Cardiovascular Risk Profile of a Young Adult Women Population Assisted in Primary Care

Mello, Tomás de Souza; Klen, Mariana Stutz; Azevedo, Rafael Bellotti; Barradas, Fernanda Costa; Nogueira, Luiza Araújo; Ushijima, Natalia; Bica, Rafael Barbosa da Silva; Muxfeldt, Elizabeth Silaid

doi:10.36660/ijcs.20200418

Cited by 3 publications

(10 citation statements)

References 37 publications

(66 reference statements)

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“…The prevalence of high CVR increased with age and reflected social inequality, as it was higher in the least educated population (15.7%; 95% CI 13.5-18.3) and among Black women (14.4%; 95% CI 9.7-20.9). 1 As such, this study revealed a higher prevalence of high CV R than that reported by Mello et al, 11 probably because younger women were included in the latter. 11 In this context, we need to recognize that high CVR was found in women aged 19 to 59 years (56% < 40 years), since the strongest predictor of CVR in any risk equation is age.…”

supporting

confidence: 45%

“…1,9 As such, CVR scores identify high-priority individuals for specific primary preventive interventions against MACE, making them cost-effective measures that are useful in primary care. 1,[9][10][11] Beyond the incentive for a healthy lifestyle, individuals with higher CVR should be offered statin prescriptions and be evaluated for hypertension treatment at a lower threshold. 12 A metaanalysis showed that statins can prevent 23% (relative risk [RR] 0.77 95% confidence interval [CI] 0.71-0.84) of MACE.…”

mentioning

confidence: 99%

“…13 However, for primary prevention this benefit is positively correlated with CVR and non-high-density lipoprotein (HDL) cholesterol values. 13 The study conducted by Mello et al 11 analyzed the CVR of 1015 women from Quilombo settlements in the state of Alagoas, Brazil, aged 19 to 59 years. Their work covers a gap in knowledge by collecting data from poor communities in the rural area of the Northeast region of Brazil, combining interview data with anthropometric, blood pressure, and laboratory measurements through a precise and appropriate methodology.…”

mentioning

confidence: 99%

“…The authors highlight that these women live "in a scenario marked by a low socioeconomic level, precarious environmental conditions, and a high prevalence of food insecurity (74.0%); and of the morbidities related to this context." 11 Using the 2008 Framingham Heart Study's Global Risk Score for CVD (GRS) proposed by D'Agostino et al, 14 they found a 20.1% prevalence of high CVR; by using the GRS as reference, the authors evaluated the accuracy of two other CVR scores: the Hard Coronary Heart Disease Framingham Risk Score, 15 which found a prevalence of high CVR of 4.5%, and the simplified Global Risk Score (sGRS), which found a prevalence of 20.7%. In conclusion, DOI: https://doi.org/10.36660/ijcs.20210163 the authors emphasize two aspects of their work: 1) the high CVR of these socially vulnerable women living in Quilombos; and 2) the potential of applying the sGRS in primary care settings due to its higher discriminatory power, evaluated by the receiver operating characteristic (ROC) curve (area under the curve [AUC] = 0.98; 95%CI: 0.98-0.99), and its simplicity, as it uses the body mass index instead of total and HDL cholesterol.…”

mentioning

confidence: 99%

“…In conclusion, DOI: https://doi.org/10.36660/ijcs.20210163 the authors emphasize two aspects of their work: 1) the high CVR of these socially vulnerable women living in Quilombos; and 2) the potential of applying the sGRS in primary care settings due to its higher discriminatory power, evaluated by the receiver operating characteristic (ROC) curve (area under the curve [AUC] = 0.98; 95%CI: 0.98-0.99), and its simplicity, as it uses the body mass index instead of total and HDL cholesterol. 11 Regarding the first aspect, a recent study by Malta et al (2021) 1 used laboratory data of 8953 individuals aged > 18 years from the National Health Survey (NHS) containing glycated hemoglobin, cholesterol, and blood pressure measurements. By applying the GRS, the study identified high CVR in 8.7% of women aged 30 to 74 years.…”

mentioning

confidence: 99%

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Cardiovascular Risk in Women from a Quilombo Settlement: The Effect of Aggregated Vulnerabilities

Malta¹,

Brant²

2021

International Journal of Cardiovascular Sciences

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Cardiovascular risk (CVR) is a field of great relevance with a growing number of studies throughout the country due to the magnitude of cardiovascular diseases (CVD), which have caused nearly 18 million deaths in 2016 and represent 31% of worldwide deaths. [1][2][3] In Brazil, CVD also lead the mortality and disabilityadjusted life years (DALYs) rates, 4.5 with negative effects on the quality of life of individuals, family members, and societies. 3.5 It is noteworthy that CVD has an unequal effect on populations, with greater morbidity and mortality among low-income and least educated individuals. 6 In this context, it is important to identify the modifiable risk factors (RF) associated with CVD, such as behavioral (tobacco, alcohol, unhealthy diet, sedentarism) and metabolic RF (obesity, diabetes, hypertension, dyslipidemia); given that the risk of death from CVD attributable to metabolic RF is 74%, revealing great potential for prevention. 7,8

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confidence: 45%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Cardiovascular Risk in Women from a Quilombo Settlement: The Effect of Aggregated Vulnerabilities

Malta¹,

Brant²

2021

International Journal of Cardiovascular Sciences

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Fatores de risco cardiovascular, saberes e práticas de cuidado de mulheres: possibilidade para rever hábitos

et al. 2022

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Resumo Objetivo investigar fatores de risco para doenças cardiovasculares e compreender as práticas de cuidado de mulheres. Método paralelo convergente misto. A etapa quantitativa foi transversal descritiva com formulário abordando características demográficas, socioeconômicas, fatores de risco cardiovascular, hábitos de vida e saúde, participaram 289 mulheres e aplicou-se estatística descritiva. A etapa qualitativa foi fundamentada na pesquisa participativa, exploratória descritiva, mediante entrevista semiestruturada, técnica de criatividade e sensibilidade e narrativas, com 30 mulheres. Resultados identificaram-se fatores como sedentarismo (60,9%), uso do anticoncepcional (57,9%), estresse (60,6%), depressão (40,1%), obesidade (38,8%), hipertensão arterial (33,6%), consumo de bebida alcoólica (29,8%), cigarro (16,6%), dislipidemia (25,6%) e diabetes (10,0%). Quanto aos saberes e práticas de cuidado, as participantes mencionaram os fatores, porém algumas relataram realizar os cuidados, e outras não, mesmo reconhecendo os riscos. Assim, compartilharam a falta de tempo para realizar exercícios físicos, dificuldades para cuidar da alimentação e aderir ao tratamento anti-hipertensivo e, ainda, relataram sentirem-se estressadas. Conclusão e implicações para a prática identificaram-se fatores modificáveis e as mulheres possuíam conhecimento acerca destes, entretanto divergiam sobre os cuidados, demonstrando a importância de ações voltadas a essa população.

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The Correlation Between the Type of Occupation Toward Blood Pressure and Cholesterol Levels in Individuals with Hypertension

Jeem

Pratama

Adnan

et al. 2022

JHS

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Daily activities and occupation can significantly influence health conditions, so a health assessment related to occupational factors is essential to reduce the risk of the disease. One of the leading causes of mortality from cardiovascular disease worldwide is hypertension. This study aims to determine the correlation between the type of occupation toward blood pressure and cholesterol levels in individuals with hypertension. This paper was an analytical observational study with a cross-sectional approach. The population was individuals with hypertension at Depok 2 Public Health Centre, Sleman Regency, Special Region of Yogyakarta. In addition, the sample was 121 respondents with consecutive sampling. The independent variable was the type of occupation, and the dependent variables were blood pressure and cholesterol levels. Instruments were a questionnaire to evaluate the characteristics of respondents and the type of occupation, a digital sphygmomanometer to examine blood pressure, and cholesterol test kits to assess cholesterol levels. The data analysis used the Chi-Square test with α=0.05. Most respondents were female (59.5%) and aged 60-69 years old (47.1%). They worked in the informal sector (81.2%). In addition, they had grade 1 hypertension (52.1%). There was no significant correlation between the type of occupation and blood pressure in individuals with hypertension (p=0.248). In addition, most respondents had high cholesterol levels (50.4%). Furthermore, there was no significant association between the type of occupation and cholesterol levels in individuals with hypertension (p=0.128). In conclusion, the type of occupation is not a risk factor for increased blood pressure and cholesterol levels in individuals with hypertension.

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Cardiovascular Risk Profile of a Young Adult Women Population Assisted in Primary Care

Cited by 3 publications

References 37 publications

Cardiovascular Risk in Women from a Quilombo Settlement: The Effect of Aggregated Vulnerabilities

Cardiovascular Risk in Women from a Quilombo Settlement: The Effect of Aggregated Vulnerabilities

Fatores de risco cardiovascular, saberes e práticas de cuidado de mulheres: possibilidade para rever hábitos

The Correlation Between the Type of Occupation Toward Blood Pressure and Cholesterol Levels in Individuals with Hypertension

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