中老年妇女代谢综合征:一项横断面研究

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY
M. A. Moreira, S. D. da Câmara, S. Fernandes, I. G. Azevedo, Alvaro Campos Cavalcanti Maciel
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引用次数: 0

摘要

目的:本研究旨在比较中老年妇女不同年龄组代谢综合征的患病率,并评估这些差异是否独立于潜在的协变量。方法:对510名女性进行研究,分为三个年龄组:45-54岁、55-64岁和65-74岁 年。自我报告社会经济、生殖和生活方式变量。我们使用国家胆固醇教育计划成人治疗小组III标准(腹部肥胖、糖尿病、高密度脂蛋白降低、甘油三酯升高和高血压)来定义代谢综合征。Logistic回归评估了年龄组之间的相关性,并对代谢综合征的协变量(社会经济变量、初潮和初产时的年龄、产次、更年期状态、体力活动变量和吸烟)进行了调整。结果:55-64岁的女性 除了腹部肥胖,年龄最大的组的所有代谢综合征标准的患病率都高于其他组。在完全调整的分析中,55-64 与最年轻的组相比,岁年龄组出现代谢综合征的几率仍然明显更高(45-54 年)(或 = 2.257;95%CI = 1.20:4.24)。当比较年龄最大组和最年轻组时,出现代谢综合征的几率没有统计学差异(OR = 1.500;95%CI = 0.85:2.65)。结论:55-64岁人群中代谢综合征的患病率较高 年龄可能表明中年妇女在生命的早期变得不健康,其中许多人可能过早死亡。这一结果突出了在中年早期筛查代谢综合征的重要性,以及制定旨在减少晚年不良影响的公共卫生政策的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Metabolic syndrome in middle-aged and older women: A cross-sectional study
Objective: This study aims to compare the prevalence of metabolic syndrome between different age groups of middle-aged and older women and to assess whether these differences are independent of potential covariates. Methods: Study conducted with 510 women divided into three age groups: 45–54, 55–64 and 65–74 years. Socioeconomic, reproductive and lifestyle variables were self-reported. We defined metabolic syndrome using the National Cholesterol Education Program Adult Treatment Panel III criteria (abdominal obesity, diabetes, reduced high-density lipoprotein, elevated triglycerides, and hypertension). Logistic regression assessed the association between age groups, and metabolic syndrome was adjusted for covariates (socioeconomic variables, age at menarche and at first childbirth, parity, menopausal status, physical activity variables and smoking). Results: Women aged 55–64 years presented higher prevalence of all metabolic syndrome criteria than the other groups, except for abdominal obesity, which was higher in the oldest group. In the fully adjusted analysis, the 55–64 years age group continues to exhibit significantly higher odds of presenting metabolic syndrome when compared to the youngest group (45–54 years) (OR = 2.257; 95% CI = 1.20:4.24). There was no statistical difference in the odds of presenting metabolic syndrome when comparing the oldest and the youngest groups (OR = 1.500; 95% CI = 0.85:2.65). Conclusion: The higher prevalence of metabolic syndrome among those aged 55–64 years may indicate that middle-aged women become unhealthy earlier in the life course and that many of them may die prematurely. This result highlights the importance of screening metabolic syndrome earlier in the midlife and the need for public health policies aimed at reducing adverse effects in later years.
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来源期刊
Womens Health
Womens Health OBSTETRICS & GYNECOLOGY-
CiteScore
2.80
自引率
4.20%
发文量
0
审稿时长
15 weeks
期刊介绍: For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.
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