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

2014 ◽  
Vol 17 (4) ◽  
pp. 805-817 ◽  
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.

scholarly journals Risk factors associated with the metabolic syndrome in Cali, Colombia (2013): A case-control study

Biomédica ◽  
2019 ◽  
Vol 39 (1) ◽  
pp. 46-54 ◽  
Author(s):  
Sayda Milena Pico ◽  
Gustavo Bergonzoli ◽  
Adolfo Contreras
Keyword(s):  
Metabolic Syndrome ◽  
Linear Trend ◽  
Adult Population ◽  
World Health ◽  
Diabetes Mellitus Type Ii ◽  
Factors Associated ◽  
The Metabolic Syndrome ◽  
Total Prevalence ◽  
Low Hdl ◽  
Health Organization

Introduction: In 2016, the World Health Organization reported that more than 2 billion adults were overweight, of whom 600 million were obese, 347 million had diabetes mellitus type II, and people with hypertension had increased from 600 million in 1980 to 1 billion in 2010. Additionally, 20% of the world’s adult population will develop metabolic syndrome during their lifespan with tremendous effects for their wellbeing and the health systems. Objective: To identify social, biological, and behavioral factors associated with the metabolic syndrome in adults to help in the design of health policies in urban environments.Materials and methods: We included 300 cases and 675 controls. For cases, the waist circumference (abdominal obesity) in men was ≥94 cm and ≥88 cm in women, and other two factors should be present including hypertension, high glycated hemoglobin, high triglycerides, and low HDL levels. Controls presented only one or none of these risk factors.Results: The total prevalence of metabolic syndrome was 30.2%, 33.6% in females, and 25.6% in males. Therefore, females had a higher risk of developing a metabolic syndrome (OR=1.70; 95% CI 1.17-2.47). Being a mestizo also increased the risk of having metabolic syndrome (OR=1.55; 95% CI 1.10-2.19). In contrast, frequent fruit consumption and being a housekeeper were protective factors: OR=0.83; 95% CI 0.69-1.00, and OR=0.58; 95% CI 0.36-0.92, respectively. Logistic regression showed that obesity had the strongest association with metabolic syndrome (OR=7.52; 95% CI 4.79-11.80). Increasing age yielded a linear trend with regard to metabolic syndrome: the OR for the 40 to 49-year-old group was 4.24 (95% CI 2.20-8.16), for the 50 to 59-year-old group, 4.63 (95% CI 2.40-8.93), and for those over 80 years of age, 5.32 (95% CI 1.92-14.71).Conclusion: Obesity was the main risk factor associated with the metabolic syndrome. Our findings can help health policy makers to design interventions for metabolic syndrome control in urban populations in Colombia.

scholarly journals Salud electrónica para el autocuidado de pacientes con factores de riesgo asociados al síndrome metabólico

2016 ◽  
Vol 18 (1) ◽  
pp. 170 ◽  
Author(s):  
Consuelo Vélez Álvarez ◽  
José Armando Vidarte Claros ◽  
Rosa Elvira Álvarez Rosero ◽  
Jully Andrea García Navarro
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Overweight And Obesity ◽  
World Health ◽  
Factors Associated ◽  
The Metabolic Syndrome ◽  
Síndrome Metabólico ◽  
Factores De Riesgo

ResumenEl propósito de esta revisión, es identificar la evidencia científica sobre el uso de estrategias de salud electrónica en las intervenciones dirigidas a mejorar el autocuidado de pacientes con factores de riesgo cardiovascular asociado con la presencia de síndrome metabólico. Los artículos analizados fueron identificados en las bases de datos PubMed, Science Direct, Embase, Elsevier, Scielo, Adicional a esto se revisaron publicaciones estadísticas de la Organización Mundial de la Salud, La Federación Internacional de Diabetes, Guía de Síndrome Metabólico 2009 y ICT Facts and Figures World in 2013. Se tuvieron en cuenta 51 publicaciones realizadas entre los años 2009 y 2015, encontrándose mayor información en la intervención basada en el control del sobrepeso y la obesidad, como principal factor de riesgo para el desarrollo del síndrome metabólico. La evidencia encontrada en la literatura científica muestra la utilidad de la salud electrónica en el manejo de los factores de riesgo cardiovasculares asociados al síndrome metabólico, y el impacto de esta en la calidad de vida cuando son aplicadas con un adecuado protocolo.  AbstractThe purpose of this review is to identify the scientific evidence on the use of electronic health strategies in interventions aimed at improving self-care of patients with cardiovascular risk factors associated with the presence of metabolic syndrome. The articles analyzed were identified in the databases PubMed, Science Direct, Embase, Elsevier and Scielo. In addition, statistical publications from the World Health Organization, the International Diabetes Federation, Metabolic Syndrome Guide 2009 and ICT Facts and Figures World in 2013 were reviewed. 51 publications between the years 2009 and 2015 were considered, where there were more information about the intervention based on the control of overweight and obesity as a major risk factor for the development of the metabolic syndrome. The evidence found in the scientific literature shows the usefulness of e-health in the management of cardiovascular risk factors associated with metabolic syndrome, and its impact on the quality of life when they are applied with a suitable protocol.

A comparison of the prevalence of the metabolic syndrome and its components among native Japanese and Japanese Brazilians residing in Japan and Brazil

2007 ◽  
Vol 14 (4) ◽  
pp. 508-514 ◽  
Author(s):  
Andiara Schwingel ◽  
Yoshio Nakata ◽  
Lucy S. Ito ◽  
Wojtek J. Chodzko-Zajko ◽  
Ryosuke Shigematsu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Metabolic Syndrome ◽  
Urban Areas ◽  
Significant Heterogeneity ◽  
Cross Sectional ◽  
Factors Associated ◽  
The Metabolic Syndrome ◽  
Increased Risk ◽  
Significant Difference ◽  
Japanese Ancestry

Background This study investigated the prevalence of risk factors associated with the metabolic syndrome (MetSyn) among individuals of Japanese descent exposed to different cultural environments. Design A cross-sectional study to assess component risk factors for the diagnosis of MetSyn was undertaken in urban areas in Japan and Brazil. A total of 773 men and women aged 35 years or over were included in three groups: 249 native Japanese, 269 Brazilian individuals of Japanese ancestry residing in Japan, and 255 Brazilian individuals of Japanese ancestry residing in Brazil. Results Higher rates of metabolic abnormalities with respect to central obesity and serum lipid profiles were observed among Brazilian individuals of Japanese ancestry residing in Brazil compared with those residing in Japan and native Japanese. Likewise, an increased risk of hypertension was observed among Japanese Brazilian individuals residing in Japan. The prevalence of MetSyn in men was significantly higher among Brazilians of Japanese ancestry residing in Brazil (37.5%) compared with those residing in Japan (25.3%) or native Japanese (21.4%), whereas no significant difference was observed among women. In the logistic model, Brazilian individuals of Japanese ancestry residinginBrazil weretwice as likely to develop MetSyn compared with native Japanese, whereas no significant differences were found among those residing in Japan. Conclusions These findings underscore the significant heterogeneity in risk factors among communities of Japanese ancestry residing in Brazil and Japan, and suggest that immigrants exposed to the Brazilian cultural environment are more susceptible to the development of risk factors associated with MetSyn than native Japanese.

scholarly journals Missed Opportunities in Tuberculosis Investigation and Associated Factors at Public Health Facilities in Uganda 

2020 ◽  
Author(s):  
Keith Kakame ◽  
Noel Namuhani ◽  
Andrew Kazibwe ◽  
Felix Bongomin ◽  
Joseph Baluku ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional Survey ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Public Health Facilities ◽  
Factors Associated

Abstract BackgroundThe incidence of tuberculosis (TB) is high in Uganda; yet, TB case detection is low. A recent national TB prevalence survey revealed that only 16% of presumptive TB patients seeking care at health facilities were offered sputum microscopy or chest-X ray (CXR). The objective of this study was to determine the magnitude of, and patient factors associated with missed opportunities in TB investigation at public health facilities of Wakiso District in Uganda.MethodsA facility-based cross-sectional survey was conducted at 10 high volume public health facilities offering comprehensive TB services in Wakiso, Uganda, among adults (≥18 years) with at least one symptom suggestive of TB predefined according to World Health Organisation criteria. Using exit interviews, data on demographics, TB symptoms, and clinical data relevant to TB were collected. A missed opportunity in TB investigation was defined as a patient with symptoms suggestive of TB who did not have sputum and/or CXR evaluation to rule out TB. Poisson regression analysis was performed to determine factors associated with missed opportunities in TB investigation using STATA 14.ResultsTwo hundred forty seven presumptive TB patients were recruited into this study exiting at antiretroviral therapy (ART) clinics (n=132) or general outpatient clinics (n=115) at public health facilities. Majority of participants were females (161/247, 65.2%) and the mean +SD age was 35.1 + 11.5 years. Sputum and/or CXR were not requested from 138 (55.9%) patients with symptoms suggestive of TB disease. Patients who did not inform health workers about TB related symptoms were more likely to miss a TB investigation (adjusted prevalence ratio: 1.68, 95%CI; 1.36-2.08, P<0.001). Conclusion; A large proportion of patients with symptoms suggestive of TB did not have sputum and/ or CXR requested for investigation. Patients who did not inform health workers about their TB related symptoms were more likely to miss having sputum and/ or CXR requested. We recommend studies to explore barriers and facilitators of disclosure of TB symptoms to enable formulation of effective interventions to empower people to improve likelihood of disclosing TB related symptoms.

scholarly journals Prevalence and factors associated to cervical changes in units from the Single Health System

2021 ◽  
Vol 42 ◽  
Author(s):  
Indianara Carlotto Treco ◽  
Valquíria Kulig Vieira ◽  
Janaína Carla da Silva ◽  
Fernando Rodrigo Treco ◽  
Lirane Elize Defante Ferreto ◽  
...  
Keyword(s):  
Health System ◽  
Oral Contraceptives ◽  
Pap Smear ◽  
Cross Sectional Study ◽  
Low Grade ◽  
Cross Sectional ◽  
Factors Associated ◽  
Unified Health System ◽  
Cervical Intraepithelial Lesion ◽  
Intraepithelial Lesion

ABSTRACT Objective: To estimate the prevalence and risk factors associated with cytopathological changes in the uterine cervix of women treated by the Unified Health System. Method: This is a cross-sectional study carried out with 350 women, between 14 and 79 years old who underwent pap smear tests in heath units in Francisco Beltrão, Paraná. Cervical cytopathological analyses and a questionnaire were applied to obtain socioeconomic information, as well as data on sexual behavior, gynecological aspects, and life habits. Chi-square test and logistic regression with p <0.05 were applied for statistical analysis. Results: The prevalence of cervical changes was 3.4% and the main categories found were low-grade cervical intraepithelial lesion, high-grade cervical intraepithelial lesion, and atypical cells of undetermined significance. From these, the first were present in 16.6% of women under 25 years old. The multivariate analysis pointed at associations between previous results of the cytopathology test (OR = 25.693), smoking (OR = 7.576), and oral contraceptives (OR = 5.265) and the outcome. Conclusion: Women with a history of previous cervical cytopathological abnormality, use of oral contraceptives, and smokers were more likely to have an abnormal result in the pap smear test.

scholarly journals Missed opportunities in tuberculosis investigation and associated factors at public health facilities in Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Keith Twirire Kakame ◽  
Noel Namuhani ◽  
Andrew Kazibwe ◽  
Felix Bongomin ◽  
Joseph Baruch Baluku ◽  
...  
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Prevalence Ratio ◽  
Health Facilities ◽  
World Health ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Missed Opportunities ◽  
Public Health Facilities ◽  
Factors Associated

Abstract Background The incidence of tuberculosis (TB) is high in Uganda; yet, TB case detection is low. The population-based survey on the prevalence of TB in Uganda revealed that only 16% of presumptive TB patients seeking care at health facilities were offered sputum microscopy or chest-X ray (CXR). This study aimed to determine the magnitude of, and patient factors associated with missed opportunities in TB investigation at public health facilities of Wakiso District in Uganda. Methods A facility-based cross-sectional survey was conducted at 10 high volume public health facilities offering comprehensive TB services in Wakiso, Uganda, among adults (≥18 years) with at least one symptom suggestive of TB predefined according to the World Health Organisation criteria. Using exit interviews, data on demographics, TB symptoms, and clinical data relevant to TB diagnosis were collected. A missed opportunity in TB investigation was defined as a patient with symptoms suggestive of TB who did not have sputum and/or CXR evaluation to rule out TB. Poisson regression analysis was performed to determine factors associated with missed opportunities in TB investigation. Results Two hundred forty-seven (247) patients with presumptive TB exiting at antiretroviral therapy (ART) clinics (n = 132) or general outpatient clinics (n = 115) at public health facilities were recruited into this study. Majority of participants were female (161/247, 65.2%) with a mean + SD age of 35.1 + 11.5 years. Overall, 138 (55.9%) patients with symptoms suggestive of TB disease did not have sputum and/or CXR examinations. Patients who did not inform health workers about their TB related symptoms were more likely to miss a TB investigation (adjusted prevalence ratio (aPR): 1.68, 95%CI; 1.36–2.08, P < 0.001). However, patients who reported duration of cough of 2 weeks or more were less likely to be missed for TB screening (aPR; 0.69, 95%CI; 0.56–0.86, p < 0.001). Conclusion There are substantial missed opportunities for TB diagnosis in Wakiso District. While it is important that patients should be empowered to report symptoms, health workers need to proactively implement the WHO TB symptom screen tool and complete the subsequent steps in the TB diagnostic cascade.

scholarly journals PREVALENCE AND FACTORS ASSOCIATED WITH HYPERTENSION AMONG HEALTH WORKERS OF CENTRAL HOSPITALS IN NEPAL

2020 ◽  
Vol 15 (3) ◽  
pp. 325
Author(s):  
Prakash Ghimire ◽  
Alisha Khadka ◽  
Amornrat Anuwatnonthakate ◽  
Supaporn Trongsakul
Keyword(s):  
Physical Activity ◽  
Perceived Stress ◽  
Health Workers ◽  
Vegetable Consumption ◽  
World Health ◽  
Public Health Issue ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Screening Programs ◽  
Factors Associated

Hypertension is a significant public health issue considered as the world's biggest killer among the working-age group. Health workers are one of the working groups who are facing several factors in their lives that could induce hypertension among them. Nevertheless, there is a lack of information about hypertension among Nepalese health workers. Therefore, this cross-sectional study aimed to determine the prevalence and factors associated with hypertension among health workers of central hospitals in Nepal. A total of 422 health workers aged ≥30 years from seven central hospitals of Nepal were selected using a proportionate stratified systematic random sampling method. Information regarding characteristics (socio-demographic, clinical, behavioral, occupational, and perceived stress) of participants were obtained by face to face interviews using a questionnaire after getting informed written consent. Participant's blood pressure and body mass index were measured based on the World Health Organization STEP Surveillance Manual. Binary logistic regression model was used to identify the associated factors of hypertension. The prevalence of hypertension was 35.31% (95% CI: 30.70%-40.10%). After controlling potential confounding factors through multivariate analysis, seven factors (increasing age, low educational level, being married, low fruit & vegetable consumption, low physical activity, alcohol use, and increased perceived stress) were found as significant independent predictors of hypertension. In conclusion, hypertension is highly prevalent among Nepalese health workers. Effective behavioral change interventions and routine health screening programs focusing on hypertension should be implemented to control hypertension among this neglected group, Nepalese health workers. Keywords: Health Workers, Hypertension, Perceived stress, Physical activity, Prevalence, Nepal

Drug interactions in the elderly of the Unified Health System (SUS) in Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V F Silveira ◽  
J A Teodoro ◽  
F A Acúrcio ◽  
A A G Júnior ◽  
R C R M Nascimento
Keyword(s):  
Drug Interactions ◽  
Acetylsalicylic Acid ◽  
Health System ◽  
Elderly People ◽  
Elderly Person ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Unified Health System

Abstract Background Elderly people with chronic non-communicable diseases generally use a large amount of medicines, increasing the risk of adverse events that can compromise the quality of pharmacotherapy. Objective To analyze the prevalence of drug interactions in the elderly assisted by primary care of the Unified Health System (SUS), who use polypharmacy. Methods This is a cross-sectional study, part of the National Survey on Access, Use and Promotion of Rational Use of Medicines (PNAUM) - Services, 2015, which used a representative sample of the Brazilian population. Elderly were considered people with 65 years or older and polypharmacy was defined as the concomitant use of five or more medicines. Drug interactions were classified using Micromedex®. The variables were presented as absolute and relative frequences, mean and standard deviation, using the software Stata® 13. Results Of the 1,157 elderly people interviewed, 19.01% (n = 220) were in polypharmacy. The average of chronic diseases was 3.84 ± 1.73 per elderly person, being hypertension (91.82%, n = 202) and arthritis (55.91%, n = 123) he most frequent. There were found 1,076 interactions, ranging from 0 to 23 per person, with an average of 3.87 ± 3.41. In the polypharmacy group, the prevalence of drug interaction was 88.99% (n = 194). Among the interactions, 66.83% (n = 679) were classified as moderate, 31.10% (n = 316) major and 2.07% (n = 21) minor; 84.83% (n = 861) were pharmacodynamic and 15.17% (n = 154) pharmacokinetic. The most prevalent interactions were: Hydrochlorothiazide and Acetylsalicylic Acid (5.31%, n = 54); Captopril and Hydrochlorothiazide (5.31%, n = 54) and Losartan and Acetylsalicylic Acid (3.74%, n = 38). Conclusions The most prevalent interactions have synergistic or antagonistic effects, which need monitoring to ensure the safety and effectiveness of treatment, especially due to the physiological changes resulting from aging. Key messages Analyze the prevalence of drug interactions in elderly people using polypharmacy. Cross-sectional, evaluative study.

FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ASAM URAT PADA LANSIA (45 – 70 TAHUN)

2019 ◽  
Vol 4 (1) ◽  
pp. 34
Author(s):  
Ridhyalla Afnuhazi
Keyword(s):  
Uric Acid ◽  
Health Workers ◽  
Statistical Tests ◽  
Univariate Analysis ◽  
The Elderly ◽  
Outreach Program ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated

<p><em>Indonesian is the 4th largest country in the world whose in habitants suffer from gout. In Indonesian, it is estimated that uric acid occur in 840 people every 100,000 people. </em><em>Disease of gout is one of the degenerative disease. One of the signs of the disease gout is the increase in the levels of uric acid in the blood (hiperurisemia). Factors related to the incidence of hiperurisemia is sex, IMT, intake </em><em>carbohydrate s</em><em>and intake purin. Purin intake is a risk factor most strongly associated with the incidence of hiperurisemia. This study used a cross-sectional research design cross method i.e. research to study the dynamics of the correlation between two variables. Research carried out in the Puskesmas Kebun Sikolos in August 2016. The population in this study amounts to 100 people. Sampling techniques in "accidental sampling", with a sample of as many as 20 people. Data processing is carried out using the SPSS program with computerized analysis univariate and bivariat, statistical tests used was chi-square. The results of the univariate analysis showed that (65%) of respondents-sex women, (55%) of respondents experiencing obesity and (55%) of the respondents did not suffer from hypertension. Bivariat analysis p value = 0.019 means there is a relationship between the sex with uric acid, and p value = 0.025 means there is a connection between obesity with uric acid, and p value = 0.337 which means there is no relationship between hypertension with the occurrence of uric acid. Thus the factors associated with the incidence of gout in the elderly is gender and obesity. So from that</em><em> recommended that health workers improve outreach program again about the factors associated with the incidence of gout in the elderly.</em></p>

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