Fatores associados à Síndrome Metabólica em pessoas com lesão medular

Abstract

One of the most serious disorders that can interfere with human life is the Spinal Cord Injury (SCI), which can affect many areas of life, including physical, psychological and social. The individual with SCI may present reflex modification (deep and superficial), sphincter and sexual dysfunction and among other alterations. Metabolic complications can affect these individuals, whether biochemical or physiological, generating a series of acute and chronic changes in the body, such changes are related to the emergence of diseases such as obesity, type 2 diabetes mellitus, and hypertension. The relationship between unfavorable body composition, health and general well-being has been strongly confirmed by studies that show the contribution of excess body fat in increasing the risk of developing several chronic diseases, with high prevalence in the disabled population, are cardiovascular diseases. and others associated with nutritional status and physical activity. The aim of this study is to verify the prevalence of metabolic syndrome and its association with nutritional status in people with spinal cord injury. This is an analytical, cross-sectional study with a quantitative approach, with primary data collection, carried out in the health care centers of people with disabilities in the city of João Pessoa, PB, from June to December 2018. The average age was 38.25 years old, most of them male, brown, with incomplete elementary school, single, with income up to one minimum wage and without formal employment.The estimated average height was 1.66 cm, with an estimated average weight of 76.98 kg, the average classified for BMI was 23.08, the individuals with SCI presented significant waist circumference (p<0, 05). Diastolic blood pressure was significantly higher in women (p<0.05), with no difference in SBP. Regarding metabolic characteristics, individuals were significant (p<0.05) for glycemia and triglycerides, except for HDL-C, the prevalence of metabolic syndrome was 17,6%. The results of some risk factors for metabolic syndrome were significant, the findings suggest the important role of a multidisciplinary team in the prevention of MS through rehabilitation and exercise in institutions that assist people with SCI.