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代谢综合征及其组分在巴西成年人群中的流行情况。

Prevalence of the Metabolic Syndrome and its components in the Brazilian adult population.

机构信息

Escola de Enfermagem, Universidade Federal de Minas Gerais. Av. Alfredo Balena 190, Santa Efigênia. 30130-100 Belo Horizonte MG Brasil.

Escola de Medicina, Universidade Federal de Ouro Preto. Ouro Preto MG Brasil.

出版信息

Cien Saude Colet. 2020 Nov;25(11):4269-4280. doi: 10.1590/1413-812320202511.31202020. Epub 2020 Aug 19.

Abstract

We estimated the prevalence of the Metabolic Syndrome (MetS) and its components in the Brazilian population according to sociodemographic factors. This is a cross-sectional population-based study that used laboratory data from the National Health Survey. We estimated the prevalence of MetS and its components with 95% confidence intervals and the unadjusted and adjusted prevalence ratio (PR) with the Poisson regression. MetS prevalence ratio was 38.4%. High waist circumference (WC) (65.5%) and low HDL cholesterol (49.4%) were the most prevalent components, including in the youngest people. MetS and its components were more frequent among women (41.8%), individuals with low schooling (47.5%), and older adults (66.1%). In the adjusted analysis, females (PR = 1.16; 95% CI 1.08-1.24), older adults (PR = 3.69; 95% CI 3.26-4.17), and low schooling (PR = 1.32; 95% CI 1.17-1.49) were associated with MetS. MetS was prevalent in the Brazilian population, especially among women, individuals with low schooling, and older adults. High WC and low HDL cholesterol were the most prevalent components, with the aggravating high prevalence factor in young adults. These findings reveal the need to consider laboratory data for a more accurate analysis of this condition, which can be challenging at the national level.

摘要

我们根据社会人口因素估计了巴西人口中代谢综合征(MetS)及其组分的流行情况。这是一项基于人群的横断面研究,使用了全国健康调查的实验室数据。我们使用泊松回归估计了 MetS 及其组分的流行率(95%置信区间)、未调整和调整后的流行比率(PR)。MetS 的流行比率为 38.4%。高腰围(WC)(65.5%)和低高密度脂蛋白胆固醇(HDL-C)(49.4%)是最常见的组分,包括在最年轻的人群中。MetS 及其组分在女性(41.8%)、受教育程度低的个体(47.5%)和老年人(66.1%)中更为常见。在调整分析中,女性(PR=1.16;95%CI 1.08-1.24)、老年人(PR=3.69;95%CI 3.26-4.17)和受教育程度低(PR=1.32;95%CI 1.17-1.49)与 MetS 相关。MetS 在巴西人口中很普遍,尤其是在女性、受教育程度低的个体和老年人中。高 WC 和低 HDL-C 是最常见的组分,在年轻成年人中具有更高的流行率。这些发现表明,需要考虑实验室数据以更准确地分析这种情况,这在国家层面上可能具有挑战性。

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