Cluster of factors related to metabolic changes in older individuals: a cross-sectional study.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Sao Paulo Medical Journal Pub Date : 2025-04-28 eCollection Date: 2025-01-01 DOI:10.1590/1516.3180.2023.0283.R1.30082024

Clarice Alves Dos Santos, Mariana Alves Dos Santos, Manuela Alves Dos Santos, Milena Fernandez Dias, Lélia Renata Carneiro Vasconcelos, Saulo Vasconcelos Rocha

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引用次数: 0

Abstract

Background: Exposure to multiple risk factors related to metabolic changes can negatively affect the health status of older individuals.

Objective: To investigate the clustering of factors related to metabolic changes in older individuals.

Design and setting: This was a cross-sectional study involving 287 older individuals (≥ 60 years old) enrolled in the Family Health Strategy in the municipality of Ibicuí, state of Bahia.

Methods: Factors associated with metabolic changes were abdominal obesity, self-reported diabetes, high blood pressure, sedentary behavior, and physical inactivity. Clustering was defined by an observed-to-expected prevalence (O/E) ratio greater than 1.20. The association between these factors was analyzed using multiple logistic regression.

Results: A total of seven clusters were identified with a predominance of diabetes, hypertension, sedentary behavior, and abdominal obesity (O/E = 2.28). Older adults were more likely to present with physical inactivity, diabetes, blood pressure, and sedentary behavior simultaneously (Odds Ratio [OR] = 7.78; 95% confidence interval [CI] = 1.25-48.42). Negative health perception was associated with the combination of high blood pressure, sedentary behavior, and abdominal obesity (OR = 0.23; 95%CI = 0.25-0.92); female sex with the cluster of physical inactivity and abdominal obesity (OR = 0.12; 95%CI = 0.04-0.35); and the occurrence of physical inactivity without the presence of other factors (OR = 3.87; 95%CI = 1.66-8.99).

Conclusions: The combination of risk factors related to metabolic changes represents a greater probability of health problems than individual factors. Therefore, investigating the association between these factors will help in planning targeted interventions.

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与老年人代谢变化相关的一组因素：一项横断面研究。

背景：暴露于与代谢变化相关的多种危险因素会对老年人的健康状况产生负面影响。目的：探讨老年人代谢变化相关因素的聚类。设计和环境：这是一项横断面研究，涉及巴伊亚州Ibicuí市参加家庭健康战略的287名老年人（≥60岁）。方法：与代谢变化相关的因素有腹部肥胖、自我报告的糖尿病、高血压、久坐行为和缺乏身体活动。聚类的定义是观察到的与预期的患病率（O/E）比大于1.20。使用多元逻辑回归分析这些因素之间的相关性。结果：共有7组被确定为糖尿病、高血压、久坐行为和腹部肥胖的优势（O/E = 2.28）。老年人更有可能同时出现缺乏运动、糖尿病、血压和久坐行为(优势比[OR] = 7.78；95%置信区间[CI] = 1.25-48.42)。负面健康感知与高血压、久坐行为和腹部肥胖的组合相关(OR = 0.23；95%ci = 0.25-0.92)；女性与缺乏运动和腹部肥胖聚集在一起(OR = 0.12；95%ci = 0.04-0.35)；在没有其他因素存在的情况下发生缺乏身体活动(OR = 3.87；95%ci = 1.66-8.99)。结论：与代谢变化相关的危险因素的组合比单个因素更有可能出现健康问题。因此，调查这些因素之间的关系将有助于规划有针对性的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sao Paulo Medical Journal 医学-医学：内科

CiteScore

2.20

自引率

7.10%

发文量

210

审稿时长

6-12 weeks

期刊介绍： Published bimonthly by the Associação Paulista de Medicina, the journal accepts articles in the fields of clinical health science (internal medicine, gynecology and obstetrics, mental health, surgery, pediatrics and public health). Articles will be accepted in the form of original articles (clinical trials, cohort, case-control, prevalence, incidence, accuracy and cost-effectiveness studies and systematic reviews with or without meta-analysis), narrative reviews of the literature, case reports, short communications and letters to the editor. Papers with a commercial objective will not be accepted.