderly individuals worldwide and is considered a risk predictor for the development of chronic diseases such as cardiac diseases, the leading causes of death in the elderly population.
To investigate the prevalence of obesity and associated factors, with emphasis on the occurrence of other diseases and on food consumption in elderly individuals treated at the Brazilian Unified Health System (Sistema Único de Saúde, SUS).
Cross-sectional sampling study performed in the city of Goiânia (Brazil) including elderly individuals (≥ 60 years) receiving primary care. During home visits, we performed anthropometric measurements and applied a structured, standardized, and pre-tested questionnaire assessing socioeconomic, demographic and lifestyle conditions, occurrence of diseases, and food consumption. We performed multiple Poisson regression analysis using a hierarchical model and adopting a significance level of 5%.
We evaluated 418 elderly patients with a mean age of 70.7 ± 7 years. Their body mass indices had a mean value of 27.0 kg/m2 and were higher in women than in men (27.4 kg/m2 versus 26.1 kg/m2, respectively, p = 0.017). Obesity had a prevalence of 49.0%, a risk 1.87 times higher between the ages of 60-69 years and 70-79 years, and a rate 1.4 times higher among individuals with more than four morbidities. On multivariate analysis, the factors associated with obesity were age 60-69 and 70-79 years, inadequate consumption of whole-wheat grains and adequate consumption of fruit, musculoskeletal diseases, diabetes mellitus, and acute myocardial infarction.
Obesity had a high prevalence in the evaluated elderly population and was associated with food consumption, musculoskeletal disease, diabetes mellitus, and acute myocardial infarction.
肥胖影响着全球很大一部分老年人，被认为是诸如心脏病等慢性疾病发展的风险预测因素，而心脏病是老年人群的主要死因。
调查肥胖的患病率及其相关因素，重点关注在巴西统一卫生系统（Sistema Único de Saúde, SUS）接受治疗的老年人中其他疾病的发生情况和食物消费情况。
在巴西戈亚尼亚市进行横断面抽样研究，纳入接受初级保健的老年人（≥60岁）。在家庭访视期间，我们进行了人体测量，并应用一份经过结构化、标准化和预测试的问卷，评估社会经济、人口统计学和生活方式状况、疾病发生情况以及食物消费情况。我们使用分层模型进行多重泊松回归分析，显著性水平设定为5%。
我们评估了418名老年患者，平均年龄为70.7±7岁。他们的体重指数平均值为27.0 kg/m²，女性高于男性（分别为27.4 kg/m²和26.1 kg/m²，p = 0.017）。肥胖患病率为49.0%，60 - 69岁和70 - 79岁之间的风险高1.87倍，患有四种以上疾病的个体患病率高1.4倍。多变量分析显示，与肥胖相关的因素包括60 - 69岁和70 - 79岁的年龄、全麦谷物摄入不足和水果摄入充足、肌肉骨骼疾病、糖尿病和急性心肌梗死。
在所评估的老年人群中，肥胖患病率较高，且与食物消费、肌肉骨骼疾病、糖尿病和急性心肌梗死有关。
