BackgroundThe prevalence of cardiovascular risk factors is little known in Brazilian
indigenous populations. In the last two decades, important changes have
occurred in the lifestyle and epidemiological profile of the Xavante
people.Objectiveto assess the prevalence of cardiovascular risk factors in Xavante adults in
São Marcos and Sangradouro/Volta Grande reserves, in the state of
Mato Grosso, Brazil.MethodsCross-sectional study carried out with 925 Xavante people aged ≥ 20
years between 2008 and 2012. The following indicators were assessed:
triglycerides (TG), total, LDL and HDL-cholesterol, Castelli index I and II,
TG/HDL-cholesterol ratio, apo B / Apo A1 ratio, Framingham risk score,
C-reactive protein, body mass index (BMI), waist circumference (WC),
hypertriglyceridemic waist (HW), glycemia and blood pressure.
Kolmogorov-Smirnov, Student's t test and Chi-square test
(χ2) were used for statistical analysis, and
significance level was set at 5%.ResultsHigh prevalence of elevated cardiovascular risk was observed in men and women
according to HDL-cholesterol (66.2% and 86.2%, respectively), TG (53.2% and
51.5%), TG/HDL-cholesterol ratio (60.0% and 49.1%), C-reactive protein
(44.1% and 48.1%), BMI (81.3% and 81.7%), WC (59.1% and 96.2%), HW (38.0%
and 50,6%) and glycemia (46.8% and 70.2%). Individuals aged 40 to 59 years
had the highest cardiovascular risk.ConclusionsThe Xavante have a high cardiovascular risk according to several indicators
evaluated. The present analysis of cardiovascular risk factors provides
support for the development of preventive measures and early treatment, in
attempt to minimize the impact of cardiovascular diseases on this
population.