Saava, Merilaid; Abina, Jelena; Laane, Peeter; Solodkaya, Eleonora; Tchaico, Lidia
October 2005
Papers on Anthropology;2005, Vol. 14, p295
Academic Journal
The cross-sectional epidemiological study of the random sample from the Estonian Population Register of free-living population of the elderly of Tallinn was carried out in 2003-2004. In this paper the authors present the results of 190 females, aged 65-74, examined by means of standard epidemiological methods on cardiovascular diseases, including anthropometrical parameters (height, weight, BMI, skin fold thickness, waist, hip, arm and calf circumferences), MNA-test, arterial blood pressure, lipids (TC, HDL-C, Tg), glucose, albumin, creatinine and homocysteine in plasma. Overweight by BMI (BMI ≥ 27 kg/m³) was registered in 63.7% among elderly women, by that in 25.3% estimated as obesity class I (BMI ≥ 30-35 kg/m³) and in 14.2% as obesity class II (BMI ≥ 35). Opposite the risk to underweight (BMI ≤ 21kg/m²) was established only in 5.3%. Estimated by MNA (Mini Nutritional Assessment) malnutrition status (MNA ≤ 17 points) was estimated in 2.2% and risk to malnutrition (MNA 17-23.5 points) -- in 21.8%, well nourished (normal and overweight) was 76%. The comparison of MNA results with BMI values showed that MNA was detected more often and the risk of malnutrition was earlier. MNA is recommended to use for estimating the nutritional status of aged people. Hypertension (SBP/DBP ≥ 140/90 mm Hg) appeared in 82% of women and it is twice higher than in the female population of the age 50-54 years. Significant correlation has been found of anthropometrical parameters with blood pressure for weight, BMI, waist and hip circumference. Hypercholesterolemia (TC ≥ 5.2mmol/l) was found in 77%, hypo-HDL-cholesterolemia, (HDL-C < 1 mmol/l) in 18.6%, hypertrigyceridemia (Tg ≥ 1.6 mmol/l)-in 31.4%, hypertiglucemia (glu ≥ 6.1 mmol/l) -- in 24%. Atherogenic changes in metabolism of lipids (decrease of HDL-cholesterol, increase of triglycerides and glucose) were connected with the excess of fat in the body and especially in the abdominal region of the body.


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