Health promotion for hypertension in a group of adults in Santos
DOI:
https://doi.org/10.33448/rsd-v9i3.2648Keywords:
Hypertension; Risk factors; Epidemiology.Abstract
Assess the prevalence and risk factors of a group of adults for SAH and, at the same time, raise their awareness of the need for prevention through changes in lifestyle. This is a descriptive, cross-sectional and quantitative study, 96 people were evaluated. A questionnaire consisting of eight questions was used to assess risk factors, lifestyle and diseases. Weight, height, waist and neck circumference, blood pressure (BP) and fasting capillary blood glucose (GCJ) were measured. All participants signed a free and informed consent form and the project was approved by an ethics committee. Approximately 35% of patients had hypertension and 17% diabetes with a previous diagnosis determined by a doctor. The risk factors with the highest prevalence were: Abnormal abdominal circumference with 85.1%, body mass index (BMI) with 76% of people over 25kg / m², 56.8% with altered BP (SBP> 120 and / or DBP> 80mmHg) and GCJ, with 48.1% presenting values> 100 mg / dL and 10.13%> 126 mg / dL. As for the pressure classification, 15% of those evaluated had values less than 120x80mmHg, 20% in the borderline value (130-139 / 85-89) and approximately 37% presented values that are considered as hypertension. Among the risk factors, those associated with the occurrence of SAH (95% CI) were: Age, waist circumference (in men) and BMI. In people over 60 years of age, there was a three-fold increase in risk, a higher risk was also observed in variables related to obesity, increasing by up to 2.5 times.
References
Brasil. (2006). Ministério da Saúde. Envelhecimento e saúde da pessoa idosa. Brasília:
Ministério da Saúde, Cadernos de Atenção Básica, n. 19. Série A. Normas e Manuais Técnicos. Recuperado em 16 fev 2020 de: http://189.28.128.100/dab/docs/publicacoes/cadernos_ab/abcad19.pdf
Cipullo, J.P., Martin, J.F.V., Ciorlia, L.A.S, Godoy, M.R.P, Cação, J.C, Loureiro, A.A.C (2010). Prevalência e fatores de risco para hipertensão em uma população urbana brasileira. Arq. Bras.
Cardiol. 94(4):519-526. Recuperado em 23 nov 2019 de: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2010000400014&lng=en.
Costa, J.S.D., Barcellos, F.C, Sclowitz, M.L., Sclowitz, A.K.T., Castanheira, M.,& Olinto, M.T.A. (2007). Prevalência de Hipertensão Arterial em Adultos e Fatores Associados: um Estudo de Base Populacional Urbana em Pelotas, Rio Grande do Sul, Brasil. Arq Bras Cardiol; 88(1) : 59-65. Recuperado em 28 nov 2019 de: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2007000100010.
Flor, L.S.,& Campos, M.R. (2017). Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional. Rev B ras Epidemiol; 20(1): 16-29. Recuperado em 23 nov 2019 de: http://www.scielo.br/scielo.php?pid=S1415-790X2017000100016&script=sci_abstract&tlng=pt
Frizon, V.,& Boscaini, C. (2013). Circunferência do Pescoço, Fatores de Risco para Doenças Cardiovasculares e Consumo Alimentar. Rev Bras Cardiol.;26(6):426-34. Recuperado em 23 nov 2019 de: http://www.onlineijcs.org/english/sumario/26/pdf/v26n6a03.pdf
Gallagher, D., Visser, M., Sepulveda, D., Pierson, R.N., Harris, T.,& Heymsfield, S.B. (1996). How useful is body mass index for comparison of body fatness across age, sex and ethnic groups. Am J Epidemiol;143: 228-39. DOI: 10.1093/oxfordjournals.aje.a008733.
Gus, M., Fuchs, S.C., Moreira, L.B., Moraes, R.S., Wiehe, M., & Silva, A.F. (2004). Association between different measurements of obesity. Am J Hypertens. Jan;17(1):50-3. DOI: 10.1016/j.amjhyper.2003.08.010.
Kaufman, J.S., Asuzu, M.C., Mufunda, J., Forrester, T., Wilks, R.,& Luke, A. (1997). Relationship between blood pressure and body mass index in lean populations. Hypertension.; 30: 1511-6. DOI: 10.1161/01.hyp.30.6.1511.
Lim, S.S, Vos, T., Flaxman, A.D., Danaei, G., Shibuya, K., & Adair-Rohani, H. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet; 380(9859): 2224-60. DOI:https://doi.org/10.1016/S0140-6736(12)61766-8.
Lobo, L.A.C., Canuto, R., Dias-da-Costa, J.S.,& Pattussi,M.P.(2017). Tendência temporal da prevalência de hipertensão arterial sistêmica no Brasil. Cad. Saúde Pública; 33(6). Recuperado de http://www.scielo.br/pdf/csp/v33n6/1678-4464-csp-33-06-e00035316.pdf
Malachias, M.V.B, Souza, W.K.S.B., Plavnik, F.L., Rodrigues, C.I.S., Brandão, A.A., & Neves, M.F.T. (2016). 7ª Diretriz Brasileira de Hipertensão Arterial. Sociedade Brasileira de Cardiologia. ISSN-0066-782X Volume 107, Nº 3, Supl. 3. Recuperado em 23 nov 2019 de: http://publicacoes.cardiol.br/2014/diretrizes/2016/05_HIPERTENSAO_ARTERIAL.pdf
Medeiros, C.C.M., Bessa, G.G., Coura, A.S., França, I.S.X., &Sousa, F.S. (2012). Prevalência dos fatores de risco para diabetes mellitus de servidores públicos. Rev. Eletr. Enf. jul/sep;14(3):559-69. Acesso em 14 nov 2019. Recuperado de: https://www.revistas.ufg.br/fen/article/view/14430/13378.
Mozaffarian, D., Benjamin, E.J., Go, A.S., Arnett, D.K., Blaha, M.J, & Cushman, M.(2015). American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics: update a report from the American Heart Association. Circulation.131: e29-e322. https://doi.org/10.1161/CIR.0000000000000659.
Ortiz, M.C.A.,& Zanetti, M.L. (2001). Levantamento dos Fatores de Risco para Diabetes Mellitus Tipo 2 em uma Instituição de Ensino Superior. Rev Latino-am Enfermagem; 9(3)58-63. https://doi.org/10.1590/S0104-11692001000300009.
Santana, L.C.B, Soares, T.C., Wenzel, A.P.B.H., Blanche, B.R., Benevides, L.K.B., Soares, T.C., Promoção à saúde de hipertensos e diabéticos a partir da problematização do território. Research, Society and Development, v. 9, n.1, e141911492, 2020. DOI: http://dx.doi.org/10.33448/rsd-v9i1.1492.
Secretaria Municipal da Saúde.(2011). Boletim ISA - Capital, nº 4: Prevalência de Hipertensão Arterial e Diabetes Mellitus. Estado Nutricional de Adolescentes. São Paulo: CEInfo, 40 p. Recuperado em 20 nov 2019 de: https://www.prefeitura.sp.gov.br/cidade/secretarias/upload/saude/arquivos/publicacoes/Boletim_ISA_4.pdf
Strelec, M.A.A.M., Pierin, A.M.G,& Mion-Junior,D.(2003) A Influência do Conhecimento sobre a Doença e a Atitude Frente à Tomada dos Remédios no Controle da Hipertensão Arterial. Arq Bras Cardiol, volume 81 (nº 4), 343-8. Recuperado em 16 nov 2019 de: http://publicacoes.cardiol.br/abc/2003/8104/8104002.pdf
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.