The article aimed to critically analyse studies which evaluated the capacity of anthropometric and clinical indicators to predict MetS in the elderly. Bibliographical research was performed using the electronic databasese Medline/PubMed, LILACS e SciELO , references from selected articles and contact with several authors. Twenty one articles involving anthropometric and clinical indicators in the elderly were analysed, using different MS criteria. Fourteen studies report anthropometric indicators, being the waist circumference (WC) and waist-to-height ratio (WHtR), described as the best MS predictors, with the area under the ROC curve (AUC) over 0.70 (p < 0.05). The neck circumference was also described as an alternative indicator but with less discriminatory power. Lipid accumulation product (LAP) was the parameter with the best performance to identify MS, with an AUC over 0.85 and efficiency greater than 70%. The WC, WHtR and LAP indicators were the most sensitive for predicting MS. The use of these parameters may facilitate the early identification of MS, with good accuracy and low cost. In addition, it is important to determine specific cutoff points for the elderly, since obesity alone does not appear to be a strong predictor of MS in the elderly.

O presente artigo, através de pesquisa de campo e estudo bibliográfico nacional e estrangeiro, propõe-se a analisar as Associações Representativas de defesa do consumidor como um canal de participação da sociedade civil na defesa direta de seus direitos, a qual dispõe de mecanismos avançados de defesa judicial e extrajudicial, aptos a tutelar os direitos da classe consumidora enquanto categoria. A partir de uma visão solidária e sob o viés de uma democracia deliberativa, a sociedade civil assume um maior protagonismo no âmbito da Política Nacional das Relações de Consumo, passando atuar de forma plural e coletiva com vistas a aprimorar a prevenção e repressão de conflitos de consumo. Ademais, a fim de compreender o grau de envolvimento cívico da sociedade civil paraense, pretende-se apresentar um panorama regional de atuação das associações civis na defesa coletiva de consumidores no âmbito do Estado do Pará.

Backgroud: Central obesity, especially visceral adipose tissue (VAT), represents a health risk due to its endocrine and metabolic capacity, contributing to the development of the atherogenic profile and strongly associating with cardiovascular morbimortality.Objective: To identify the association between central obesity and biochemical markers of cardiometabolic risk in elderly patients treated at a geriatric outpatient clinic in Lagarto-SE.Method: This is a cross-sectional study of 159 elderly people of both sexes. Central adiposity was considered an independent variable, identified by measuring the Waist Circumference (WC). Total Cholesterol (TC), LDL-c, HDL-c, non-HDL-c, triglycerides, glycemia and Castelli I and II indices were considered dependent variables. Pearson's chi-square test was used to evaluate the association between central obesity and biochemical markers of cardiometabolic risk. Those with p < 0.20 were used in the bivariate regression analysis, adopting a 95% confidence interval.Results: Mean age was 70.9 ± 7.5 years. Central obesity was present in 43.2% of males and 56.8% of females (p = 0.002). There was statistically significant association between HDL-c, HDL-C and Castelli I Index and central obesity. Individuals with central obesity are 2.48 and 3.13 times more likely to develop changes in HDL-C and Castelli I index, respectively. Conclusion:There is an association between central obesity and biochemical markers of cardiometabolic risk in the elderly.