Roediger Manuela de Almeida, Marucci Maria de Fátima Nunes, Gobbo Luis Alberto, Dourado Daiana Aparecida Quintiliano Scarpelli, Santos Jair Licio Ferreira, Duarte Yeda Aparecida de Oliveira, Lebrão Maria Lúcia
Departamento de Nutrição, Faculdade de Saúde Pública (FSP), Universidade de São Paulo (USP). Av. Dr. Arnaldo 715, Cerqueira César. 01246-904 São Paulo SP Brasil.
Departamento de Educação Física, Universidade Estadual Paulista. Presidente Prudente SP Brasil.
Cien Saude Colet. 2018 Nov;23(11):3913-3922. doi: 10.1590/1413-812320182311.13062016.
To verify the association between the incidence of DM and predictors, in a cohort of elderly people. Elderly people (≥ 60 y) were analyzed, of both genders, participants of the SABE Survey, carried out in the city of São Paulo, Brazil, in 2000 (n = 2,143) and 2006 (n = 1,115). The study variables were: DM; demographic (gender, age group, education level, companionship in the residence), nutritional status (risk for obesity, body obesity, and high abdominal fat), clinical (number of reported diseases), and lifestyle (alcohol consumption, smoking, intake of meat and fruit and vegetables). Multiple logistic regression (p < 0.05) was used to verify the association between variables of this study, with the statistical software Stata/SE 10.1. In 2006, 914 subjects, survivors of 2000, were analyzed and 72 were identified as new cases of DM (7.7/1.000 person-years). It was found that body obesity (OR = 1.67, CI = 1.00 to 2.81) and high abdominal fat (OR = 2.32, CI = 1.47 to 3.67) were predictors of the incidence of DM in the elderly (p < 0.000). It was concluded that body obesity and abdominal fat are the variables which contribute to the development of DM in the elderly.
为验证糖尿病发病率与预测因素之间的关联，对一组老年人进行了研究。分析了年龄≥60岁的老年人，包括男性和女性，他们是2000年（n = 2143）和2006年（n = 1115）在巴西圣保罗市进行的SABE调查的参与者。研究变量包括：糖尿病；人口统计学因素（性别、年龄组、教育水平、居住陪伴情况）、营养状况（肥胖风险、身体肥胖和腹部脂肪过多）、临床因素（报告的疾病数量）以及生活方式（饮酒、吸烟、肉类及水果和蔬菜摄入量）。使用多元逻辑回归（p < 0.05），借助统计软件Stata/SE 10.1来验证本研究各变量之间的关联。2006年，对2000年的72名幸存者进行了分析，其中有72人被确定为糖尿病新病例（7.7/1000人年）。研究发现，身体肥胖（OR = 1.67，CI = 1.00至2.81）和腹部脂肪过多（OR = 2.32，CI = 1.47至3.67）是老年人糖尿病发病率的预测因素（p < 0.000）。研究得出结论，身体肥胖和腹部脂肪是导致老年人患糖尿病的因素。
