Abstract
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.