Medidas antropométricas em idosos assistidos na atenção básica e sua associação com gênero, idade e síndrome da fragilidade: dados do EMI-SUS

Closs, Vera Elizabeth; Rosemberg, Laura Schlatter; Ettrich, Betina da Gama; Gomes, Irênio; Schwanke, Carla Helena Augustin

doi:10.15448/1980-6108.2015.3.21176

Cited by 9 publications

(14 citation statements)

References 71 publications

(162 reference statements)

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“…Of all the articles with captive populations, 4 of these included elderly people 39 , 42 , 44 , 45 and also reported the mean NC. The minimum and maximum mean NC in this captive population were 34.60cm and 36.94cm, respectively; in men were 39.19cm and 40.20cm, respectively; and in women the minimum and maximum values were 33.50cm and 36.38cm, respectively ( Table 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…From all the cross-sectional studies, only 4 studies 19 , 22 , 25 , 29 are considered as a close representation of the general population. Finally, analyzing the risk of bias of the prevalence studies included, the majority represent a moderate risk 17 , 24 , 29 – 31 , 33 , 35 – 43 , 45 , 47 , 48 , 50 – 51 , 53 – 66 , 68 , 70 – 73 , 76 – 84 , 86 , 89 , 92 – 100 (57); some are low risk 16 , 18 – 23 , 25 – 29 , 32 , 34 , 44 , 49 (16); no study represents a high risk ( Table 4 – Table 6 ).…”

Section: Resultsmentioning

confidence: 99%

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Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

López¹,

Landeo²,

Mercado³

et al. 2021

Wellcome Open Res

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Background: High neck circumference (NC) is associated with high burden diseases in Latin American and the Caribbean (LAC). NC complements established anthropometric measurements for early identification of cardio-metabolic and other illnesses. However, evidence about NC has not been systematically studied in LAC. We aimed to estimate the mean NC and the prevalence of high NC in LAC. Methods: We conducted a systematic review in MEDLINE, Embase, Global Health and LILACS. Search results were screened and studied by two reviewers independently. To assess risk of bias of individual studies, we used the Hoy et al. scale and the Newcastle-Ottawa scale. We conducted a random-effects meta-analysis. Results: In total, 182 abstracts were screened, 96 manuscripts were reviewed and 85 studies (n= 51,978) were summarized. From all the summarized studies, 14 were conducted in a sample of the general population, 23 were conducted with captive populations and 49 studies were conducted with patients. The pooled mean NC in the general population was 35.69 cm (95% IC: 34.85cm-36.53cm; I²: 99.6%). In our patient populations, the pooled mean NC in the obesity group was 42.56cm (95% CI 41.70cm-43.42cm; I²: 92.40%). Across all studied populations, there were several definitions of high NC; thus, prevalence estimates were not comparable. The prevalence of high NC ranged between 37.00% and 57.69% in the general population. The methodology to measure NC was not consistently reported. Conclusions: Mean NC in LAC appears to be in the range of estimates from other world regions. Inconsistent methods and definitions hamper cross-country comparisons and time trend analyses. There is a need for consistent and comparable definitions of NC so that it can be incorporated as a standard anthropometric indicator in surveys and epidemiological studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

López¹,

Landeo²,

Mercado³

et al. 2021

Wellcome Open Res

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“…Another analysis of anthropometric measurements performed in elders from the city of Porto Alegre/RS shows that the average BP took the value of 31.51±4,25cm, classifying these individuals into an interval between eutrophy and overweight, considering the Standard Deviation 12 . This datum corroborates the finding of initial and final assessment in this case study.…”

Section: Discussionmentioning

confidence: 99%

Benefícios Da Terapia Nutricional Em Paciente Com Síndrome Metabólica E Insuficiência Renal: Relato De Caso

Sobreira¹,

Santos²,

Oliveira³

et al. 2018

Revista E-Ciência

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A Síndrome Metabólica (SM) compreende um conjunto de anormalidades metabólicas que estão relacionadas com a deposição central de gordura e a resistência à insulina, essa síndrome tem muitas similaridades com a Doença Renal Crônica (DRC). Os pacientes com SM e DRC podem apresentar desequilíbrios nutricionais tanto positivos como negativos que exercem forte influência no curso que a doença pode tomar e no tratamento destas. Nesse sentido, a terapia nutricional pode ser decisiva para evolução dos pacientes, reduzindo sua morbidade e mortalidade. O presente estudo objetivou avaliar a terapia nutricional no tratamento da SM e DRC. Trata-se de um estudo de caso, exploratório com abordagem qualitativa, que após uma anamnese com o paciente, foi elaborado um plano alimentar, sendo avaliado antes e depois da intervenção. Este inicialmente apresentava o peso elevado, o índice de massa corporal indicando obesidade grau II, perímetro braquial (PB) de eutrofia, perímetro da cintura elevado e RCQ indicando risco para doenças cardiovasculares. Houve episódios de hipoglicemia, a ureia e a creatinina encontravam-se com valores elevados antes e após a intervenção, como também não apresentaram mudanças na sua avalição antropométrica tendo em vista que a dieta visava manutenção de peso, exceto o PB que se elevou indicando sobrepeso (36,5 cm). A glicemia aumentou um pouco e os marcadores de função renal continuaram altos. Desta forma, um aporte nutricional adequado eficaz é um fator muito importante para pacientes em hemodiálise e que apresentam síndrome metabólica, porém o paciente deve ter força de vontade para mudar seus hábitos alimentares.

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“…Previous study, evaluating the association of anthropometric measurements with frailty, in the same population, demonstrated that frailty was associated with muscle mass loss. The frail elderly had lower measures of size and complexion [ 32 ]. This pattern of increase of intramuscular and visceral fat with aging is accompanied by changes in subcutaneous fat, which can be evaluated through the measurement of BS [ 33 ].…”

Section: Discussionmentioning

confidence: 99%

Anthropometric Measures and Frailty Prediction in the Elderly: An Easy-to-Use Tool

Closs

Ziegelmann

Flores

et al. 2017

Current Gerontology and Geriatrics Research

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Purpose Anthropometry is a useful tool for assessing some risk factors for frailty. Thus, the aim of this study was to verify the discriminatory performance of anthropometric measures in identifying frailty in the elderly and to create an easy-to-use tool. Methods Cross-sectional study: a subset from the Multidimensional Study of the Elderly in the Family Health Strategy (EMI-SUS) evaluating 538 older adults. Individuals were classified using the Fried Phenotype criteria, and 26 anthropometric measures were obtained. The predictive ability of anthropometric measures in identifying frailty was identified through logistic regression and an artificial neural network. The accuracy of the final models was assessed with an ROC curve. Results The final model comprised the following predictors: weight, waist circumference, bicipital skinfold, sagittal abdominal diameter, and age. The final neural network models presented a higher ROC curve of 0.78 (CI 95% 0.74–0.82) (P < 0.001) than the logistic regression model, with an ROC curve of 0.71 (CI 95% 0.66–0.77) (P < 0.001). Conclusion The neural network model provides a reliable tool for identifying prefrailty/frailty in the elderly, with the advantage of being easy to apply in the primary health care. It may help to provide timely interventions to ameliorate the risk of adverse events.

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Medidas antropométricas em idosos assistidos na atenção básica e sua associação com gênero, idade e síndrome da fragilidade: dados do EMI-SUS

Cited by 9 publications

References 71 publications

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

Benefícios Da Terapia Nutricional Em Paciente Com Síndrome Metabólica E Insuficiência Renal: Relato De Caso

Anthropometric Measures and Frailty Prediction in the Elderly: An Easy-to-Use Tool

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