CONDIÇOES CRONICAS DE SAUDE, MULTIMORBIDADE E INDICE DE MASSA CORPORAL EM IDOSOS

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As associações entre as condições crônicas de saúde e o índice de massa corporal foram específicas ao sexo. Quando avaliadas separadamente, as doenças crônicas foram, em geral, associadas aos menores valores do índice de massa corporal, exceto a depressão nos homens. No entanto, a multimorbidade foi associada aos maiores valores do índice de massa corporal.
Autor:
Andrée Philippe Pimentel Coutinho
Columnista Experta de SIIC

Institución:
Centro Educacional Ana Sperandio Battisti


Artículos publicados por Andrée Philippe Pimentel Coutinho
Coautores
Aline Rodrigues Barbosa* Vandrize Meneghini* Júlia Pessini** Eleonora D´Orsi*** 
Kinesióloga, Universidade Federal de Santa Catarina, Florianopolis, Brasil*
Nutricionista, Universidade Federal de Santa Catarina, Florianopolis, Brasil**
Médica, Universidade Federal de Santa Catarina, Florianopolis, Brasil***
Recepción del artículo
21 de Septiembre, 2016
Aprobación
9 de Noviembre, 2016
Primera edición
3 de Febrero, 2017
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Objetivo: Investigar a associação entre condições crônicas de saúde, multimorbidade, e índice de massa corporal em idosos. Métodos: Estudo transversal realizado com 1702 pessoas com 60 anos ou mais (amostras de probabilidade), residentes em Florianópolis, Sul do Brasil. As seguintes condições crônicas de saúde foram identificados por auto relato: artrite/reumatismo/artrose; câncer; depressão, diabetes mellitus; doença crônica pulmonar; doença da coluna; hipertensão arterial sistêmica; doença coronariana; insuficiência renal crônica; depressão; doença vascular cerebral, úlcera, história de quedas e e dependência nas atividades da vida diária. Associações entre as variáveis independentes e IMC foram testadas por meio de regressão linear (bruta e ajustada). Resultados: Após ajuste (idade, escolaridade, arranjo familiar, tabagismo, circunferência da cintura, estado cognitivo e todas as outras condições crônicas de saúde) foram identificadas as seguintes associações: para os homens, a doença crônica pulmonar e a doença coronariana foram associados aos menor IMC mais baixo, enquanto a depressão foi associada ao maior IMC. Para as mulheres, a doença cerebrovascular e a diabetes foram independentemente associadas aos menores valores de IMC. Houve tendência linear entre o número de doenças crônicas e IMC, para homens e mulheres. Conclusão: As associações foram específicas ao sexo. Quando avaliadas separadamente, as doenças crônicas foram, em geral, associadas aos menores valores de IMC, exceto a depressão nos homens. No entanto, a multimorbidade foi associada ao maior IMC.

Palabras clave
envelhecimento, envejecimiento, doenças crônicas, antropometria, antropometría, enfermedad crónica


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Abstract
Objective: To investigate the association between chronic health conditions, multimorbidity, and body mass index (BMI) in older adults. Methods: Cross-sectional study carried out with 1702 subjects aged 60 or more (probability sample), residents in Florianopolis, southern Brazil. The following chronic health conditions were identified by self-report: arthritis/rheumatism/arthritis; cancer; depression, diabetes mellitus; chronic pulmonary disease; column disease; hypertension; coronary disease; chronic renal disease. Linear regression (crude and adjusted) verified the associations between the independent variables and BMI. Results: After adjustment (age, education, living arrangement, smoking, waist circumference, cognitive status and all other chronic health conditions) we identified the following associations: for men, chronic pulmonary disease and coronary disease were associated with lower BMI, while depression was associated with higher BMI. For women, cerebrovascular disease and diabetes were independently associated with lower BMI values. There was a linear trend between the number of chronic diseases and BMI, for men and women. Conclusion: The associations were specific to sex. When evaluated separately, chronic diseases were generally associated with lower BMI values, except depression in men. However, multimorbidity was associated with BMI.

Key words
aging, chronic disease, anthropometry


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Epidemiología, Salud Pública
Relacionadas: Geriatría, Nutrición



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Enviar correspondencia a:
Vandrize Meneghini, Centro de Desportos, Universidade Federal de Santa Catarina, Campus Trindade s/n, FLORIANOPOLIS, Brasil
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