Factors associated with diabesity in older women: A cross-sectional investigation
Karol Kaina Moraes Brum1, Lucas Dos Santos2, Gabriel Alves Godinho3
1Department of Health State University of Southwest Bahia Jequié Bahia Brazil.
Objective:
To investigate the factors associated with diabesity in older women.
Methods:
This epidemiological study used a cross-sectional design and included 196 older women (72.70 ± 7.20 years) from Jequié, Bahia, Brazil. Diabesity was defined as having both an elevated abdominal circumference (≥88 cm) and diabetes mellitus. For the inferential analyses, we constructed crude models followed by a multiple hierarchical explanatory model, with the following levels: Level 1 (socioeconomic variables), Level 2 (behavioral aspects), and Level 3 (health conditions). Poisson regression with a robust estimator was employed, and we calculated Prevalence Ratios (PR) with 95% Confidence Intervals (CI).
Results:
The prevalence of abdominal obesity, diabetes mellitus, and diabesity were 79.60%, 27.80%, and 22.40%, respectively. Women who were insufficiently active had a higher likelihood of diabesity (PR: 2.04; 95% CI: 1.22-3.41), as did those who spent more time in sedentary behavior (PR: 1.81; 95% CI: 1.04-3.16), used three or more continuous medications (PR: 2.51; 95% CI: 1.29-4.89), or reported a negative self-perception of health (PR: 2.57; 95% CI: 1.03-5.80).
Conclusion:
The study identified several factors associated with diabesity in older women: insufficient physical activity, prolonged sedentary behavior, polypharmacy, and negative self-perception of health.
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