Lipid profile and associated factors among elderly people, attended at the Family Health Strategy, Viçosa/MG / Perfil lipídico y factores asociados en los ancianos atendidos en la estrategia de Salud de La Familia, Viçosa/MG

Background: the aging population has been accompanied by epidemiological changes of the Brazilian population, with the highlight being the continued growth of the prevalence of non-communicable chronic diseases especially cardiovascular or artery-coronary, resulting from changes in the lipid profile of the elderly. Objective: this study had the aim to describe the behavioral, anthropometric, lifestyle and body composition factors and their association with changes in the lipid profile of elderly people. Methodology: the sample included 402 participants attended at the Family Health Strategy, Viçosa (MG), to which a questionnaire with socio-demographic, behavioral and lifestyle information was applied. Blood sample was collected to obtain the lipid fractions, and the weight, height, waist circumference and body fat percentage were measured. Multiple linear regression was performed to identify independently associated factors with changes in each of the selected lipid fractions. Results: the factors independently associated with increased levels of total cholesterol were the presence of sedentary behavior, high body fat percentage, greater waist height and greater waist circumference. The consumption of alcoholic beverages and a higher waist-hip ratio remained independently associated with decreased high-density lipoprotein levels. The increased waist circumference was independently associated with low values of the low-density lipoprotein levels. The value of increased triglyceride was independently associated with higher waist-hip ratio, higher body mass index and smoking. Conclusions: modifiable risk factors associated with a changed lipid profile should be prioritized among the actions to be considered in structuring health programs for the elderly (AU)

Introducción: el envejecimiento de la población ha ido acompañado de cambios epidemiológicos de la población brasileña, destacando el crecimiento continuo de la prevalencia de enfermedades crónicas no transmisibles, especialmente cardiovasculares o de la arteria coronaria, como resultado de los cambios en el perfil lipídico de las personas mayores. Objetivo: describir las variables antropométricas, estilo de vida y composición corporal como factores de comportamiento y su asociación con los cambios en el perfil lipídico de las personas de edad avanzada. Metodología: la muestra incluyó a 402 participantes que asistieron a la Estrategia Salud de la Familia, Viçosa (MG), a los que se aplicó un cuestionario con información socio-demográfica, de comportamiento y de estilo de vida. Se recogió una muestra de sangre para obtener las fracciones de lípidos, y se midió el porcentaje de peso, talla, circunferencia de la cintura y grasa corporal. La regresión lineal múltiple se realizó para identificar factores independientemente asociados con los cambios en cada una de las fracciones de lípidos seleccionados. Resultado: los factores asociados de forma independiente con un aumento de los niveles de colesterol total fueron la presencia de conducta sedentaria, un porcentaje de grasa corporal alto, mayor altura de la cintura y una mayor circunferencia de la cintura. El consumo de bebidas alcohólicas y una proporción cintura-cadera más alta se mantuvo asociado de forma independiente con la disminución de los niveles de lipoproteínas de alta densidad. El aumento de la circunferencia de la cintura se asoció de forma independiente con valores bajos de los niveles de lipoproteínas de baja densidad. El valor del aumento de triglicéridos se asocia de forma independiente con una mayor relación cintura-cadera, un mayor índice de masa corporal y tabaquismo. Conclusión: los factores de riesgo modificables asociados con un perfil lipídico cambiado deben priorizarse entre las acciones a considerar en la estructuración de los programas de salud para los ancianos (AU)

The 15-item systemic clinical outcome and routine evaluation (SCORE-15) scale: Portuguese validation studies

This study reports on the validity of the 15-item Portuguese version of the Systemic Clinical Outcome Routine Evaluation (SCORE-15; Vilaça, Silva, & Relvas, 2014), a brief and comprehensive measure of family functioning. Previous studies with SCORE-15 show that this version replicates the three-factor solution found for the original English version: Family strengths, Family communication and Family difficulties. In addition to reviewing previous studies, this article analyses the discriminant, convergent and predictive validity of the Portuguese SCORE-15. To do so, the SCORE-15 was administered to family members attending systemic family or couple's therapy at the start of the first and fourth sessions and also to a group of non-clinical individuals. Overall, data are reported from 618 participants, including 136 from families attending systemic therapy and 482 community family members. Comparisons of community and clinical samples (discriminant validity) showed statistically significant differences for the total scale and subscales (p < .001), with the community participants presenting healthier family functioning than the clinical ones. Analyses using SCORE-15 and the Quality of Life - adult version, another family measure applied simultaneously (convergent validity), indicate that both scales are significantly (p < .01) and moderately (r = -.47) correlated. Mean score analysis of SCORE-15's therapeutic sensitivity to change (predictive validity) showed that only the Family communication subscale was sensitive to statistically significant improvement (p < .05) from session 1 to session 4, whereas the SCORE-15's reliability change index points to its ability to detect clinical improvements (RCI = 14%) (AU)

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