Prevalência da síndrome metabólica e de seus componentes em pessoas com diabetes mellitus tipo 2

José Cláudio Garcia Lira Neto; Jales Fhelipe de Sousa Fernandes Oliveira; Maria Amélia de Souza; Márcio Flávio Moura de Araújo; Marta Maria Coelho Damasceno; Roberto Wagner Júnior Freire de Freitas

José Cláudio Garcia Lira Neto Universidade Federal do Piauí (UFPI) (Floriano, Piauí, Brasil)
Jales Fhelipe de Sousa Fernandes Oliveira Universidade Federal do Piauí (UFPI) (Floriano, Piauí, Brasil)
Maria Amélia de Souza Universidade Federal de Pernambuco (Vitória de Santo Antão, Pernambuco, Brasil)
Márcio Flávio Moura de Araújo Universidade da Integração Internacional da Lusofonia Afro-Brasileira (Redenção, Ceará, Brasil)
Marta Maria Coelho Damasceno Universidade Federal do Ceará (Fortaleza, Ceará, Brasil)
Roberto Wagner Júnior Freire de Freitas Fundação Oswaldo Cruz (Fortaleza, Ceará, Brasil)

Palabras clave: Síndrome metabólico, Diabetes Mellitus Tipo 2, Enfermedad crónica, Salud del adulto, Enfermerías, Marcadores clínicos, Atención primaria para la salud

Key-words: Syndrome X metabolic, Type 2 Diabetes Mellitus, Chronic disease, Adult’s health. Nursing, Clinical markers, Primary health care

Palavras chave: Síndrome X metabólica, Diabetes Mellitus Tipo, Doença crônica, Saúde do adulto, Enfermagem, Marcadores clínicos, Atenção primária à saúde

Resumen

Objetivo: identificar la prevalencia del Síndrome Metabólico y sus componentes en personas con Diabetes Mellitus tipo 2. Método: estudio transversal con 201 personas registradas y acompañadas en Unidades de Salud. Fueron investigadas las variables sociodemográficas, antropométricas, clínicas y las relacionadas con el Síndrome Metabólico. La recolección de datos fue realizada en las Unidades Básicas de Salud durante la consulta de enfermería. Resultados: la prevalencia del Síndrome Metabólico de 46,3% es significativamente asociado con el sexo femenino (p=0,001) y las personas con exceso de peso (p=0,001). Cuando los componentes del síndrome fueron analizados de forma aislada, las tasas de circunferencia de la cintura, glicemia de ayuno, triglicéridos y presión arterial se mostraron elevadas en 62,0%, 58,5%, 55,8% y 49,8%, respectivamente. Sin embargo, la tasa de HDL se mostró baja, con un 47,3%. Conclusión: con el 46,3% de los investigados presentando el Síndrome Metabólico, debe darse una atención especial para las mujeres y personas con exceso de peso porque además de presentar porcentajes significativamente mayores del Síndrome Metabólico, también presentaron alteraciones en los principales componentes

Abstract

Objective: to identify the prevalence of the Metabolic Syndrome and its components in people with Type 2 Diabetes Mellitus. Method: cross-sectional study with 201 people enrolled and monitored in Health Units. Sociodemographic, anthropometric, clinical variables and those related to the Metabolic Syndrome were investigated. The data collection was carried out at the Basic Health Units, during the nursing consultation. Results: the prevalence of the Metabolic Syndrome was 46.3%, significantly associated with the female gender (p=0.001) and overweight people (p=0.001). When the components of the syndrome were analyzed in isolation, the waist circumference, fasting glycemia, triglycerides and blood pressure were 62.0%, 58.5%, 55.8% and 49.8% , respectively. And the HDL rate was low, in 47.3%. Conclusion: having 46.3% of those investigated with the Metabolic Syndrome, special attention should be paid to women and overweight individuals, since in addition to presenting significantly higher percentages of Metabolic Syndrome, they have also presented changes in the main components

Resumo

Objetivo: identificar a prevalência da Síndrome Metabólica e seus componentes em pessoas com Diabetes Mellitus tipo 2. Método: estudo transversal com 201 pessoas cadastradas e acompanhadas em Unidades de Saúde. Foram investigadas variáveis sociodemográficas, antropométricas, clínicas e às relacionadas à Síndrome Metabólica. A coleta de dados foi realizada nas Unidades Básicas de Saúde, durante a consulta de enfermagem. Resultados: a prevalência da Síndrome Metabólica de 46,3%, significativamente associada ao sexo feminino (p=0,001) e às pessoas com excesso de peso (p=0,001). Quando os componentes da síndrome foram analisados de forma isolada, as taxas de circunferência da cintura, glicemia de jejum, triglicerídeos e pressão arterial, se mostraram elevados em 62,0%, 58,5%, 55,8% e 49,8%, respectivamente. Já a taxa de HDL se mostrou baixa em 47,3%. Conclusão: com 46,3% dos investigados apresentando Síndrome Metabólica, atenção especial deve ser dada às mulheres e pessoas com excesso de peso, pois além de apresentarem percentuais significativamente maiores de Síndrome Metabólica, também apresentaram alterações nos principais componentes

Bibliografía

1. Vidigal FC, Bressan J, Babio N, Salas-Salvadó J. Prevalence of metabolic syndrome in Brazilian adults: a systematic review. BMC Public Health [Internet]. 2013 [cited 2016 Jun10]; 13:1198. Available from: http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3878341/ pdf/1471-2458-13-1198.pdf
2. Araújo MFM, Freitas RWJF, Lima ACS, Pereira DCR, Zanetti ML, Damasceno MMC. Relation between sleep quality and metabolic syndrome among university students. Texto Contexto Enferm [Internet]. 2015 [cited 2016 Jun10]; 24(2):505-12. Available from: http://www.scielo. br/pdf/tce/v24n2/pt_0104-0707-tce-24-02-00505.pdf
3. Pinzón JB, Serrano NC, Díaz LA, Mantilla G, Velasco HM, Martínez LX, et al. Impact of the new definitions in the prevalence of the metabolic syndrome in an adult population at Bucaramanga, Colombia. Biomédica (Bogotá) [Internet]. 2007 [cited 2016 Jun10]; 27(2):172-9. Available from: http://www.scielo.org.co/pdf/bio/v27n2/v27n2a04.pdf
4. Mujica V, Leiva E, Icaza G, Diaz N, Arredondo M, Moore- Carrasco R, et al. Evaluation of metabolic syndrome in adults of Talca city, Chile. NutrJ (Online) [Internet]. 2008 [cited 2016 Jun15]; 7:14. Available from: http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC2397433/ pdf/1475-2891-7-14.pdf
5. Lira Neto JCG, Xavier MA, Borges JWP, Araújo MFM, Damasceno MMC, Freitas RWJF. Prevalence of metabolic syndrome in individuals with type 2 diabetes mellitus. Rev Bras Enferm [Internet]. 2017 [cited 2017 Jul 24]; 70(2):265-70. Available from: http://www.scielo.br/ pdf/reben/v70n2/pt_0034-7167-reben-70-02-0265.pdf
6. Saboya PP, Bodanese LC, Zimmermann PR, Gustavo AS, Macagnan FE, Feoli AP, Oliveira MS. Lifestyle intervention on metabolic syndrome and its impact on quality of life: a randomized controlled trial. Arq Bras Cardiol [Internet]. 2017 [cited 2017 Jul 24]; 108(1):60-9. Available from: http://www.scielo.br/pdf/abc/v108n1/pt_0066- 782X-abc-20160186.pdf
7. Lira Neto JCG, Silva AP, Araújo MFM, Damasceno MMC, Landim MBP, Freitas RWJF. Metabolic control and medication adherence in people with diabetes mellitus. Acta Paul Enferm [Internet]. 2017 [cited 2017 Jul 24]; 30(2):152-8. Available from: http://www. scielo.br/scielo.php?script=sci_arttext&pid=S0103- 21002017000200152&lng=pt.
8. Oliveira GF, Oliveira TR, Rodrigues FF, Corrêa LF, Arruda TB, Casulari LA. Prevalence of metabolic syndrome in the indigenous population, aged 19 to 69 years, from Jaguapiru Village, Dourados (MS), Brazil. EthnDis. 2011; 21(3):301-6.
9. Gronner MF, Bosi PL, Carvalho AM, Casale G, Contrera D, Pereira MA, et al. Prevalence of metabolic syndrome and its association with educational inequalities among Brazilian adults: a population-based study. Braz J Med Biol Res [Internet]. 2011 [cited 2016 Jun 15]; 44(7):713- 9. Available from: http://www.scielo.br/pdf/bjmbr/ v44n7/997.pdf
10. Fonseca MJ, Gaio R, Lopes C, Santos AC. Association between dietary patterns and metabolic syndrome in a sample of Portuguese adults. Nutr j (Online) [Internet]. 2012 [cited 2016 Jun 15]; 11: 64. Available from: http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3493346/ pdf/1475-2891-11-64.pdf
11. Corbatón-Anchuelo A, Martínez-Larrad MT, Fernández- Pérez C, Vega-Quiroga S, Ibarra-Rueda JM, Serrano-Ríos M. Metabolic syndrome, adiponectin, and cardiovascular risk in Spain (the Segovia study): impact of consensus societies criteria. MetabSyndrRelatDisord. 2013; 11(5):309-18.
12. Wagner A, Dallongeville J, Haas B, Ruidavets JB, Amouyel P, Ferrières J, et al. Sedentary behaviour, physical activity and dietary patterns are independently associated with the metabolic syndrome. Diabetes Metab [Internet]. 2012 [cited 2016 Jun15]; 38(5):428-35. Available from: http://www.diabet-metabolism.com/ article/S1262-3636(12)00081-X/pdf
13. Beltrán-Sánchez H, Harhay MO, Harhay MM, McElligott S. Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. J Am CollCardiol. [Internet]. 2013 [cited 2016 Jun15]; 62(8):697-703. Available from: http://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3756561/pdf/nihms501854.pdf
14. Belfki H, Ali SB, Aounallah-Skhiri H, Traissac P, Bougatef S, Maire B, et al. Prevalence and determinants of the metabolic syndrome among Tunisian adults: results of the transition and health impact in North Africa (TAHINA) project. Public Health Nutr [Internet]. 2012 [cited 2016 Jun15]; 16(4): 582-90. Available from: http://journals. cambridge.org/download.php?file=%2FPHN%2F PHN16_04%2FS1368980012003291a.pdf&code=b156769 3dadcd944e332fec41a70bb64
15. Isordia-Salas I, Santiago-German D, Rodriguez-Navarro H, Almaraz-Delgado M, Leanos-Miranda A, Anaya-Gomez F, etal. Prevalence of metabolic syndrome components in an urban mexican sample: comparison between two classifications. Exp Diabetes Res [Internet] 2012 [cited 2017 Jul 25]; 2012:202540. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3235771/ pdf/EDR2012-202540.pdf
16. Khan SA, Jackson RT. The prevalence of metabolic syndrome among low-income south Asian Americans. Public Health Nutr [Internet] 2016 [cited 2017 Jul 25];19(3):418-28. Available from: https://www.cambridge. org/core/services/aop-cambridge-core/content/ view/D396499EC031F3AA4BEEE4688E993141/ S1368980015001330a.pdf/prevalence_of_metabolic_syndrome_ among_lowincome_south_asian_americans.pdf
17. Davila EP, Quintero MA, Orrego ML, Ford ES, Walke H, Arenas MM, etal. Prevalence and risk factors for metabolic syndrome in Medellin and surrounding municipalities, Colombia, 2008-2010. PrevMed. 2013;56(1):30- 4.
18. Szigethy E, Szeles G, Horvath A, Hidvegi T, Jermendy G, Paragh G,etal. Epidemiology of the metabolic syndrome in Hungary. Public Health [Internet] 2012 [cited 2017 Jul 25];126(2):143-9. Available from: http://www.publichealthjrnl. com/article/S0033-3506(11)00339-8/pdf
19. Amirkalali B, Fakhrzadeh H, Sharifi F, Kelishadi R, Zamani F, Asayesh H, Safiri S, Samavat T, Qorbani M. Prevalence of metabolic syndrome and its components in the iranian adult population: a systematic review and metaanalysis. Iran Red Crescent Med J [Internet] 2015 [cited 2017 Jul 25];17(12):e24723. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC4706734/ pdf/ircmj-17-12-24723.pdf
20. Dutra ES, Carvalho KMB, Miyazaki E, Hamann EM, Kiyomi Ito M. Metabolic syndrome in central Brazil: prevalence and correlates in the adult population. Diabetol. MetabSyndr[Internet] 2012 [cited 2017 Jul 24];4(1):20. Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC3457864/pdf/1758-5996-4-20.pdf
21. Arthur FKN, Michael AF, Osei-Yeboah J, Mensah FO, Owusu L.The prevalence of metabolic syndrome and its predominant components among pre-and postmenopausal Ghanaian women. BMC Res Notes [Internet].2013 [cited 2017 Jul 24]; 6:446. Available from: https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3843598/ pdf/1756-0500-6-446.pdf
22. Albuquerque GA, Leite MF, Belém JM, Nunes JFC, Oliveira MA, Adami F. The man in primary healthcare: perceptions of nurses about the implications of gender in health. Esc Anna Nery [Internet]. 2014 [cited 2016 Jun 20]; 18(4):607-14. Available from: http://www.scielo. br/pdf/ean/v18n4/1414-8145-ean-18-04-0607.pdf
23. Bhatti GK, Bhadada SK, Vijayvergiya R, Mastana SS, Bhatti JS. Metabolic syndrome and risk of major coronary events among the urban diabetic patients: North Indian Diabetes and Cardiovascular Disease Study-NIDCVD- 2. J Diabetes Its Complicat. [Internet]. 2016 [cited 2017 Jul 24]; 30(1):72-8. Available from: https://www. ncbi.nlm.nih.gov/pubmed/26271411
24. Nsiah K, Shang VO, Boateng KA, Mensah FO. Prevalence of metabolic syndrome in type 2 diabetes mellitus patients. Int J Appl Basic Med Res [Internet]. 2015 [cited 2017 Jul 24]; 5(2):133-8. Available from: https://www. ncbi.nlm.nih.gov/pmc/articles/PMC4456889/
25. Paula JAT, Moreira OC, Silva CD, Silva DS, Amorim PRS. Metabolic syndrome prevalence in elderly of urban and rural communities participants in the HIPERDIA in the city of Coimbra/MG, Brazil. Invest Educ Enferm. [Internet] 2015 [cited 2017 Jul 24]; 33(2):325-33. Available from: http://www.scielo.org.co/pdf/iee/v33n2/ v33n2a15.pdf
26. Maccaronea SD; Lima DB; Ferreira EB. Rastreamento da síndrome metabólica e qualidade de vida dos diabéticos adscritos a uma unidade de estratégia de saúde da família em um município do sul de Minas Gerais. Rev Aten Saúde [Internet]. 2017 [cited 2017 Jul 25]; 15(51):98-105. Available from: http://seer.uscs.edu.br/index.php/revista_ ciencias_saude/article/view/4370/pdf.
27. Turi BC, Codogno JS, Fernandes RA, Monteiro HL. Low levels of physical activity and metabolic syndrome: cross-sectional study in the Brazilian public health system. Ciênc Saúde Coletiva [Internet] 2016 [cited 2017Jul 25]; 21(4):1043-50.Availablefrom: http://www.scielo. br/pdf/csc/v21n4/1413-8123-csc-21-04-1043.pdf
28. Wang GR, Li L, Pan YH, Tian GD, Lin WL, Li Z, et al. Prevalence of metabolic syndrome among urban community residents in China. BMC Public Health [Internet]. 2013 [cited 2016 Jun 20]; 13:599. Available from: http:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3734094/ pdf/1471-2458-13-599.pdf
29. Gomes-Villas Boas LC, Foss-Freitas MC, Pace AE. Adherence of people with type 2 diabetes mellitus to drug treatment. Rev Bras Enferm [Internet]. 2014 [cited 2016 Jun 20]; 67(2):268-73. Available from: http://www.scielo.br/pdf/ reben/v67n2/0034-7167-reben-67-02-0268.pdf.
30. Lima DBS, Moreira TMM, Borges JWP, Rodrigues MTP. Association between treatment compliance and different types of cardiovascular complications in arterial hypertension patients. Texto Contexto Enferm [Internet]. 2016 [cited 2017 Jul 24]; 25(3):e0560015. Available from: http://www.scielo.br/scielo.php?script=sci_arttex t&pid=S0104-07072016000300302&lng=en
31. Soratto J, Pires DEP, Dornelles S, Lorenzetti J. Family health strategy: a technological innovation in health. Texto Contexto Enferm [Internet]. 2015 [cited 2017 Jul 26]; 24(2):584-92. Available from: http://www. scielo.br/scielo.php?script=sci_arttext&pid=S0104- 07072015000200584&lng=en

Prevalência da síndrome metabólica e de seus componentes em pessoas com diabetes mellitus tipo 2

Prevalence of the metabolic syndrome and its components in people with type 2 diabetes mellitus

Prevalencia del síndrome metabólico y sus componentes en personas con diabetes mellitus tipo 2

Resumen

Abstract

Resumo

Bibliografía