Metabolic syndrome in older adults of the nursing home ¨ Carlos Castellano Blanco¨
Keywords:
METABOLIC SYNDROME, AGED, INSULIN RESISTANCE.Abstract
Introduction: non-communicable diseases impede social and economic development worldwide, with a tendency to increase in incidence and mortality, a context in which the Metabolic Syndrome is inserted. Objective: To determine the incidence of metabolic syndrome in older adults of the ¨Carlos Castellano Blanco¨ nursing home in Pinar Del Rio.
Methods: a descriptive observational study was carried out in the Nursing Home already mentioned, in the period from January to September 2020. The universe consisted of 160 elderly adults, 54 of whom had a diagnosis of Metabolic Syndrome, leaving a sample of 40 elderly who met the inclusion criteria. The information was extracted from individual medical records, used to form a database in Microsoft Excel and processed by calculating absolute and relative frequencies and Chi-square test (X2) to establish the relationship between variables.
Results: metabolic syndrome was diagnosed in 34 % of the older adults, predominantly in the male sex (60 %) and in the 60 to 69 years age group (62,5 %). Arterial hypertension, elevated triglycerides and type 2 diabetes mellitus were the most frequent components of the metabolic syndrome. Non-alcoholic fatty liver disease represented 52 % of the patients and microalbuminuria 20 % of the sample; older adults without alterations in glycemic control predominated.
Conclusions: the degenerative changes in the elderly justify the high frequency, particularities of the Metabolic Syndrome and the high risk of complications and mortality.
Downloads
References
1. Bolado García VE, Rivera Barragán MR, Soto Olivares MCV, Blasco López G, Romero Valdés LC. Componentes clínicos del Síndrome Metabólico. Rev. Méd Universidad Veracruzana [Internet]. 2015 [citado 14 Mar 2020]; 2(15): 67-89. Disponible en: https://www.medigraphic.com/pdfs/veracruzana/muv-2015/muv152e.pdf
2. Reyes Sanamé FA, Pérez Álvarez ML, Céspedes Cuenca Y, Jiménez Rodríguez K, Fernández Mendoza A. Caracterización clínico epidemiológica de pacientes con síndrome metabólico. CCM [Internet]. 2019 [citado 5 mayo 2020]; 23(4): 2000-2020. Disponible en: http://www.revcocmed.sld.cu/index.php/cocmed/article/view/3365/1482
3. Fundación del Caribe de la Investigación Biomédica (BIOS). Guía de Práctica Clínica "Síndrome Metabólico" [Internet]. Barranquilla: Fundación BIOS; 2015. [citado 14 Mar 2020]. Disponible en: http://www.fundacionbios.org/files/GPC%20SMET.PD
4. Pereira-Rodríguez JE, Melo-Ascanio J, Caballero-Chavarro M, Rincón-Gonzales G, Jaimes-Martin T, Niño-Serrato R. Síndrome metabólico. Apuntes de interés. Rev Cu. Cardiol CirCardiov [Internet]. 2016 [citado 14 Mar 2020]; 22(2): 109-116. Disponible en: http://www.medigraphic.com/pdfs/cubcar/ccc-2016/ccc162i.pdf
5. Herrera O. Síndrome metabólico en la infancia, un enfoque para la atención primaria. Rev cubana Pediatr [Internet]. 2015 Mar [citado 14 Mar 2020]; 87(1): 82-91. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312015000100010
6. Pérez González ME, Camejo Puentes M, Pérez Cardoso JJ, Díaz Llano PA. Síndrome metabólico en pacientes con diabetes mellitus tipo 2. RevCienc MédPinar del Río. 2016 [citado 14 Mar 2020]; 20(4): 414-420. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942016000400005
7. Castillo Castillo JL, Oscanoa Espinoza TJ. Dislipidemia como factor de riesgo para enfermedad cerebrovascular: estudio de casos y controles. Horiz. Med [Internet]. 2016 [citado 14 Mar 2020]; 16(4): 13-9. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1727-558X2016000400003&lng=es
8. Rivas Vázquez D, Miguel Soca PE, Llorente Columbié Y, Marrero Ramírez GM. Comportamiento clínico epidemiológico del síndrome metabólico en pacientes adultos. Rev CubMed Gen Integr [Internet]. 2015 [citado 14 Mar 2020]; 31(3). Disponible en: https://revmgi.sld.cu/index.php/mgi/article/view/57/http;
9. Vázquez Jiménez JG, Roura Guiberna A, Jiménez Mena LR, Olivares Reyes JA. El papel de los ácidos grasos libres en la resistencia a la insulina. Gac Med México [Internet]. 2017 [citado 6 sep 2020]; 153(7): 852-863. Disponible en: http://gacetamedicademexico.com/files/gmm_153_7_852-863.pdf
10. Sapunar J, Aguilar Farías N, Navarro J, Araneda G, Chandía Poblete D, Manríquez V, et al. Alta prevalencia de dislipidemias y riesgo aterogénico en una población infanto-juvenil. Rev Med Chile [Internet]. 2018 [citado 14 Mar 2020]; 146: 1112-22. Disponible en: https://scielo.conicyt.cl/pdf/rmc/v146n10/0034-9887-rmc-146-10-01112.pdf
11. Leiva AM, Martínez MA, Cristi-Montero C, Salas C, Ramírez-Campillo R, Díaz Martínez X. El sedentarismo se asocia a un incremento de factores de riesgo cardiovascular y metabólicos independiente de los niveles de Actividad física. Rev Med Chile [Internet]. 2017 [citado: enero 2020]; 145(4): 458-467. Disponible en http://dx.doi.org/10.4067/s0034-98872017000400006
12. El Hadi H, Di Vincenzo A, Vettor R, Rossato M. Cardio-Metabolic Disorders in Non-Alcoholic Fatty Liver Disease. Int J Mol Sci [Internet]. 2019 [citado 14 Mar 2020]; 20(9). Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6539803/pdf/ijms-20-2215.pdf
13. Kim YM, Kim S, Kim SH, Won YJ. Clinical and Body Compositional Factors Associated with Metabolic Syndrome in Obese Koreans: A Cross-Sectional Study. Metabolic Syndrome and Related Disorders [Internet]. 2 de mayo de 2018 [citado 17 de octubre de 2020]; 16(6): 290-8. Disponible en: https://www.liebertpub.com/doi/10.1089/met.2017.0174
14. Galiano Guerra G, Lastre Diéguez Y, Corrales García ME, Hernández Álvarez R, Japuz Cabrera D. Síndrome metabólico en pacientes hospitalizados en Servicio de Geriatría. Rev.Med.Electrón [Internet]. 2019 Jun [citado 2022 Abr 02]; 41(3): 628-640. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242019000300628
15. Peinado Martínez M, Dager Vergara I, Quintero Molano K, Mogollón Pérez M, Puello Ospina A. Síndrome Metabólico en Adultos: Revisión
Narrativa de la Literatura. MedPub Journals [Internet]. 2021 [citado 2022 Abr 02]; 17(2): 4. Disponible en: https://www.archivosdemedicina.com/medicina-de-familia/siacutendrome-metaboacutelico-en-adultos-revisioacuten-narrativa-de-la-literatura.pdf
16. Mendoza-Romo MÁ, Juárez-Antonio G, Fabela-Mendoza K, Medina-Tinoco A, Reyes Barbosa DL. Somatometria y características metabólicas del adulto mayor con y sin diabetes. Estudio comparativo. Rev Med UAS [Internet]. Octubre-Diciembre 2021 [citado 2022-04-02]; 11(4): 301-310. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=106499
17.Gonzalez Gonzalez LM, Cruzado Goicochea YS. Factores de riesgo que influyen en el Síndrome Metabólico en el adulto mayor del Centro de Salud Alto Trujillo, 2020. [Internet]. Trujillo Perú; 2020 [citado 2022 Abr 02]. Disponible en: https://repositorio.ucv.edu.pe/bitstream/handle/20.500.12692/67262/Gonzalez_GLM-Cruzado_GYS-SD.pdf?sequence=1&isAllowed=y
18. Saquic Marta Julia Velásquez Velásquez, Deris Roselvy, Valdés de García Alba Marina, Frecuencia de síndrome metabólico en hombres y mujeres de 45-65 años que asisten al laboratorio clínico del Hospital Nacional de San Marcos. Rev. cient. cult [Internet]. 2021 [citado 2022 Abr 02]; 30(1). Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1293332
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/