RESUMEN
OBJECTIVES: This study was aimed at correlating anthropometric markers indicating additional cardiovascular risk in a hypertensive elderly population enrolled in the HIPERDIA programme in Campina Grande, Paraíba, Brazil, South America. METHODS: The sample consisted of 131 hypertensive elderly people aged60 to 92 (25.9 % males and 74.1 % females). A socioeconomic, demographic, life-style questionnaire was used in the assessment. Information about anthropometry measurements and pathology frequency were also recorded via this questionnaire. Pearson's correlation, descriptive statistics, comparison between anthropometric variables by gender using Student's t-test and one-way ANOVA were used in the analysis for comparing groups by age(60 to 69, 70 to 79 and > 80 years). RESULTS: 14.7 % of men and 24.7 % of women were overweight and 11.8 % of men and 21.6 % of women were obese. 57.0 % of women and 26.5 % of men had inadequate values in waist-to-hip ratio analysis. 95.9 % of women and 52.9 % of men had high risk and 95.9 % of women and 38.2 % of men had high abdominal circumference values regarding waistline measurement. After selection (n=40) for correcting potential confounders, it was found that 27 subjects had high C-reactive protein values, an additional cardiovascular risk factor. CONCLUSIONS: The results suggested that additional cardiovascular risk could be demonstrated by the high prevalence of being overweight and central obesity presented by the population and the presence of subclinical inflammation amongst hypertensive ones.
Asunto(s)
Antropometría , Enfermedades Cardiovasculares/epidemiología , Hipertensión/epidemiología , Anciano , Anciano de 80 o más Años , Biomarcadores , Glucemia/análisis , Brasil/epidemiología , Enfermedades Cardiovasculares/sangre , Femenino , Humanos , Hipertensión/sangre , Estilo de Vida , Lípidos/sangre , Masculino , Persona de Mediana Edad , Actividad Motora , Programas Nacionales de Salud , Estado Nutricional , Sobrepeso/epidemiología , Riesgo , Factores SocioeconómicosRESUMEN
Objectives This study was aimed at correlating anthropometric markers indicating additional cardiovascular risk in a hypertensive elderly population enrolled in the HIPERDIA programme in Campina Grande, Paraíba, Brazil, South America. Methods The sample consisted of 131 hypertensive elderly people aged60 to 92 (25.9 percent males and 74.1 percent females). A socioeconomic, demographic, life-style questionnaire was used in the assessment. Information about anthropometry measurements and pathology frequency were also recorded via this questionnaire. Pearson's correlation, descriptive statistics, comparison between anthropometric variables by gender using Student's t-test and one-way ANOVA were used in the analysis for comparing groups by age(60 to 69, 70 to 79 and > 80 years). Results 14.7 percent of men and 24.7 percent of women were overweight and 11.8 percent of men and 21.6 percent of women were obese. 57.0 percent of women and 26.5 percent of men had inadequate values in waist-to-hip ratio analysis. 95.9 percent of women and 52.9 percent of men had high risk and 95.9 percent of women and 38.2 percent of men had high abdominal circumference values regarding waistline measurement. After selection (n=40) for correcting potential confounders, it was found that 27 subjects had high C-reactive protein values, an additional cardiovascular risk factor. Conclusions The results suggested that additional cardiovascular risk could be demonstrated by the high prevalence of being overweight and central obesity presented by the population and the presence of subclinical inflammation amongst hypertensive ones.
Objetivos El objetivo de este estudio fue correlacionar indicadores antropométricos de riesgo cardiovascular adicionales en una población de ancianos hipertensos registrados en el programa HIPERDIA, en Campiña Grande, Paraíba, Brasil, América del Sur. Métodos La muestra contó con 131 ancianos hipertensos, de 60 a 92 años (25,9 por ciento masculino y 74,1 por ciento femenino). Se utilizaron antropometría y encuesta por medio de un cuestionario con informaciones socioeconómicas, demográficas, hábitos de vida, y frecuencia de las enfermedades. En el análisis fue utilizada la correlación de Pearson, estadística descriptiva y para la comparación de las variables antropométricas por sexo Test t de Student y ANOVA One-Way para comparación por edad: 60 a 69, 70 a 79 y > 80. Resultados Los hombres presentaron frecuencias de 14,7 por ciento de sobrepeso y 11,8 por ciento de obesidad, y mujeres 24,7 por ciento y 21,6 por ciento, respectivamente. En el análisis de índice cintura-cadera, 57,0 por ciento de las mujeres y 26,5 por ciento de los hombres presentaron valores de riesgo. Analizando el perímetro de la cintura, 95,9 por ciento de las mujeres y 52,9 por ciento de los hombres presentaron riesgo, y 95,9 por ciento de las mujeres y 38,2 por ciento de los hombres presentaron elevados valores del perímetro abdominal. Despúes de una selección (n=40) para la corrección de posibles factores de confusión, 27 personas presentaron Proteína C Reactiva elevada. Conclusiones Los resultados muestran riesgo cardiovascular adicional, que se demuestra por la alta frecuencia del sobrepeso y obesidad central que se presentan en la población, asociados a inflamación subclínica en hipertensos.