Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Gerontologia Biom?dica
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/9266 |
Resumo: | IANISKI, Val?ria Baccarin. Association of sarcopenic obesity with risk factors for cardiometabolic disease: A cross-border study on dweling elderly in the community. 2020. 121f. Dissertation (Master's Degree in Biomedical Gerontology) - School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, 2020. Introduction: Sarcopenic obesity (OS) is a frequent condition in the elderly and is characterized by the concomitant presence of sarcopenia and obesity. These conditions associated with aging corroborate the increase of inflammation, due to the increase in the secretion of pro-inflammatory cytokines and the reduction of anti-inflammatory agents, favoring the aggravation or development of chronic diseases, especially cardiovascular diseases and increased mortality among the dweling elderly. Objective: To analyze the association between sarcopenic obesity and cardiometabolic risk in the dweling elderly in the community of a municipality of Rio Grande do Sul. Methods: A cross - sectional, retrospective study was conducted with 396 dweling elderly individuals (? 60 years old) from the community. Sarcopenia was diagnosed according to the 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria (low lean mass associated with reduced strength and / or physical performance). Obesity was defined as the Body Mass Index> 27 kg / m? associated with central obesity assessed by waist circumference. OS was defined as the concomitant presence of sarcopenia and obesity. Body composition was evaluated by electrical bioimpedance, muscle strength through palmar grip strength measured by manual dynamometry in kg / f and physical performance by walking speed in meters / second. Cardiometabolic risk factors investigated were: clinical indicators (blood pressure, body composition), lifestyle, biochemical markers (total cholesterol, HDL, LDL, triglycerides and glucose), inflammatory markers (hs-CRP and adiponectin). Data were analyzed using SPSS software version 21.0. Results: A frequency of 8.8% of OS was observed, which was more expressive in men (13.8% x 8.0%, P = 0.235). They had a higher percentage of fat mass, an altered fat mass index and physical inactivity as a risk factor for OS (P <0.05). It was observed that at each 1 ?g / dL increase in adiponectin levels there is a 2.5% chance that subjects did not present OS (P = 0.042), whereas at each increase of 1 mg / dL at the levels of HDL-c there is a 4% chance of individuals not presenting OS (P = 0.039). Conclusions: The prevalence of sarcopenic obesity was higher in men. The percentage of fat was a risk factor in both sexes. Fat mass index and sedentary lifestyle were risk factors in men only. However, increased levels of adiponectin and HDL-c were protective factors. |
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Schwanke, Carla Helena Augustinhttp://lattes.cnpq.br/2584101236741703http://lattes.cnpq.br/3651085199181005Ianiski, Val?ria Baccarin2020-09-11T17:33:12Z2019-03-28http://tede2.pucrs.br/tede2/handle/tede/9266IANISKI, Val?ria Baccarin. Association of sarcopenic obesity with risk factors for cardiometabolic disease: A cross-border study on dweling elderly in the community. 2020. 121f. Dissertation (Master's Degree in Biomedical Gerontology) - School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, 2020. Introduction: Sarcopenic obesity (OS) is a frequent condition in the elderly and is characterized by the concomitant presence of sarcopenia and obesity. These conditions associated with aging corroborate the increase of inflammation, due to the increase in the secretion of pro-inflammatory cytokines and the reduction of anti-inflammatory agents, favoring the aggravation or development of chronic diseases, especially cardiovascular diseases and increased mortality among the dweling elderly. Objective: To analyze the association between sarcopenic obesity and cardiometabolic risk in the dweling elderly in the community of a municipality of Rio Grande do Sul. Methods: A cross - sectional, retrospective study was conducted with 396 dweling elderly individuals (? 60 years old) from the community. Sarcopenia was diagnosed according to the 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria (low lean mass associated with reduced strength and / or physical performance). Obesity was defined as the Body Mass Index> 27 kg / m? associated with central obesity assessed by waist circumference. OS was defined as the concomitant presence of sarcopenia and obesity. Body composition was evaluated by electrical bioimpedance, muscle strength through palmar grip strength measured by manual dynamometry in kg / f and physical performance by walking speed in meters / second. Cardiometabolic risk factors investigated were: clinical indicators (blood pressure, body composition), lifestyle, biochemical markers (total cholesterol, HDL, LDL, triglycerides and glucose), inflammatory markers (hs-CRP and adiponectin). Data were analyzed using SPSS software version 21.0. Results: A frequency of 8.8% of OS was observed, which was more expressive in men (13.8% x 8.0%, P = 0.235). They had a higher percentage of fat mass, an altered fat mass index and physical inactivity as a risk factor for OS (P <0.05). It was observed that at each 1 ?g / dL increase in adiponectin levels there is a 2.5% chance that subjects did not present OS (P = 0.042), whereas at each increase of 1 mg / dL at the levels of HDL-c there is a 4% chance of individuals not presenting OS (P = 0.039). Conclusions: The prevalence of sarcopenic obesity was higher in men. The percentage of fat was a risk factor in both sexes. Fat mass index and sedentary lifestyle were risk factors in men only. However, increased levels of adiponectin and HDL-c were protective factors.IANISKI, Val?ria Baccarin. Associa??o da obesidade sarcop?nica com fatores de risco para doen?a cardiometab?lica: Estudo transversal em idosos da comunidade. 2020. 121f. Disserta??o (Mestrado em Gerontologia Biom?dica) ? Escola de Medicina da Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Porto Alegre, 2020. Introdu??o: A obesidade sarcop?nica (OS) ? uma condi??o frequente em idosos e caracteriza-se pela presen?a concomitante da sarcopenia e obesidade. Estes condicionantes associados ao envelhecimento corroboram para o aumento da inflama??o, a partir do aumento da secre??o de citocinas pr?-inflamat?rias e redu??o das anti-inflamat?rias, favorecendo o agravo ou desenvolvimento de doen?as cr?nicas, especialmente as cardiovasculares e o aumento da mortalidade entre os idosos. Objetivo: Analisar a associa??o entre obesidade sarcop?nica e risco cardiometab?lico em idosos da comunidade de um munic?pio do Rio Grande do Sul. M?todos: Estudo transversal, retrospectivo, com 396 idosos (?60 anos de idade) da comunidade. A sarcopenia foi diagnosticada segundo os crit?rios do European Working Group on Sarcopenia in Older People (EWGSOP) de 2010 (baixa massa magra associada ? redu??o de for?a e/ou de desempenho f?sico). A obesidade foi definida atrav?s do ?ndice de Massa Corporal >27Kg/m? associado a obesidade central avaliado pela circunfer?ncia da cintura. A OS foi definida pela presen?a concomitante de sarcopenia e obesidade. A composi??o corporal foi avaliada pela bioimped?ncia el?trica, a for?a muscular atrav?s da for?a de preens?o palmar medida por dinamometria manual em kg/f e o desempenho f?sico atrav?s da velocidade de marcha em metros/segundo. Os fatores de risco cardiometab?lico investigados foram: indicadores cl?nicos (press?o arterial, composi??o corporal), estilo de vida, marcadores bioqu?micos (colesterol total, HDL, LDL, triglicer?dios e glicose) inflamat?rios (PCR-us e adiponectina). Os dados foram analisados atrav?s do software SPSS vers?o 21.0. Resultados: Foi observada uma frequ?ncia de 8,8% de OS, sendo esta mais expressiva nos homens (13,8% x 8,0%, P=0,235). Os mesmos apresentaram maior percentual de massa gorda, um ?ndice de massa gorda alterado e inatividade f?sica como fator de risco para OS (P<0,05). Observou-se que a cada aumento de 1 ?g/dL nos n?veis de adiponectina h? 2,5% de chance de os indiv?duos n?o apresentarem OS (P=0,042), ao passo que, a cada aumento de 1 mg/dL nos n?veis de HDL-c h? 4% de chance dos indiv?duos n?o apresentarem OS (P=0,039). Conclus?es: A preval?ncia de obesidade sarcop?nica foi maior nos homens. O percentual de gordura foi um fator de risco em ambos os sexos. O ?ndice de massa gorda e o sedentarismo foram fatores de risco somente nos homens. J? os n?veis aumentados de adiponectina e de HDL-c mostraram-se fatores protetores.Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2020-07-08T20:19:35Z No. of bitstreams: 1 IANISKI_VAL?RIA_BACCARIN_DIS .pdf: 2708372 bytes, checksum: c6847f276fca55696c18b5d0ab8ce706 (MD5)Rejected by Lucas Martins Kern (lucas.kern@pucrs.br), reason: Rejeitado devido a datas inconsistentes. Consta como data de aprova??o 27/03/2019 mas na folha de rosto est? o ano de 2020. on 2020-09-11T00:27:13Z (GMT)Submitted by PPG Gerontologia Biom?dica (geronbio@pucrs.br) on 2020-09-11T12:50:16Z No. of bitstreams: 1 IANISKI_VAL?RIA_BACCARIN_DIS .pdf: 2708372 bytes, checksum: c6847f276fca55696c18b5d0ab8ce706 (MD5)Approved for entry into archive by Lucas Martins Kern (lucas.kern@pucrs.br) on 2020-09-11T17:26:25Z (GMT) No. of bitstreams: 1 IANISKI_VAL?RIA_BACCARIN_DIS .pdf: 2708372 bytes, checksum: c6847f276fca55696c18b5d0ab8ce706 (MD5)Made available in DSpace on 2020-09-11T17:33:12Z (GMT). No. of bitstreams: 1 IANISKI_VAL?RIA_BACCARIN_DIS .pdf: 2708372 bytes, checksum: c6847f276fca55696c18b5d0ab8ce706 (MD5) Previous issue date: 2019-03-28Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPESapplication/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/178802/IANISKI_VAL%c3%89RIA_BACCARIN_DIS%20.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Gerontologia Biom?dicaPUCRSBrasilEscola de MedicinaObesidadeSarcopeniaFatores de riscoComposi??o corporalTecido adiposoObesitySarcopeniaRisk factorsBody compositionAdipose tissueCIENCIAS DA SAUDE::MEDICINAObesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidadeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho n?o apresenta restri??o para publica??o8969645070886364160500600500600-224747486637135387-9693694523087866273590462550136975366info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILIANISKI_VAL?RIA_BACCARIN_DIS .pdf.jpgIANISKI_VAL?RIA_BACCARIN_DIS .pdf.jpgimage/jpeg5639http://tede2.pucrs.br/tede2/bitstream/tede/9266/5/IANISKI_VAL%C3%89RIA_BACCARIN_DIS+.pdf.jpg70308378afba2a6ffb3b6d4f7fffb5f6MD55TEXTIANISKI_VAL?RIA_BACCARIN_DIS .pdf.txtIANISKI_VAL?RIA_BACCARIN_DIS .pdf.txttext/plain206033http://tede2.pucrs.br/tede2/bitstream/tede/9266/4/IANISKI_VAL%C3%89RIA_BACCARIN_DIS+.pdf.txt6e81ac78c2fc0155ff82b9bd2fb35116MD54LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9266/3/license.txt220e11f2d3ba5354f917c7035aadef24MD53ORIGINALIANISKI_VAL?RIA_BACCARIN_DIS .pdfIANISKI_VAL?RIA_BACCARIN_DIS .pdfapplication/pdf2708372http://tede2.pucrs.br/tede2/bitstream/tede/9266/2/IANISKI_VAL%C3%89RIA_BACCARIN_DIS+.pdfc6847f276fca55696c18b5d0ab8ce706MD52tede/92662020-09-11 20:00:09.38oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2020-09-11T23:00:09Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
title |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
spellingShingle |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade Ianiski, Val?ria Baccarin Obesidade Sarcopenia Fatores de risco Composi??o corporal Tecido adiposo Obesity Sarcopenia Risk factors Body composition Adipose tissue CIENCIAS DA SAUDE::MEDICINA |
title_short |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
title_full |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
title_fullStr |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
title_full_unstemmed |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
title_sort |
Obesidade sarcop?nica e fatores de risco cardiometab?lico em idosos da comunidade |
author |
Ianiski, Val?ria Baccarin |
author_facet |
Ianiski, Val?ria Baccarin |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Schwanke, Carla Helena Augustin |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2584101236741703 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3651085199181005 |
dc.contributor.author.fl_str_mv |
Ianiski, Val?ria Baccarin |
contributor_str_mv |
Schwanke, Carla Helena Augustin |
dc.subject.por.fl_str_mv |
Obesidade Sarcopenia Fatores de risco Composi??o corporal Tecido adiposo |
topic |
Obesidade Sarcopenia Fatores de risco Composi??o corporal Tecido adiposo Obesity Sarcopenia Risk factors Body composition Adipose tissue CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Obesity Sarcopenia Risk factors Body composition Adipose tissue |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
IANISKI, Val?ria Baccarin. Association of sarcopenic obesity with risk factors for cardiometabolic disease: A cross-border study on dweling elderly in the community. 2020. 121f. Dissertation (Master's Degree in Biomedical Gerontology) - School of Medicine, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, 2020. Introduction: Sarcopenic obesity (OS) is a frequent condition in the elderly and is characterized by the concomitant presence of sarcopenia and obesity. These conditions associated with aging corroborate the increase of inflammation, due to the increase in the secretion of pro-inflammatory cytokines and the reduction of anti-inflammatory agents, favoring the aggravation or development of chronic diseases, especially cardiovascular diseases and increased mortality among the dweling elderly. Objective: To analyze the association between sarcopenic obesity and cardiometabolic risk in the dweling elderly in the community of a municipality of Rio Grande do Sul. Methods: A cross - sectional, retrospective study was conducted with 396 dweling elderly individuals (? 60 years old) from the community. Sarcopenia was diagnosed according to the 2010 European Working Group on Sarcopenia in Older People (EWGSOP) criteria (low lean mass associated with reduced strength and / or physical performance). Obesity was defined as the Body Mass Index> 27 kg / m? associated with central obesity assessed by waist circumference. OS was defined as the concomitant presence of sarcopenia and obesity. Body composition was evaluated by electrical bioimpedance, muscle strength through palmar grip strength measured by manual dynamometry in kg / f and physical performance by walking speed in meters / second. Cardiometabolic risk factors investigated were: clinical indicators (blood pressure, body composition), lifestyle, biochemical markers (total cholesterol, HDL, LDL, triglycerides and glucose), inflammatory markers (hs-CRP and adiponectin). Data were analyzed using SPSS software version 21.0. Results: A frequency of 8.8% of OS was observed, which was more expressive in men (13.8% x 8.0%, P = 0.235). They had a higher percentage of fat mass, an altered fat mass index and physical inactivity as a risk factor for OS (P <0.05). It was observed that at each 1 ?g / dL increase in adiponectin levels there is a 2.5% chance that subjects did not present OS (P = 0.042), whereas at each increase of 1 mg / dL at the levels of HDL-c there is a 4% chance of individuals not presenting OS (P = 0.039). Conclusions: The prevalence of sarcopenic obesity was higher in men. The percentage of fat was a risk factor in both sexes. Fat mass index and sedentary lifestyle were risk factors in men only. However, increased levels of adiponectin and HDL-c were protective factors. |
publishDate |
2019 |
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2019-03-28 |
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2020-09-11T17:33:12Z |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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