Health determinants and cardiovascular risk factors in medicine students: A narrative review of the literature

Authors

DOI:

https://doi.org/10.33448/rsd-v10i7.16766

Keywords:

Medical students; Risk factors; Cardiovascular diseases.

Abstract

Objective: To evaluate, through a literature review, health determinants and factors related to cardiovascular changes in medical students. Methodology: a search was made in the databases of Medline (PubMed) and Scielo, using the descriptors: “cardiovascular diseases”, “medical students” and “risk factors” in Portuguese and “cardiovascular diseases”, “medical students” and “risk factors”, in English. The inclusion criteria were: to be articles in English, Portuguese or Spanish; be a study with adults; be related to the object of study; as well as having full text and published between the years 2014 to 2021. This process resulted in 11 articles eligible for full reading and analysis. Results and discussions: Coelho et al. (2005) and Schimidt et al. (2011) cited a greater sedentary lifestyle linked to less time available, and a high level of stress-related to study load among medical students. As for overweight, data by Jardim et al. (2014) revealed that university education in the health field did not interfere with the increase in the prevalence of excessive weight gain over the years. Conclusion: Among the factors that could explain the medical students' exposure to cardiovascular risk factors are arterial hypertension, poor diet, sedentary lifestyle, dyslipidemia, stress, and metabolic changes. About the higher prevalence or cardiovascular risk factors in male students, it is possible that this results from a greater exposure to alcoholism and smoking.

References

AlWabel, A., Almufadhi, M., Alayed, F., Aloraini, A., Alobaysi, H., & Alalwi, R. (2018). Assessment of hypertension and its associated risk factors among medical students in Qassim University. Saudi Journal Of Kidney Diseases And Transplantation, 29(5), 1100. 10.4103/1319-2442.243959.

Barros, M., Rodrigues, B., Porto, L., Ferreira, I., & Botelho, N. (2019). Atitudes e Conhecimentos de Estudantes de Medicina sobre Nutrição Clínica. Revista Brasileira De Educação Médica, 43(1 suppl 1), 127-134. 10.1590/1981-5271v43suplemento1-20180250

Brasil (2018). VII Diretriz Brasileira de Hipertensão Arterial. Revista brasileira de hipertensão. 13 (4) 260-312.

Chor, D., Pinho Ribeiro, A., Sá Carvalho, M., Duncan, B., Andrade Lotufo, P., & Araújo Nobre, A. et al. (2015). Prevalence, Awareness, Treatment and Influence of Socioeconomic Variables on Control of High Blood Pressure: Results of the ELSA-Brasil Study. PLOS ONE, 10(6), e0127382. 10.1371/journal.pone.0127382

Coelho, V., Caetano, L., Liberatore Júnior, R., Cordeiro, J., & Souza, D. (2005). Perfil lipídico e fatores de risco para doenças cardiovasculares em estudantes de medicina. Arquivos Brasileiros De Cardiologia, 85(1), 57-62. 10.1590/s0066-782x2005001400011.

Crowley, J., Ball, L., Han, D., Arroll, B., Leveritt, M., & Wall, C. (2015). New Zealand Medical Students Have Positive Attitudes and Moderate Confidence in Providing Nutrition Care: A Cross-Sectional Survey. Journal Of Biomedical Education, 2015, 1-7. 10.1155/2015/259653.

Dahrouge, S., Kaczorowski, J., Dolovich, L., Paterson, M., Thabane, L., & Tu, K. et al. (2018). Long term outcomes of cluster randomized trial to improve cardiovascular health at population level: The Cardiovascular Health Awareness Program (CHAP). PLOS ONE, 13(9), e0201802. 10.1371/journal.pone.0201802.

Del Alba Giménez, L., Degiorgio, L., Díaz Zechin, M., Balbi, M., Villani, M., & Manni, D. et al. (2019). Factores de riesgo de enfermedad cardiovascular en estudiantes universitarios SITARIOS. Revista Argentina De Cardiologia, 87(3), 203-209. 10.7775/rac.es.v87.i3.14397

Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. (2011). Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents; National Heart, Lung Lung, and Blood Institute. Pediatrics.128, 213–256.

Ferreira, V. A., & Magalhães, R. (2017). Nutrição e promoção da saúde: perspectivas atuais. Cad Saude Publica. 23(7),1674-681.10.1590/S0102-311X2007000700019.

Frantz, D., et al (2015). Cross-Sectional Study of U.S. Interns’ Perceptions of Clinical Nutrition Education. Journal of Parenteral and Enteral Nutrition. 40(4), 529-535. 10.1177/0148607115571016.

Henríquez, P. C., & Carvalho, A. M. P. (2008). Percepção dos benefícios do consumo de drogas e das barreiras para seu abandono entre estudantes da área da saúde. Rev Lat Am Enfermagem.16, 621-26. 10.1590/S0104-11692008000700019.

Imai, F. I., Coelho, I. Z., & Bastos, J. L. (2014). Consumo excessivo de álcool, tabagismo e fatores associados em amostra representativa de graduandos da Universidade Federal de Santa Catarina, 2012 estudo transversal. Epidemiol Serv Saúde. 23(3), 435-446. 10.5123/S1679-49742014000300006.

Jardim, T., et al (2014). Comparison of Cardiovascular Risk Factors in Different Areas of Health Care Over a 20-Year Period. Arquivos Brasileiros De Cardiologia. 10.5935/abc.20140150

Johnson, H. M., et al. (2014). Antihypertensive medication initiation among young adults with regular primary care use. J Gen Intern Med. 29. 723-31. 10.1007/s11606-014-2790-4.

Khanji, M., van Waardhuizen, C., Bicalho, V., Ferket, B., Hunink, M., & Petersen, S. (2018). Lifestyle advice and interventions for cardiovascular risk reduction: A systematic review of guidelines. International Journal Of Cardiology, 263, 142-151. 10.1016/j.ijcard.2018.02.094

Lotufo, P. A., et al. (2016). Prevalence, awareness, treatment, and control of high low-density lipoprotein cholesterol in Brazil: Baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). J Clin Lipidol. 10(3), 568-76. 10.1016/j.jacl.2015.12.029.

Macário, T. D. (2006). Risco Cardiovascular em Pessoas Assintomáticas. (Dissertação de Mestrado – Curso de Enfermagem Médico Cirúrgica). Viseu: Instituto Politécnico de Viseu.

Maksimović, M., Marinković, J., Vlajinac, H., Maksimović, J., Tomanić, M., & Radak, D. (2017). Awareness and knowledge of cardiovascular disease risk factors among medical students. Wiener Klinische Wochenschrift, 129(13-14), 458-463. 10.1007/s00508-017-1192-0.

Mansur, A. P., & Favarato, D. (2012). Mortalidade por doenças cardiovasculares no Brasil e na região metropolitana de São Paulo: atualização 2011. Arquivos Brasileiros de Cardiologia. 99(2), 755-761. 10.1590/S0066-782X2012005000061.

Masana, L., et al. (2017). Is there a role for lifestyle changes in cardiovascular prevention? What, when and how?. Atheroscler Suppl. 26, 2-15. 10.1016/S1567-5688(17)30020-X.

Mahmoud, A. (2015). Prevalence of cardiovascular disease risk factors among Egyptian and Saudi medical students. Journal Of The Egyptian Public Health Association, 90(1), 35-39. 10.1097/01.epx.0000460969.93981.c2

Morales, G., Guillen-Grima, F., Muñoz, S., Belmar, C., Schifferli, I., Muñoz, A., & Soto, A. (2017). Factores de riesgo cardiovascular en universitarios de primer y tercer año. Revista Médica De Chile, 145(3), 299-308. 10.4067/s0034-98872017000300003

Nepal, G., Tuladhar, E., Acharya, K., Bhattarai, A., Sharma, V., Raut, M., & Yadav, B. (2018). Dyslipidemia and Associated Cardiovascular Risk Factors among Young Nepalese University Students. Cureus. 10.7759/cureus.2089

Nyombi, K. V., Kizito S., Mukunya D., et al. (2016). High prevalence of hypertension and cardiovascular disease risk factors among medical students at Makerere University College of Health Sciences, Kampala, Uganda. BMC Res Notes, 9, 110. 10.1186/s13104-016-1924-7.

Patnaik, A. & Choudhury, K. C. (2015). Assessment of risk factors associated with hypertension among undergraduate medical students in a Medical College in Odisha. Adv Biomed Res. 4, 38. 10.4103/2277-9175.151245.

Pereira, A., Shitsuka, D., Parreira, F. and Shitsuka, R., 2018. Metodologia Da Pesquisa Científica. <https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1>

Rimárová, K., Dorko, E., Diabelková, J., Sulinová, Z., Urdzík, P., Pelechová, N., & Konrádyová, N. (2018). Prevalence of lifestyle and cardiovascular risk factors in a group of medical students. Central European Journal Of Public Health, 26(Supplement), S12-S18. 10.21101/cejph.a5477.

Rtveladze K., Marsh T., Webber L., Kilpi F., Levy D., Conde W., et al. (2013). Health and economic burden of obesity in Brazil. PLoS ONE. 8(7), e68785. 10.1371/journal.pone.0068785.

Schmidt, M. I., et al. (2011). Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 377, 1949–1961. 10.1016/S0140-6736(11)60135-9.

Schmidt, M. I., et al. (2015). Cohort Profile: Longitudinal Study of Adult Health (ELSA-Brasil). Int J Epidemiol. 44(1). 68-7. 10.1093/ije/dyu027.

United Nations. General Assembly. Political Declaration of the High-Level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases. (2011).

Vos, T., et al. (2017). Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet.16, 390(10100), 1211-59. doi.org/10.1016/S0140-6736(17)32154-2.

Published

30/06/2021

How to Cite

OLIVEIRA, D. S.; CARVALHO, D. de M.; OLIVEIRA, J. K. S. de; PAIVA, D. F. F.; MENDONÇA, A. A. de. Health determinants and cardiovascular risk factors in medicine students: A narrative review of the literature. Research, Society and Development, [S. l.], v. 10, n. 7, p. e48510716766, 2021. DOI: 10.33448/rsd-v10i7.16766. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/16766. Acesso em: 25 nov. 2024.

Issue

Section

Health Sciences