Cintura hipertrigliceridêmica e fatores associados em população rural do sudeste brasileiro
Nenhuma Miniatura disponível
Data
2019-08-22
Autores
Birro, Rebeca Alvarenga Marques
Título da Revista
ISSN da Revista
Título de Volume
Editor
Universidade Federal do Espírito Santo
Resumo
abstractThe Hypertriglyceridemic Waist phenotype is a simple, low-cost clinical marker that can be applied in epidemiological settings to identify individuals at increased cardiometabolic risk, especially in populations with limited access to healthcare services. This study aimed to estimate the prevalence of the Hypertriglyceridemic Waist phenotype and to analyze associated factors among family farmers living in the rural area of Santa Maria de Jetibá, Espírito Santo, Brazil. A cross-sectional epidemiological study was conducted with 790 farmers selected through stratified sampling. Sociodemographic, occupational, lifestyle, anthropometric, and biochemical data were collected. The Hypertriglyceridemic Waist phenotype was defined according to the criteria of the International Diabetes Federation. The prevalence of the Hypertriglyceridemic Waist phenotype defined according to the International Diabetes Federation criteria was 13.03%, with higher occurrence among older individuals. In the multivariate analysis, age remained the only factor significantly associated with the outcome: 31–40 years (odds ratio = 2.48; 95 percent confidence interval: 1.17–5.17), 41–50 years (odds ratio = 3.53; 95 percent confidence interval: 1.63–7.65), and older than 50 years (odds ratio = 4.83; 95 percent confidence interval: 2.22–10.52). Sociodemographic and occupational variables did not remain associated after adjustment. These findings indicate that age-related metabolic changes and the ongoing nutritional transition also affect rural populations, even in contexts traditionally characterized by higher physical activity and agricultural labor. In conclusion, the Hypertriglyceridemic Waist phenotype represents a useful and feasible screening tool for early detection of cardiometabolic risk in rural settings, supporting surveillance actions and preventive strategies targeted at agricultural workers. Longitudinal studies are recommended to better understand causal pathways and to guide tailored public health interventions.
Descrição
Palavras-chave
Cintura hipertrigliceridêmica , Cardiometabólico , Saúde do trabalhador , Área rural , Hypertriglyceridemic waist phenotype , Rural population , Cardiometabolic risk , Agricultural workers , Epidemiology