Analysis of the components for classifying Metabolic Syndrome used in older people: an integrative review

Abstract

Objective

To analyze the components of Metabolic Syndrome (MetS) and the rationale for adopting the criteria used for its classification in older individuals through an integrative review.

Method

an integrative review of the literature in Portuguese, English, Spanish and Bulgarian involving older people (age ≥60 years) on the electronic databases MEDLINE - via PubMed, Embase, Web of Science and Scopus, without restriction on publication date or study design, was conducted from August 2022 to January 2023. The Medical Subject Headings (MeSH) and Health Sciences Descriptors (DEcS) controlled descriptors “elderly”, “elderly 80 or older”, “metabolic syndrome”, “prevalence”, “component” and “criterion” were used. Studies that were off-topic, unavailable in full and that failed to answer the guiding question were excluded.

Results

Application of the eligibility criteria led to the retrieval of 1340 studies, of which 14 were included in the integrative review. Seven sets of criteria were identified for evaluating MetS in the older population were identified and most studies used two of these criteria. The IDF criterion was cited 7 times and the NCEP - ATP III criterion 8 times in the 14 article reviewed.

Conclusions

Although the searches retrieved different studies on the subject, the results suggest the criteria for MetS should be revised, with cut-off points defined according to the population studied.

Keywords
Older people; Older people 80 and over; Metabolic Syndrome; Prevalence; Component; Criteria