A Síndrome Metabólica (SM) é constituída por vários fatores que compõem os critérios diagnósticos. Quanto mais fatores associados, maiores os riscos do desenvolvimento da SM e de doenças cardiovasculares. Hábito alimentar inadequado associado ao declínio da atividade física dos indivíduos contribui para o aumento da prevalência de obesidade, que também é considerada como um dos componentes da SM. O objetivo deste trabalho foi analisar a presença de Síndrome Metabólica em idosos atendidos no Projeto Atendimento Multidisciplinar ao Idoso (AMI) de Campo Grande, MS, conforme os critérios diagnósticos NCEP-ATP III, IDF e JIS. Trata-se de um estudo quantitativo, descritivo, transversal e retrospectivo, através de análise do prontuário. A prevalência de Síndrome Metabólica nos idosos participantes da pesquisa foi de 47,22% para os critérios NCEP-ATP III e IDF, e 50% para o critério JIS, mostrando-se mais sensível ao critério JIS.
Background: Obesity is a highly disabling comorbidity, being considered a risk factor for chronic diseases, especially cardiovascular diseases. This metabolic alteration is closely related to lifestyle, food consumption, and physical inactivity. Amid a nomadic routine psychological disorders prevail.Objective: To establish the relationship between dyslipidemia and changes in glucose metabolism in obese women in a nomadic routine.Methods: 86 women were assisted. Of these, 54 had completed a follow-up at the nutrition service outpatient clinic of a Military Hospital in the Area from September 2019 to June 2020. Retrospective data collected were as follows: socioeconomic and anthropometric data, food consumption, and biochemical profile (p0.05).Results: The age group was 31-49 years (68.52%). The seasonality caused by nomadism generated depression, anxiety, and binge eating, conditions worsened by cardiovascular risk factors, namely, systemic arterial hypertension (55.56%), heart failure (35.19%), and diabetes mellitus (44.44%). As for the nutritional diagnosis, 47.2% were grade 1 obese, with 91 kg average weight. Average values for high-density lipoprotein were low, at 45.98 mg/dl; fasting glucose was 107.04 mg/dl. It was observed that prediabetic patients with changes in glycated hemoglobin tended to have change in lipid metabolism. Diabetic diagnoses related to lower dyslipidemic change.Conclusion: The best way to treat and prevent dyslipidemia and diabetes mellitus are lifestyle changes. Glucose intolerance directly affects care toward nutrition and the lifestyle.
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