Hypertension and clustering of cardiovascular risk factors in a community in Southeast Brazil: the Bambuí Health and Ageing Study

Barreto, Sandhi Maria; Passos, Valéria Maria Azeredo; Firmo, Josélia Oliveira Araújo; Guerra, Henrique Leonardo; Vidigal, Pedro Guatimosim; Lima‐Costa, Maria Fernanda

doi:10.1590/s0066-782x2001001200008

Cited by 106 publications

(122 citation statements)

References 13 publications

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“…[13][14][15][16] This study was a tool for estimating the prevalence and severity of hypertension in the outpatient clinic unit of Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, thereby allowing evaluation to be made of the quality and effectiveness of the health care provided. These results contributed towards planning the implementation of a local hypertension program.…”

Section: Discussionmentioning

confidence: 99%

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Demographic and clinical characteristics of hypertensive patients in the internal medicine outpatient clinic of a university hospital in Rio de Janeiro

et al. 2004

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CONTEXT: Hypertension is one of the most important cardiovascular risk factors but its control is still a challenge for physicians all around the world. For blood pressure control to be improved, it is important to guarantee the quality of attendance provided for hypertensive patients, especially in teaching hospitals, where future physicians are being trained. OBJECTIVE: To characterize the profile of hypertensive patients attending the internal medicine outpatient clinic of a university hospital in Rio de Janeiro,describing their cardiovascular risk and identifying flaws in the treatment provided for severely hypertensive patients, in order to implement an arterial hypertension management program. TYPE OF STUDY: A descriptive cross-sectional population-based study. SETTING: Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro. METHODS: The study was carried out over a period of four months, involving all the hypertensive patients under treatment in the outpatient unit. The attending physician obtained information relating to demographic features, cardiovascular risk factors, target organ damage, blood pressure levels, therapeutic regimens and compliance with treatment. Means and the respective standard deviations and proportions were used to describe the distribution of patient data. RESULTS: Of the total number of patients seen, 24.2% (1,699 patients) were hypertensive. Women accounted for 65.0% of the patients. The mean age was 63.9 years. Dyslipidemia (49.2%) and diabetes (29.8%) were the most frequently reported risk factors and heart disease was the most prevalent end-organ damage. Seventy percent of the patients were classified as high cardiovascular risk. In spite of the high intensity treatment provided for the most severe patients (19.4% on a regimen of 3 or more antihypertensive drugs), the rate of blood pressure control was low (27%). CONCLUSIONS: The patients with arterial hypertension under treatment at the university hospital had a profile of high cardiovascular risk and poor blood pressure control. Greater effort for improving hypertension control is needed, since this is the only way to reduce the morbidity and mortality rates of cardiovascular diseases.

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Section: Discussionmentioning

confidence: 99%

“…4,9,10 High prevalence of dyslipidemia and diabetes [14][15][16] was found, and heart involvement was the most common end-organ damage, especially left ventricular hypertrophy (33.9%)…”

Section: Discussionmentioning

confidence: 99%

Demographic and clinical characteristics of hypertensive patients in the internal medicine outpatient clinic of a university hospital in Rio de Janeiro

et al. 2004

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“…Although university is admittedly an educational environment, the prevalence of physical inactivity and low fruit and vegetable intake is high 19 . Information about these isolated behaviors is already available in Brazil, but few studies have looked at clustering [23][24][25][26] , and none regarded the university context.…”

Section: Introductionmentioning

confidence: 99%

Clustering of physical inactivity and low fruit and vegetables intake and associated factors in young adults

et al. 2014

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A B S T R A C T ObjectiveTo investigate the cluster of physical inactivity and low fruit and vegetable intake and the associated factors in university students. MethodsThis cross-sectional study included a representative sample (n=717) of Universidade Federal Rural de Pernambuco students. Low fruit and vegetable intake was defined as an intake of less than five servings a day and physical inactivity was defined as exercising less than 150 minutes a week. The independent variables were gender, age, socioeconomic status, school year, shift, and study time. Clustering was determined by comparing the observed prevalence with the expected prevalence for all possible risk-factor combinations. Logistic regression analysis, performed by the software Statistical Package for the Social Sciences 17.0 with a significance level of 5% (p<0.05), considered the presence of both risk behaviors adjusted to the independent variables. ResultsThe prevalence of low fruit and vegetable intake was 81.7% (CI95%=78.1-84.3) and of physical inactivity was 65.8% (CI95%=62.2-69.4). Most students (58.6%, CI95%=55.3-62.2) were exposed to both risk factors simultaneously, while 11.0% (CI95%=8.9-13.5) were exposed to neither. Full-time students have a risk 1.45

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“…Since there was signifi cant overlapping of clinical endpoints, the two groups proposed to develop common questionnaires and assessments including anthropometric assessment and blood pressure measurements. During their fi rst interaction they came up with the idea of designing a more comprehensive study project that would involve other research groups with extensive experience in cohort studies in Brazil including the Rio Grande do Sul (Atherosclerotic Risk in Communities Study), 19 the Minas Gerais (Bambuí Project), 4 and the Espírito Santo (The WHO MONICA project) groups. 7 In order to scale the project up and involve as many research centers with relevant experience those groups working on the epidemiology of cardiovascular diseases or diabetes with major work published were invited to join in.…”

Section: The Backgroundmentioning

confidence: 99%

Construcao do Estudo Longitudinal de Saude do Adulto (ELSA-Brasil)

Lotufo

2013

Rev. Saúde Pública

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Baseline data collection of the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil) was complete by December 2010. A cohort of 15,105 subjects has been followed up on incident events at six study sites for three years. The ELSA-Brasil is remarkable for its large sample size and wide variety of data collected to investigate biological and social determinants of cardiovascular diseases and diabetes mellitus in adults in Brazil.

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Hypertension and clustering of cardiovascular risk factors in a community in Southeast Brazil: the Bambuí Health and Ageing Study

Abstract: Our results reinforce the need to increase detection and treatment of hypertension and to approach patients' global risk profiles.

Cited by 106 publications

References 13 publications

Demographic and clinical characteristics of hypertensive patients in the internal medicine outpatient clinic of a university hospital in Rio de Janeiro

Demographic and clinical characteristics of hypertensive patients in the internal medicine outpatient clinic of a university hospital in Rio de Janeiro

Clustering of physical inactivity and low fruit and vegetables intake and associated factors in young adults

Construcao do Estudo Longitudinal de Saude do Adulto (ELSA-Brasil)

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