de Souza M C B, da Silva Rocha G, de Souza Sampaio E, de Oliveira Garcia Rodrigues P C, Vieira R A, Souza Gomes A F, Pereira de Brito T R
Institute of Motricity Sciences, Federal University of Alfenas, Alfenas, Brazil.
JAR Life. 2024 May 27;13:82-87. doi: 10.14283/jarlife.2024.12. eCollection 2024.
Metabolic Syndrome is a set of disorders that characterized by the association of three or more risk factors, like the obesity central, dyslipidemia, borderline blood pressure, hyperglycemia, and the increase of triglycerides. However, these factors also can be associated with pathophysiology of frailty.
verifying whether the metabolic syndrome is associated to the positive frailty screening in the older people.
Cross-sectional study. Participants: 443 older people living in Rio Branco, Brazil.
Data collection was carried out in two stages: a personal interview and blood collection.
The diagnosis of metabolic syndrome was based on the criteria of the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults. The frailty screening was performed using subjective questions validated in a previous study. Descriptive statistics and multinomial logistic regression were used for data analyses.
There was a predominance of female older people (69.07%), aged between 60 and 79 years (87.13%), with an income greater than or equal to one minimum wage (72.09%), no cognitive decline (75.94%) and depressive symptoms (63.31%), independent for BADL (86.46%) and dependent for IADL (51.69%). From the total sample, 56.88% of the older people were identified as frail, 34.09% pre-frail and 9.03% non frail. The prevalence of metabolic syndrome was 51.69%. After adjusting by the independent variables, an association between metabolic syndrome and pre-frailty was observed, and older people with metabolic syndrome were more likely to be prefrail (RRR=2.36; 95%CI=1.08-5.18).
The metabolic syndrome was associated to the increase chance of screening for prefrailty in the older people evaluated, which reinforces the needy to establish preventive measures in relation to the metabolic syndrome to avoid frailty in the older people.
代谢综合征是一组以三种或更多风险因素相关联为特征的病症，如中心性肥胖、血脂异常、临界血压、高血糖以及甘油三酯升高。然而，这些因素也可能与衰弱的病理生理学相关。
验证代谢综合征是否与老年人衰弱筛查阳性相关。
横断面研究。参与者：居住在巴西里奥布兰科的443名老年人。
数据收集分两个阶段进行：个人访谈和血液采集。
代谢综合征的诊断基于美国国家胆固醇教育计划成人高胆固醇检测、评估和治疗专家小组第三次报告的标准。使用先前研究中验证过的主观问题进行衰弱筛查。描述性统计和多项逻辑回归用于数据分析。
女性老年人占多数（69.07%），年龄在60至79岁之间（87.13%），收入大于或等于一份最低工资（72.09%），无认知衰退（75.94%）和抑郁症状（63.31%），日常生活活动能力独立（86.46%），工具性日常生活活动能力依赖（51.69%）。在总样本中，56.88%的老年人被确定为衰弱，34.09%为衰弱前期，9.03%为非衰弱。代谢综合征的患病率为51.69%。在对自变量进行调整后，观察到代谢综合征与衰弱前期之间存在关联，患有代谢综合征的老年人更有可能处于衰弱前期（相对危险度比=2.36；95%置信区间=1.08-5.18）。
代谢综合征与所评估的老年人衰弱前期筛查几率增加相关，这强化了针对代谢综合征制定预防措施以避免老年人衰弱的必要性。
