Prevalência, conhecimento, tratamento e controle de hipertensão arterial sistêmica na população adulta urbana de Tubarão, Santa Catarina, Brasil, em 2003

Pereira, Márcia Regina; Coutinho, Mário Sérgio Soares de Azeredo; Freitas, Paulo Fontoura; d’Orsi, Eleonora; Bernardi, André; Hass, Rafael

doi:10.1590/s0102-311x2007001000011

Cited by 38 publications

(40 citation statements)

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“…25 PreHT and HT were strongly associated with being male, confi rming previous studies. 22 However, other researchers have found that women had a greater prevalence to preHT and HT than men. 8 Gender in itself hardly seems to determine blood pressure levels.…”

Section: Discussionmentioning

confidence: 95%

mentioning

confidence: 99%

“…Only one study on preHT was carried out with adults, and that was in a small town. 22 The prevalence and the consequences of high blood pressure are more evident in the big cities than in small towns, as a result of greater consumption of processed food, stress and physical inactivity. 23 The size of the sample was calculated in order to estimate the prevalence of each health outcome investigated, the reference population being 249,530 adults between the ages of 20 and 50, the confi dence interval being 95%, sampling error 3.5 percentage points, design effect (deff) estimated at 2 due to cluster sampling and percentage losses estimated to be 10%.…”

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confidence: 99%

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Pré-hipertensão e hipertensão em adultos de Florianópolis: estudo de base populacional

2012

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OBJECTIVE:To assess the prevalence and factors associated with prehypertension and hypertension among adults. METHODS:Population-based cross-sectional study carried out with a sample of 1,720 adults in the city of Florianópolis, Southern Brazil, from September 2009 to January 2012. Information on demographic and socioeconomic factors, health-related behaviors, anthropometric measures, morbidities, and self-rated health was collected through household interviews. Systolic and diastolic blood pressure levels were also assessed as well as use of antihypertensive medications and medical diagnosis of hypertension. The dependent variable was categorized as normal blood pressure, prehypertension and hypertension. Polytomous multiple logistic regression analysis was performed with use of a multinomial logit model. RESULTS:The overall prevalence of prehypertension and hypertension was 36.1% (95%CI 33.3;38.8) and 40.1% (95%CI 36.6, 43.5), respectively. The polytomous regression analysis showed that prehypertension was signifi cantly associated with males, black skin, 50-59 years of age, leisure-time physical inactivity, and pre-obesity. Hypertension was associated with males, 40 years of age or more, intermediary tertile of per capita family income, less than 12 years of schooling, leisure-time physical inactivity, pre-obesity, obesity, abdominal obesity, and negative self-rated health. CONCLUSIONS:It is pressing to introduce effective public health policies to control hypertension among adult population in Florianópolis, Southern Brazil. DESCRIPTORS: Hypertension. Epidemiology. Risk Factors. Adult. Cross-Sectional Studies.Original Articles Hypertension in adults in Florianópolis Silva DAS et al Hypertension (HT) is one of the most important risk factors in cardiovascular disease which causes early death in adults. 15 The prevalence of HT in the adult population varies from 5.2% to 70.7% throughout the world. 12,23 Immutable characteristics such as sex and skin colour/race, macro-structural determinants such as socio-economic status and degree of urbanisation and lifestyle factors capable of modifi cation such as nutrition, physical activity and alcohol and tobacco consumption all affect blood pressure levels. 15,23 A recent report from the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High BP (JNC-7) provided new guidelines for the prevention and detection of HT. 5 The detection of prehypertension (PreHT) is as important as the diagnosing of H, according to the JNC-7. PreHT is not an illness; however, those with prehypertension are at greater risk of developing HT and increase their risk of cardiovascular disease compared with normotensive individuals. 5 Studies of the prevalence of HT in adults have reported values of 22% and 44% in Brazil. HT was more prevalent in older people, those with black skin, those with low socioeconomic status, those with a diet high in salt and those who were overweight. 23 Although it is relevant to public health to investigate the prevalence of HT a...

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Pré-hipertensão e hipertensão em adultos de Florianópolis: estudo de base populacional

2012

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“…Assim, uma hipótese explicativa para a alta prevalência de pressão arterial elevada observada no presente estudo é o bom acesso aos serviços de saúde, ilustrado pela grande cobertura da Estratégia Saúde da Família -ESF (77,6%) 32 e corroborado pelo fato de que 71,8% dos entrevistados tiveram consulta médica recente. Tal exposição aos serviços de saúde aumenta a probabilidade de diagnóstico da pressão arterial elevada, influenciando na prevalência do desfecho observada no presente trabalho 7,26,33 . A associação positiva da pressão arterial elevada com a faixa etária é concordante com a literatura 4,13 , ainda que no presente estudo esta relação não tenha sido linear 4 .…”

Section: Discussionunclassified

“…Além disso, os idosos constituem um importante grupo de risco para os eventos catastróficos e muitas vezes incapacitantes relacionados à HAS, tais como doença arterial coronariana, doença cerebrovascular, doença vascular periférica, insuficiência cardíaca, doença renal terminal e outras 5,26,28,38 . O acidente vascular encefálico, que tem a hipertensão arterial sistêmica como o principal fator de risco modificável 39 , é uma das principais causas de dependência funcional nessa faixa etária, e tem o potencial de levar a complicações como incontinência urinária, disfagia, depressão e dor crônica 28 .…”

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Prevalência e fatores associados à pressão arterial elevada, seu conhecimento e tratamento em idosos no sul do Brasil

et al. 2013

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O objetivo foi estimar a prevalência e investigar os fatores associados à pressão arterial elevada, seu conhecimento e tratamento em idosos de Florianópolis, Santa Catarina, Brasil. Trata-se de estudo transversal de base populacional e amostra complexa. A pressão arterial elevada foi definida pela medida do nível pressórico ou uso de anti-hipertensivo, ou diagnóstico prévio. A associação dos desfechos com as variáveis independentes foi verificada pela regressão de Poisson. Foram entrevistados 1.705 idosos. Desses, 84,6% apresentaram pressão arterial elevada, 77,5% estavam cientes da doença e 79,1% a tratavam. A prevalência associou-se à dependência funcional e idade e índice de massa corporal (IMC) elevados. Idosos do sexo feminino, idade e IMC elevados, pior percepção em saúde e consulta médica recente estavam mais cientes da doença. O tratamento associou-se a sexo masculino, dependência funcional, pior percepção em saúde e consulta médica recente. Ainda que políticas públicas em saúde devam ser universais, é preciso considerar a desigual distribuição da pressão arterial elevada na população, direcionando-se ações de prevenção, diagnóstico e garantia de tratamento.

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Matão Controlling Hypertension (MatCH) project: Rationale and design

Minelli¹,

Cabral

Leite³

et al. 2017

Contemporary Clinical Trials Communications

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BackgroundHypertension is the main risk factor for most cardiovascular diseases. A coordinated and organized system from the Brazilian Ministry of Healthy involving Family Health Strategy (FHS), a program for the prevention of chronic disease, and the Popular Pharmacy Program (PPP), which subsidizes medications for the population, could allow an earlier identification and better blood pressure (BP) control. Matão Controlling Hypertension (MatCH) is a community-based population project that aims to apply an organized, integrated and coordinated program in the city of Matão, Brazil, involving FHS and PPP in order to actively search, treat and follow-up hypertensive subjects.MethodThis is a population community-based, interventional, follow-up study where all subjects aged ≥ 40 years assisted by the FHS program in Matão will have BP assessed monthly by trained Community Health Agents (CHA) during a domiciliary visit. Identified hypertensive subjects will be referred to FHS physicians for nonpharmacological and pharmacological treatment. Most of the hypertensive drugs used will be available through the PPP. Prevalence of hypertension, awareness, demographics and risk factors will be correlated with BP control. The population study is expected to involve approximately 18.600 subjects. The study period will be four years.DiscussionConsidering that hypertension is asymptomatic in most cases, to reduce the population burden of BP-related deaths and diseases it is essential to detect and treat early all hypertensive patients. If we achieve our large-scale BP control, this program can be applied to other populations from developing countries.

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Prevalência, conhecimento, tratamento e controle de hipertensão arterial sistêmica na população adulta urbana de Tubarão, Santa Catarina, Brasil, em 2003

Cited by 38 publications

References 26 publications

Pré-hipertensão e hipertensão em adultos de Florianópolis: estudo de base populacional

Pré-hipertensão e hipertensão em adultos de Florianópolis: estudo de base populacional

Prevalência e fatores associados à pressão arterial elevada, seu conhecimento e tratamento em idosos no sul do Brasil

Matão Controlling Hypertension (MatCH) project: Rationale and design

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