Frequency and factors associated with dyslipidemia among people with type 2 Diabetes Mellitus / Frequência e fatores associados à dislipidemia entre pessoas com diabetes mellitus tipo 2

Abstract

Objetivo: avaliar a frequência e os fatores associados à dislipidemia em pessoas com Diabetes Mellitus Tipo 2. Método: estudo transversal, desenvolvido com 45 pessoas diagnosticadas com diabetes e acompanhadas por uma Unidade Básica de Saúde. Foram investigadas variáveis sociodemográficas, relacionadas ao estilo de vida e referentes à análise do perfil lipídico. Resultados: a prevalência de dislipidemia foi de 82,2%, significativamente associada ao sexo feminino (p=0,005), ao tabagismo (p=0,002) e ao sedentarismo (p=0,050). Nos componentes da dislipidemia, as taxas de colesterol total, triglicérides e LDL se mostraram elevados em 68,9%, 57,8%, 11,1%, respectivamente. Já a taxa de HDL se mostrou diminuída em 2,2% dos investigados. Conclusão: a prevalência de dislipidemia mostrou-se elevada nos pacientes analisados. A existência de associação significativa entre a ocorrência de dislipidemia e variáveis como o sexo feminino, os hábitos de tabagismo e sedentarismo chama a atenção para a necessidade de melhores condutas para essa população.

Prevalence and factors associated with metabolic syndrome in elderly attended in primary health care / Prevalência e fatores associados à síndrome metabólica em idosos atendidos na atenção primária em saúde

“…15 A higher prevalence of MS in women was observed in other studies. 4,9,16,17 It is noteworthy that more than half of the sample in the present study was composed of women. Furthermore, it is known that this number increases Pearson's *x 2 ; MW: minimum wage R$998.00; DM2: type 2 diabetes mellitus; SAH: hypertension; PR: prevalence ratio.…”

“…Moreover, 57.8% of the participants had elevated triglycerides, a lipid abnormality more commonly observed in individuals with DM2. 4 Triglyceride plasma levels are higher in the elderly than in younger individuals, which may be attributed to the delay in postprandial triglyceride metabolism. Therefore, it is observed that aging is associated with increased triglycerides and visceral fat, which together increase the risk of MS. 24 From this perspective, a study found a prevalence of 27.1% of hypertriglyceridemic waistlines in the elderly in Bahia, associated with female gender, sedentary lifestyle and overweight.…”

“…The prevalence of MS is considered high in several countries around the world. National [3][4][5][6] and international [7][8][9] studies indicate high prevalence of MS in the elderly, ranging from 33.3 to 60.5%. In the Brazilian population, it has been observed that the prevalence of MS tends to increase with age.…”

“…2 In the elderly, MS may be associated with factors such as a sedentary lifestyle, inappropriate eating habits and genetic variations, besides being related to DM2, SAH, CVD, high triglyceride levels and abdominal obesity. 4,11 Therefore, this study proposed to analyze the prevalence of MS in the elderly, since epidemiological estimates can help in prevention strategies, carried out even in adulthood to control associated variables, knowing that it requires efforts and efficient programs to minimize the problem in primary health care. Given the above, the aim of this study was to evaluate the prevalence of metabolic syndrome and its association with sociodemographic, clinical, anthropometric and lifestyle variables in elderly patients treated in primary health care.…”

Revisão Da Literatura: Impacto Do Controle Lipídico E Glicêmico Sobre a Saúde Cardiovascular

“…Ademais, a dislipidemia sempre se mostra se elevada nos pacientes diabéticos. Por sua vez a associação da ocorrência de dislipidemia nas variáveis como o sexo feminino, hábitos de tabagismo e sedentarismo chama a atenção para a necessidade de melhores condutas para essa população (NETO et al, 2022).…”