The metabolic syndrome, incidence of diabetes and mortality among the elderly: The Italian Longitudinal Study of Ageing

AbstractThe impact of most, but not all, cardiovascular risk factors decline by age. We investigated how the metabolic syndrome (MetS) was related to cardiovascular disease (CVD) during 40 years follow-up in the Uppsala Longitudinal Study of Adult Men (ULSAM, 2,123 men all aged 50 at baseline with reinvestigations at age 60, 70, 77 and 82). The strength of MetS as a risk factor of incident combined end-point of three outcomes (CVD) declined with ageing, as well as for myocardial infarction, ischemic stroke and heart failure when analysed separately. For CVD, the risk ratio declined from 2.77 (95% CI 1.90–4.05) at age 50 to 1.30 (95% CI 1.05–1.60) at age 82. In conclusion, the strength of MetS as a risk factor of incident CVD declined with age. Since MetS was significantly related to incident CVD also at old age, our findings suggest that the occurrence of MetS in the elderly should not be regarded as innocent. However, since our data were derived in an observational study, any impact of MetS in the elderly needs to be verified in a randomized clinical intervention trial.

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Prevalence and factors associated with Metabolic Syndrome in elderly users of the Unified Health System

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400040001 ◽

2014 ◽

Vol 17 (4) ◽

pp. 805-817 ◽

Cited By ~ 10

Author(s):

Edna Cunha Vieira ◽

Maria do Rosário Gondim Peixoto ◽

Erika Aparecida da Silveira

Keyword(s):

Metabolic Syndrome ◽

Health System ◽

Health Workers ◽

The Elderly ◽

World Health ◽

Fat Percentage ◽

Cross Sectional ◽

Factors Associated ◽

Unified Health System ◽

The Metabolic Syndrome

OBJECTIVE: To evaluate the prevalence and factors associated with metabolic syndrome in the elderly. METHODS: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding factors. RESULTS: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 - 67.1), with 60.5% (95%CI 49.01 - 71.18) for females and 55.7% (95%CI 41.33 - 69.53) for males. Hypertension was the most prevalent component of the syndrome in both men, with 80.8% (95%CI 64.5 - 90.4), and women, with 85.2% (95%CI 75.5 - 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in the control of risk factors through prevention strategies and comprehensive care to the elderly.

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Obesity and the Metabolic Syndrome in the Elderly – A Mini-Review

Gerontology ◽

10.1159/000161734 ◽

2008 ◽

Vol 54 (5) ◽

pp. 253-259 ◽

Cited By ~ 49

Author(s):

Monika Lechleitner

Keyword(s):

Metabolic Syndrome ◽

The Elderly ◽

The Metabolic Syndrome

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The metabolic syndrome in the elderly subjects of the Progetto Veneto Anziani (Pro.V.A.) Study

Nutrition Metabolism and Cardiovascular Diseases ◽

10.1016/s0939-4753(04)80136-4 ◽

2004 ◽

Vol 14 (5) ◽

pp. 302

Keyword(s):

Metabolic Syndrome ◽

The Elderly ◽

Elderly Subjects ◽

The Metabolic Syndrome

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Thermal Comfort of the Elderly in Public Health Service Buildings of Thailand

Applied Mechanics and Materials ◽

10.4028/www.scientific.net/amm.878.173 ◽

2018 ◽

Vol 878 ◽

pp. 173-178

Author(s):

Chorpech Panraluk ◽

Atch Sreshthaputra

Keyword(s):

Public Health ◽

Metabolic Syndrome ◽

Health Service ◽

Thermal Comfort ◽

Public Health Service ◽

Thermal Environment ◽

Thermal Sensation ◽

The Elderly ◽

Environmental Data ◽

The Metabolic Syndrome

The purpose of this study is to evaluate the Thermal comfort of the Thai elderly in air-conditioned space. The quantitative evaluation was conducted using 163 senior participants while recording their expressed satisfaction within the thermal environment in four public health service buildings in Phitsanulok Province, Thailand. It revealed that for the Thai elderly, the Predicted Mean Vote could not be used to identify the Thermal Sensation Vote. In addition, the results of this study indicated that personal factors, such as gender, age, and underlying disease correlating affect their Thermal Sensation Vote. Perhaps most significantly, a coincidental finding was that the thermal sensation of the Thai elderly was strongly dependent upon the condition of the occupant’s metabolic syndrome, which belonged to the Non-Communicable Disease group. This study assumed that in the elderly, the metabolic syndrome might have an effect on their metabolic rate (as one of the six factors of thermal comfort). In terms of the environmental factors, the on-site environmental data was collected via field works. It found that the air-conditioned spaces had mean radiant temperatures of 23.20-31.40 °C, this condition would make seniors feel comfortable if the thermal environment in the study areas were controlled: air temperature 23.00-27.80 °C, relative humidity 54.00-73.00% and air velocity 0.08-0.72 m/s. However, some elderly wanted to change this thermal environment to either cooler (10.68%) or warmer (4.85%). Therefore, it should be further study to find the proper thermal environment for covering the most of the seniors in Thailand.

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