Metabolic syndrome and associated factors in quilombolas (inhabitants of black communities) from Bahia, Brazil

Mussi, Ricardo Franklin de Freitas; Petróski, Edio Luiz

doi:10.1590/1413-81232018247.13982017

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ARTICLE • Ciênc. saúde colet. 24 (7) • July 2019 • https://doi.org/10.1590/1413-81232018247.13982017 copy

Metabolic syndrome and associated factors in quilombolas (inhabitants of black communities) from Bahia, Brazil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study aimed to analyze the prevalence of this condition and associated factors in adult quilombolas (inhabitants of black communities). In a population-based study with a sample of 850 adults of both sexes, MS was determined using the Joint Interim Statement criteria. Hierarchical Poisson regression modeling was used to test the associations. The prevalence of MS was 25.8% (95%CI: 22.8:28.7). In multiple analysis, gender, age group, sleep quality, body mass index and fat percentage remained significantly associated (p < 0.05). In this respect, the presence of SM in adult quilombolas is associated with female gender, age ≥ 40 years, poor sleep quality, overweight, and obesity.

Health survey; Group with African Continental Ancestry; Metabolic syndrome X

Variable	n (%)	% with MS	PR (95%CI)	p-value
Gender
Male	325 (38.6%)	68 (20.9%)	1
Female	517 (61.4%)	149 (28.8%)	1.377 (1.034:1.835)	0.029
Marital status
Without partner	191 (23.3%)	39 (20.4%)	1
With partner	630 (76.7%)	173 (27.5%)	1.345 (0.950:1.904)	0.095
Age group
< 40 years	352 (41.8%)	28 (8.0%)	1
≥ 40 years	490 (58.2%)	189 (38.6%)	4.849 (3.260:7.211)	< 0.001
Education level
> 5 years	320 (41.6%)	41 (12.8%)	1
≤ 5 years	450 (58.4%)	156 (34.7%)	2.706 (1.918:3.816)	< 0.001
Employment situation
Paid work	440 (53.5%)	109 (24.8%)	1
Unpaid work	382 (46.5%)	103 (27.0%)	1.088 (0.831:1.425)	0.537
Smoking
Never	555 (69.2%)	132 (23.8%)	1
Ex-smoker	175 (21.8%)	61 (34.9%)	1.466 (1.082:1.985)	0.014
Smoker	72 (9.0%)	16 (22.2%)	0.934 (0.556:1.570)	0.798
Alcohol consumption
No	576 (70.2%)	157 (27.3%)	1
Yes	244 (29.8%)	54 (22.1%)	0.812 (0.596:1.106)	0.187
Sleep quality
Good	538 (65.8%)	113 (21.0%)	1
Regular	186 (22.7%)	54 (29.0%)	1.382 (0.999:1.912)	0.050
Poor	94 (11.5%)	44 (46.8%)	2.229 (1.573:3.157)	< 0.001
Leisure-time physical activity
Yes	319 (39.5%)	70 (21.9%)	1
No	489 (60.5%)	137 (28.0%)	1.277 (0.957:1.703)	0.096
Sedentary behavior
≤ 3 hours/day	677 (91.6%)	170 (25.1%)	1
> 3 hours/day	62 (8.4%)	13 (21.0%)	0.835 (0.475:1.468)	0.531
Self-reported health
Positive	402 (48.9%)	79 (19.7%)	1
Regular	343 (41.7%)	100 (29.2%)	1.484 (1.105:1.993)	0.009
Negative	77 (9.4%)	33 (42.9%)	2.181 (1.453:3.274)	< 0.001
Arthritis
No	713 (87.0%)	157 (22.0%)	1
Yes	107 (13.0%)	54 (50.5%)	2.292 (1.682:3.122)	< 0.001
Deficiency
No	309 (37.5%)	39 (12.6%)	1
Yes	514 (62.5%)	173 (33.7%)	2.667 (1.884:3.775)	< 0.001
Body mass index
No overweight	395 (47.4%)	47 (11.9%)	1
Overweight	439 (52.6%)	170 (38.7%)	3.254 (2.356:4.495)	< 0.001
Fat percentage
Non-obese	301 (37.1%)	25 (8.3%)	1
Obese	511 (62.9%)	189 (37.0%)	4.453 (2.934:6.758)	< 0.001

Variable	PR * (95%CI)	p-value	PR ** (95%CI)	p-value
Gender
Male	1		1
Female	0.611 (0.452:0.826)	< 0.001	1.243 (0.898:1.722)	0.190***
Marital status
Without partner	1
With partner	1.137 (0.786:1.645)	0.495^a
Age group
< 40 years	1		1
≥ 40 years	4.330 (2.745:6.830)	< 0.001	4.202 (2.788:6.334)	<0.001***
Education level
> 5 years	1
≤ 5 years	1.387 (0.944:2.040)	0.096^a
Smoking
Never	1
Ex-smoker	1.023 (0.735:1.424)	0.891^b
Smoker	0.800 (0.468:1.367)	0.414^b
Alcohol consumption
No	1
Yes	1.149 (0.816:1.617)	0.425^b
Sleep quality
Good	1		1
Regular	1.166 (0.836:1.626)	0.365	1.176 (0.848:1.633)	0.331***
Poor	1.555 (1.084:2.231)	0.017	1.401 (0.980:2.002)	0.064***
Leisure-time physical activity
Yes	1
No	1.097 (0.819:1.468)	0.535^b
Self-reported health
Positive	1
Regular	1.058 (0.773:1.447)	0.726^c
Negative	1.117 (0.710:1.757)	0.632^c
Arthritis
No	1
Yes	1.302 (0.929:1.825)	0.126^c
Deficiency
No	1
Yes	1.083 (0.726:1.617)	0.696^c
Body mass index
No overweight	1		1
Overweight	1.637 (1.121:2.391)	0.011	1.630 (1.117:2.380)	0.011***
Fat percentage
Non-obese	1		1
Obese	3.401 (2.015:5.740)	< 0.001	3.478 (2.064:5.860)	< 0.001***

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[1] Collaborations

RFF Mussi: conception and design of the study. RFF Mussi and EL Petróski: analysis and interpretation of data, drafting and critically revising the manuscript. All authors have approved the final version of the manuscript and declare to be responsible for all aspects of the work, guaranteeing its accuracy and integrity.