Costa Ana Cristina de Oliveira, Duarte Yeda Aparecida de Oliveira, Andrade Fabíola Bof de
Instituto de Pesquisa René Rachou, Núcleo de Estudos em Saúde Pública e Envelhecimento, Fundação Oswaldo Cruz, Belo Horizonte, MG, Brazil.
Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Bras Epidemiol. 2020;23:e200046. doi: 10.1590/1980-549720200046. Epub 2020 Jun 1.
Evaluate the association between Metabolic Syndrome (MetS), physical activity and socioeconomic conditions among non-institutionalized elderly individuals.
Cross-sectional study with, elderly individuals (≥ 60) living in the city of São Paulo. MetS was evaluated by means of the National Cholesterol Education Program criteria, the Adult Treatment Panel III. Descriptive and bivariate analyses were performed, followed by multiple logistic regression with a 5% significance level. An attributable fraction (AF) and a proportional attributable fraction (PAF) were calculated in relation to physical activity. The magnitude of the socioeconomic inequalities was evaluated using the Slope Index of Inequality (SII) and the Relative Index of Inequality (RII).
The prevalence of MetS was 40.1%, and 23.3% of the individuals had at least one MetS' component. Physically inactive elderly had higher chances of having MetS. The prevalence of MetS was higher among those with lower education levels in both absolute and relative terms. AF and PAF were significant among the inactive individuals and for the total population.
This study demonstrated that physical activity and schooling are significantly associated with MetS, highlighting the importance of these factors for the control of this syndrome.
评估非机构化老年人中代谢综合征（MetS）、身体活动与社会经济状况之间的关联。
对居住在圣保罗市的老年人（≥60岁）进行横断面研究。采用美国国家胆固醇教育计划标准（成人治疗小组第三次报告）评估代谢综合征。进行描述性和双变量分析，随后进行显著性水平为5%的多元逻辑回归。计算与身体活动相关的归因分数（AF）和比例归因分数（PAF）。使用不平等斜率指数（SII）和不平等相对指数（RII）评估社会经济不平等的程度。
代谢综合征的患病率为40.1%，23.3%的个体至少有一项代谢综合征的组成部分。身体不活动的老年人患代谢综合征的几率更高。无论从绝对还是相对角度来看，受教育程度较低者中代谢综合征的患病率更高。归因分数和比例归因分数在不活动个体和总人口中均具有显著性。
本研究表明，身体活动和受教育程度与代谢综合征显著相关，突出了这些因素对控制该综合征的重要性。
