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Prevalência e fatores associados à síndrome metabólica em usuários de unidades básicas de saúde em S?o Paulo - SP

DOI: 10.1590/S0104-42302012000100016

Keywords: socioeconomic factors, healthcare centers, primary healthcare, diabetes mellitus type 2, psychological stress, dyslipidemias.

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Abstract:

objective: to determine the relationship between metabolic syndrome (ms) and socioeconomiclevel, life style, health status, family history of morbidity, and residence areas. methods: this is a cross-sectional cohort study. the random sample consisted of users of two primary health care units (unidades básicas de saúde - ubss) in the city of s?o paulo - jardim comercial (ubs1), and jardim germania (ubs2), a total of 452 subjects. the ncep atp iiicriterion was used to diagnose ms. weight, height, abdominal and hip circumferences were measured for the anthropometric evaluation. a general questionnaire was used to obtain sociodemographicand socioeconomic data; family history; medical history; behavioral habitssuch as smoking, drinking, and physical activity. multivariate logistic regression was used to establish the association between explanatory variables of interest and ms. results: at ubs1, ms percentage was 56.1%; at ubs2, 34.0%. there was a direct and significant association between ms and age, female gender, race, smoking, drinking, physical activity level, stress, and family history of heart disease and diabetes mellitus. education level showed an inverse association. subjects living in a lower socioeconomic level neighborhood had a higher ms risk. conclusion: the results suggest that the morbidities that compose ms are a serious publichealth problem in that population.

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