Obesidade abdominal e associação com características sociodemográficas, comportamentais e clínicas em mulheres climatéricas assistidas na Atenção Primária à Saúde

Abstract

Abdominal obesity has been a major public health problem due to its strong correlation with increased risk of morbidity and mortality. The present study proposed to analyze the factors associated with abdominal obesity in assisted climacteric women in the Family Health Strategy units of Montes Claros - MG. This is an analytical study with climacteric women selected by probabilistic sampling, between August 2014 and August 2015. For data collection we used a structured questionnaire containing information regarding socio-demographic and economic characteristics (age, marital status, education, family income and religion); behavioral (fat intake, chicken skin intake, salt in food, fruit intake, soda, smoking, alcoholism and physical activity level); clinical data (climacteric stages, climacteric symptoms, depression, anxiety, sleep quality, blood glucose, triglycerides, HDL cholesterol, total cholesterol, and blood pressure). To estimate abdominal obesity, the measurement of abdominal circumference ≥ 88 cm was considered. To analyze the association between abdominal obesity (dependent variable) and independent variables, bivariate analysis was performed using Pearson's chi-square test. Variables up to 25% (p≤0.25) were selected for Poisson multiple regression analysis with robust variance, where prevalence ratios (PR) and their respective confidence intervals (CI) were obtained. ) of 95%, with a significance level of 5% (p <0.05). Data were tabulated and analyzed using Predictiv Analytics SoftWare (PASW) 18.0. Results: A total of 805 women aged 40 to 65 years, mean 50.8 years (SD ± 6.98) were evaluated. The prevalence of women with abdominal obesity was 62.4% and the mean and median abdominal circumference was 93.0 cm. When performing the adjusted multiple model, it was found that sedentary women (PR = 1.212) and irregularly active (PR = 1.254), those with altered total cholesterol (PR = 1.139) and hypertensive women (PR) remained associated with abdominal obesity. = 1.221). Conclusion: It was concluded that abdominal obesity in climacteric women was associated with physical inactivity, total cholesterol and hypertension. This result demonstrates that the measurement of abdominal circumference should not be underestimated and should be routinely adopted by professionals working in primary health care.