English
DOI:
https://doi.org/10.7322/jhgd.152182Palabras clave:
Quilombolas, quality of life, metabolic syndrome, WHOQOL-BREFResumen
Introduction: The lifestyle of quilombola communities has changed due to extra community influence, thus affecting their environmental and behavioral factors related to the Metabolic Syndrome (MS). However, little is known about the influence of MS on the Quality of Life (QoL) of quilombola residents. Objective: We aimed to study the association between MS and QoL in quilombola communities in northern Tocantins, Brazil.
Methods: The QoL of 147 adults from five quilombola communities from Tocantins was assessed using the WHOQOL-BREF instrument. Blood pressure, abdominal perimeter, fasting blood glucose, triglycerides and HDL-cholesterol were measured, and the presence of MS was defined as the alteration of at least three of these clinical aspects. The association of the clinical components and the SM presence with the Quality of Life was evaluated by Student’s t-test for independent samples.
Results: We observed that in the total population, an altered abdominal perimeter had an inverse association with both the Physical (15.2 vs. 14.0, p=0.002) and General QoL domains (14.4 vs. 14.0, p=0.045), and MS was inversely associated with the Physical domain (14.9 vs. 14.0, p=0.030). When stratified by sex, the altered abdominal perimeters in men were inversely associated with the Physical (16.5 vs. 14.4, p<0.001), Environmental (14.0 vs. 12.6, p=0.020) and General domains (15.5 vs. 14.0, p<0.001). MS had an inverse association with the Physical (15.8 vs. 14.4, p=0.026) and General domains (14.8 vs. 14.0 p= 0.042) in men. In women there was no association between any risk factor studied and QoL domain.
Conclusions: The status of MS was negatively associated with the quality of life of the male population, highlighting the abdominal perimeter, which influences the Physical and General domains of QoL, but in the female population the MS does not interfere in the perception of QoL. Understanding the relationship between chronic diseases and QoL in quilombola communities is necessary to reduce health inequalities in historically vulnerable communities.
Referencias
2. Freitas DA, Rabelo GL, Silveira JCS, Souza LR, Lima MC, Pereira MM, et al. Percepção de estudantes da área da saúde sobre comunidades rurais quilombolas no norte de Minas Gerais-Brasil. Rev CEFAC. 2013;15(4):941-6. DOI: https://dx.doi.org/10.1590/S1516-18462013000400023
3. Hogan VK, Rowley D, Bennett T, Taylor KD. Life course, social determinants, and health inequities: toward a national plan for achieving health equity for African American infants-a concept paper. Matern Child Health J. 2012;16(6):1143-50. DOI: https://dx.doi.org/10.1007/s10995-011-0847-0
4. Bezerra SMMS, Veiga EV. Quality of life among people with hypertension served in units of family health strategies. J Nurs UFPE. 2013;7(12):7055-63. DOI: https://dx.doi.org/10.5205/1981-8963-v7i12a12376p7055-7063-2013
5. Kabad JF, Bastos JL, Santos RV. Raça, cor e etnia em estudos epidemiológicos sobre populações brasileiras: revisão sistemática na base PubMed. Physis. 2012;22(3):895-918. DOI: http://dx.doi.org/10.1590/S0103-73312012000300004
6. Silva PS. Quilombos do Sul do Brasil: movimento social emergente na sociedade contemporânea. Rev Identidade. 2010;15(1):51-64.
7. Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saúde Pública. 2000;34(2):178-83. DOI: http://dx.doi.org/10.1590/S0034-89102000000200012
8. Azevedo ALS, Silva RA, Tomasi E, Quevedo LA. Doenças crônicas e qualidade de vida na atenção primária à saúde. Cad Saúde Pública. 2013;29(9):1774-82. DOI: http://dx.doi.org/10.1590/0102-311X00134812
9. Zimmet P, Alberti KG, Kaufman F, Tajima N, Silink M, Arslanian S, et al. The metabolic syndrome in children and adolescents–an IDF consensus report. Pediatr Diabetes. 2007;8(5): 299-306. DOI: http://dx.doi.org/10.1111/j.1399-5448.2007.00271.x
10. Pontes LM, Amorim RJM, Lira PIC. Componentes da síndrome metabólica e fatores associados em adolescentes: estudo caso-controle. Rev AMRIGS. 2016;60(2):121-8.
11. Park SS, Yoon YS, Oh SW. Health-related quality of life in metabolic syndrome: The Korea National Health and Nutrition Examination Survey 2005. Diabetes Res Clin Pract. 2011;91(3):381-8. DOI: http://dx.doi.org/10.1016/j.diabres.2010.11.010
12. Amiri P, Deihim T, Hosseinpanah F, Barzin M, Hasheminia M, Montazeri A, et al. Diagnostic values of different definitions of metabolic syndrome to detect poor health status in Iranian adults without diabetes. Diabet Med. 2014;31(7):854-61. DOI: http://dx.doi.org/10.1111/dme.12443
13. Margiotta DPE, Basta F, Dolcini G, Batani V, Navarini L, Afeltra A. The relation between, metabolic syndrome and quality of life in patients with Systemic Lupus Erythematosus. PloS One. 2017;12(11):e0187645. DOI: https://dx.doi.org/10.1371/journal.pone.0187645
14. Amaral GB, Pereira CMRB. Interseções entre território e identidade étnica: estudo sobre a comunidade quilombola Barra da Aroeira–TO. Rev Prod Acadêmica. 2016;2(1):65-74.
15. Marques KMCM, Reimer IR. The quilombola stream background on community of Nazareth Brejinho County-TO. Dissertação (Mestrado) - Pontifícia Universidade Católica de Goiás. Goiânia: 2014.
16. Souza LO, Teles AF, Oliveira RJ, Lopes MAO, Souza IA, Inácio VSS, et al. Triagem das hemoglobinas S e C e a influência das condições sociais na sua distribuição: um estudo em quatro comunidades quilombolas do Estado do Tocantins. Saúde Soc. 2013;22(4):1236-46. DOI: http://dx.doi.org/10.1590/S0104-12902013000400024
17. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28(3):551-8.
18. Pedroso B, Pilatti LA, Gutierrez GL, Santos CB, Picinin CT. Validação da sintaxe unificada para o cálculo dos escores dos instrumentos Whoqol. Conexões. 2011;9(1):130-56. DOI: https://dx.doi.org/10.20396/conex.v9i1.8637717
19. Vahedi S. World Health Organization Quality-of-Life Scale (WHOQOL-BREF): analyses of their item response theory properties based on the graded responses model. Iran J Psychiatry. 2010;5(4):140-53.
20. Veiga EV, Nogueira MS, Cárnio EC, Marques S, Lavrador MAS, Moraes AS, et al. Assessment of the techniques of blood pressure measurement by health professionals. Arq Bras Cardiol. 2003;80(1):89-93. DOI: http://dx.doi.org/10.1590/S0066-782X2003000100008
21. Alves M.M. Desenvolvimento de um software para avaliação nutricional antropométrica utilizando Visual Basic For Applications. Monografia (Trabalho de Conclusão de Curso) - Universidade Federal do Rio Grande do Norte. Natal: 2016.
22. Guerrero GP, Beccaria LM, Trevizan MA. Procedimento operacional padrão: utilização na assistência de enfermagem em serviços hospitalares. Rev Latino-Am Enfermagem. 2008;16(6): 966-72. DOI: http://dx.doi.org/10.1590/S0104-11692008000600005
23. Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (ABESO). Diretrizes brasileiras de obesidade: 2016. 4.ed. São Paulo: ABESO, 2016.
24. Volochko A, Batista LE. Saúde nos quilombos. São Paulo: Instituto de Saúde, 2009; p.195-6.
25. Silva RJS, Smith-Menezes A, Tribess S, Rómo-PerezV, Virtuoso Júnior JS. Prevalência e fatores associados à percepção negativa da saúde em pessoas idosas no Brasil. Rev Bras Epidemiol. 2012;15(1):49-62. DOI: http://dx.doi.org/10.1590/S1415-790X2012000100005
26. Braga MCP, Casella MA, Campos MLN, Paiva SP. Qualidade de vida medida pelo Whoqol-bref: Estudo com idosos residentes em Juiz de Fora/MG. Rev APS. 2011;14(1):93-100.
27. Sousa LVA, Maciel ES, Quaresma FRP, Paiva LS, Fonseca FLA, Adami F. Descriptions of perceived quality of life of residents from a quilombo in north Brazil. J Hum Growth Dev. 2018;28(2):199-205. DOI: http://dx.doi.org/10.7322/jhgd.147239
28. Almeida-Brasil CC, Silveira MR, Silva KR, Lima MG, Faria CDCM, Cardoso CL, et al. Qualidade de vida e características associadas: aplicação do WHOQOL-BREF no contexto da Atenção Primária à Saúde. Cienc Saúde Coletiva. 2017;22(5):1705-16. DOI: http://dx.doi.org/10.1590/1413-81232017225.20362015
29. Miranzi SSC, Ferreira FS, Iwamoto HH, Pereira GA, Miranzi MAS. Qualidade de vida de indivíduos com diabetes mellitus e hipertensão acompanhados por uma equipe de saúde da família. Texto Contexto Enferm. 2008;17(4):672-9. DOI: http://dx.doi.org/10.1590/S0104-07072008000400007
30. Amarasinghe A, D’Souza A, Brown C, Oh H, Borisova T. The influence of socioeconomic and environmental determinants on health and obesity: a West Virginia case study. Int J Environ Res Public Health. 2009;6(8):2271-87. DOI: http://dx.doi.org/10.3390/ijerph6082271
31. Freitas DA, Caballero AD, Marques AS, Hernández CIV, Antunes SLNO. Saúde e comunidades quilombolas: uma revisão da literatura. Rev CEFAC. 2011;13(5):937-43. DOI: https://dx.doi.org/10.1590/S1516-18462011005000033
32. Santos VC, Boery EM, Pereira R, Rosa DOS, Vilela ABA, Anjos KF, et al. Socioeconomic and health conditions associated with Quality of life of elderly quilombolas. Texto Contexto Enferm. 2016;25(2):e1300015. DOI: http://dx.doi.org/10.1590/0104-07072016001300015
33. Neves LAT. Contributions in the field of Public Health for decision-making in health. J Hum Growth Dev. 2017;27(2):128-31. DOI: http://dx.doi.org/10.7322/jhgd.137515
34. Oliveira LF, Rodrigues PAS. Circunferência de cintura: protocolos de mensuração e sua aplicabilidade prática. Nutrivisa Rev Nutr Vigilância Saúde. 2016;3(2):90-5. DOI: http://dx.doi.org /10.17648/nutrivisa-vol-3-num-2-h
35. Chen Y, Sun G, Guo X, Chen S, Chang Y, Li Y, et al. Factors affecting the quality of life among Chinese rural general residents: a cross-sectional study. Public Health. 2017;146:140- 7. DOI: https://dx.doi.org/10.1016/j.puhe.2017.01.023
36. Choo J, Jeon S, Lee J. Gender differences in health-related quality of life associated with abdominal obesity in a Korean population. BMJ open. 2014;4(1):e003954. DOI: http://dx.doi.org/10.1136/bmjopen-2013-003954
37. Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: The Atherosclerosis Risk in Communities study. Circulation. 2008;117(6):754-61. DOI: http://dx.doi.org/10.1161/CIRCULATIONAHA.107.716159
38. Mbugua SM, Kimani ST, Munyoki G. Metabolic syndrome and its components among university students in Kenya. BMC Public Health. 2017;17(1):909. DOI: http://dx.doi.org/10.1186/s12889-017-4936-x
39. Sahyoun NR, Jacques PF, Zhang XL, Juan W, McKeown NM. Wholegrain intake is inversely associated with the metabolic syndrome and mortality in older adults. Am J Clin Nutr. 2006;83(1):124-31. DOI: http://dx.doi.org/10.1093/ajcn/83.1.124
40. Wennberg M, Gustafsson PE, Wennberg P, Hammarström A. Poor breakfast habits in adolescence predict the metabolic syndrome in adulthood. Public Health Nutr. 2015;18(1):122-9. DOI: http://dx.doi.org/10.1017/S1368980013003509
41. Ribeiro BVS, Mendonça RG, Oliveira LL, Lima GS, Martins-Filho PRS, Moura NPR, et al. Anthropometry and lifestyle of children and adolescent in inland of Northeastern Brazil. J Hum Growth Dev. 2017;27(2):140-7. DOI: https://doi.org/10.7322/jhgd.119751
42. Piotrowicz K, Pałkowska E, Bartnikowska E, Krzesiński P, Stańczyk A, Biecek P, et al. Selfreported health-related behaviors and dietary habits in patients with metabolic syndrome. Cardiol J. 2015;22(4):413-20. DOI: http://dx.doi.org/10.5603/CJ.a2015.0020
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