Epidemiology of high blood pressure among the Kaingang people on the Xapecó Indigenous Land in Santa Catarina State, Brazil, 2013

Abstract

This cross-sectional study describes the prevalence of high blood pressure (HBP; measured at one setting, and suggestive of a clinical diagnosis of arterial hypertension) and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) and their associations with socio-demographic and anthropometric variables among 355 Kaingang adults (≥ 20 years) on the Xapecó Indigenous Land in Brazil. Weight, height, waist circumference (WC), SBP, and DBP were measured and socio-demographic data were collected. Prevalence of HBP was 53.2% (95%CI: 45.3; 61.1) in men and 40.7% (95%CI: 33.8; 47.6) in women. In women, age and WC were directly associated with HBP; age was associated with SBP and schooling with DBP. In men, HBP was statistically associated with high body mass index (BMI) and tile floor in the home (as a socioeconomic proxy); BMI and WC were associated with SBP; BMI and WC were associated with DBP. The study highlights the need for measures to control risk factors for HBP, especially due to its relevance for cardiovascular diseases and their consequences.

Prevalence of Hypertension in Low- and Middle-Income Countries

“…In all regions except the Middle East and North Africa region, where no data on hypertension prevalence was reported for the elderly (≥ 65 years), the proportion of hypertension was substantially higher among adults ≥ 65 years, compared to adults < 65 years (mean prevalence 65.6% [95% CI 53.6–75.0] vs 28.7% [95% CI 21.8–37.6], P < 0.00001). 22 , 23 , 30 , 31 , 40 , 42 , 46 , 55 , 56 , 59 , 61 , 62 , 65 , 66 , 69 , 70 , 84 , 90 , 91 , 95 , 97 , 99 , 101 , 113 , 117 , 121 , 122 , 128 , 131 , 134 – 136 , 146 , 147 Nonetheless, hypertension prevalence in the Middle East and North Africa region was reportedly high among adults < 65 years (32.4% [95% CI 18.7–47.9]). 78 , 79…”

“… 113 , 121 , 131 , 135 , 136 , 140 Importantly, hypertension rates were consistently higher among overweight/obese participants, compared to normal weight persons across all regions (mean prevalence 46.4% [95% CI 33.1–60.7] vs 26.3% [95% CI 15.8–37.8], P < 0.00001). 30 , 33 , 41 , 44 , 47 , 55 , 56 , 61 , 62 , 65 , 66 , 69 , 78 , 85 , 90 , 97 , 99 , 106 , 113 , 117 , 128 , 131 , 134 – 136 , 140…”

Deficiências visual, auditiva e motora entre a população indígena no Brasil

“…As condições de saúde da população indígena no Brasil têm sido objeto de diversas análises, sendo que a maioria delas é focada em doenças infectoparasitárias 1,2 , doenças crônicas 3,4 , questões nutricionais 5,6 , saúde bucal 7,8 , uso de álcool e drogas 9,10 , suicídio 11 e, recentemente, na mortalidade 12 . De uma maneira geral, a situação das condições de saúde dos povos indígenas em relação à população não indígena é extremamente desfavorável no Brasil 13,14 .…”

Prevalência Da Hipertensão Arterial Sistêmica E Diabetes Mellitus Entre Indígenas

“…Diversos estudos (2)(3)(5)(6)(7)(8) destacam a transição alimentar vivenciada pelos indígenas, resultando no aumento acelerado de casos de HAS e DM, ocasionando complicações, incapacidades, comorbidades e até mesmo óbito, sendo considerados sérios problemas de saúde pública.…”