TY - JOUR
T1 - Metabolic Syndrome and Its Associated Factors in Older Adults
T2 - A Secondary Analysis of SABE Colombia in 2015
AU - Barranco-Ruiz, Yaira
AU - Villa-Gonzalez, Emilio
AU - Venegas-Sanabria, Luis C.
AU - Chavarro-Carvajal, Diego A.
AU - Cano-Gutierrez, Carlos A.
AU - Izquierdo, Mikel
AU - Correa-Bautista, Jorge E.
AU - Gonzalez-Ruiz, Katherine
AU - Ramirez-Velez, Robinson
N1 - Funding Information:
This study is part of a larger project that has been funded by a Colciencias y Ministerio de Salud y la Proteccion Social de Colombia (The SABE Study ID 2013, no. 764). The funder had no role in the study design, data collection, data analysis and interpretation, the preparation of the article, or the decision to publish. Mikel Izquierdo is funded in part by a research grant PI17/01814 from the Ministerio de Economı´a, Industria, y Competitividad (ISCIII, FEDER). Robinson Ramı´rez-Velez is funded in part by a Postdoctotal fellowship grant ID 420/2019 of the Universidad Publica de Navarra, Spain.
Funding Information:
This study is part of the 2015 SABE study Survey on Health, Wellbeing, and Aging in Latin America and the Caribbean, which is a multicenter project conducted by the PAHO and supported by the Epidemiological Office of the National Health Ministry in Bogotá, Colombia (https://www .minsalud.gov.co). The rationale and detailed methodology of the SABE Colombia has been published elsewhere.22 Most of the population included in the study (99%) resided in private homes in the urban and rural stratification of the sample, and the sample was selected in segments according to the municipal cartography of the area.23 The final sample size, including 244 municipalities from all states of the country, was 23,694.22 There were an average of 4.2 – 1.2 adults per segment, and the means and proportions for the SABE were estimated with a degree of error of up to 6% of the maximum expected error at the national disaggregation level only.
Funding Information:
This study is part of a larger project that has been funded by a Colciencias y Ministerio de Salud y la Protección Social de Colombia (The SABE Study ID 2013, no. 764). The funder had no role in the study design, data collection, data analysis and interpretation, the preparation of the article, or the decision to publish. Mikel Izquierdo is funded in part by a research grant PI17/01814 from the Ministerio de Economía, Industria, y Competitividad (ISCIII, FEDER). Robinson Ramírez-Vélez is funded in part by a Postdoctotal fellowship grant ID 420/ 2019 of the Universidad Pública de Navarra, Spain.
Publisher Copyright:
© Copyright 2020, Mary Ann Liebert, Inc., publishers 2020.
PY - 2020/10
Y1 - 2020/10
N2 - Background: Understanding the metabolic syndrome (MetS) prevalence at the national level is important to develop effective programs and strategies to prevent and control MetS. This study aimed to analyze the prevalence of MetS according to gender and aging stage, and its association with potential factors in older individuals ≥60 years of age in Colombia. Methods: The data for this study came from a secondary cross-sectional, nationally representative SABE study Survey on Health, Well-Being, and Aging in Colombia, 2015. A total of 1637 participants (60.7% women, 70.5 ± 7.9 years) from 86 Colombian municipalities participated. A structured questionnaire was used to collect data on socio-demography, lifestyle, and self-report medical conditions. Measurements included anthropometric (weight, waist circumference, body mass index), sarcopenia "proxy"status (calf circumference) handgrip strength levels, high-density lipoprotein cholesterol, triglycerides, fasting glucose, and blood pressure. Univariate and multiple regression models were established as part of the main analysis. Results: Using the harmonized Joint Scientific Statement criteria, MetS was present in 54.9% of the study population, with a higher prevalence among females than males (59.8% vs. 47.3%). Individuals who were cigarette smokers (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.0-2.4; P = 0.034), female gender (OR = 1.3; 95% CI = 1.0-1.8; P = 0.020), and sarcopenia "proxy"(OR = 1.6; 95% CI = 1.0-2.5; P = 0.026) were more likely to have a higher prevalence estimate of MetS, after controlling for relevant covariates. Conclusions: Overall prevalence of MetS among older adults in Colombia is high. Smoking, female gender, and sarcopenia "proxy"status are associated with MetS. These results suggested that MetS is still a serious public burden in Colombia, and screening for promotion of healthy lifestyle and nutrition counseling should be offered routinely in old age.
AB - Background: Understanding the metabolic syndrome (MetS) prevalence at the national level is important to develop effective programs and strategies to prevent and control MetS. This study aimed to analyze the prevalence of MetS according to gender and aging stage, and its association with potential factors in older individuals ≥60 years of age in Colombia. Methods: The data for this study came from a secondary cross-sectional, nationally representative SABE study Survey on Health, Well-Being, and Aging in Colombia, 2015. A total of 1637 participants (60.7% women, 70.5 ± 7.9 years) from 86 Colombian municipalities participated. A structured questionnaire was used to collect data on socio-demography, lifestyle, and self-report medical conditions. Measurements included anthropometric (weight, waist circumference, body mass index), sarcopenia "proxy"status (calf circumference) handgrip strength levels, high-density lipoprotein cholesterol, triglycerides, fasting glucose, and blood pressure. Univariate and multiple regression models were established as part of the main analysis. Results: Using the harmonized Joint Scientific Statement criteria, MetS was present in 54.9% of the study population, with a higher prevalence among females than males (59.8% vs. 47.3%). Individuals who were cigarette smokers (odds ratio [OR] = 1.5; 95% confidence interval [CI] = 1.0-2.4; P = 0.034), female gender (OR = 1.3; 95% CI = 1.0-1.8; P = 0.020), and sarcopenia "proxy"(OR = 1.6; 95% CI = 1.0-2.5; P = 0.026) were more likely to have a higher prevalence estimate of MetS, after controlling for relevant covariates. Conclusions: Overall prevalence of MetS among older adults in Colombia is high. Smoking, female gender, and sarcopenia "proxy"status are associated with MetS. These results suggested that MetS is still a serious public burden in Colombia, and screening for promotion of healthy lifestyle and nutrition counseling should be offered routinely in old age.
KW - aged
KW - cardiovascular diseases
KW - metabolic syndrome
KW - prevalence
UR - http://www.scopus.com/inward/record.url?scp=85092680289&partnerID=8YFLogxK
U2 - 10.1089/met.2019.0066
DO - 10.1089/met.2019.0066
M3 - Article
C2 - 32609058
AN - SCOPUS:85092680289
SN - 1540-4196
VL - 18
SP - 389
EP - 398
JO - Metabolic Syndrome and Related Disorders
JF - Metabolic Syndrome and Related Disorders
IS - 8
ER -