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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(04): 219-224
DOI: 10.1590/0004-282X20180020
Article

Investigation of the cardiovascular risk profile in a south Brazilian city: surveys from 2012 to 2016

Investigação do perfil de risco cardiovascular em uma cidade no sul do Brasil: inquéritos de 2012 a 2016
Jamir Pitton Rissardo
1   Universidade Federal de Santa Maria, Santa Maria RS, Brasil
,
Ana Letícia Fornari Caprara
1   Universidade Federal de Santa Maria, Santa Maria RS, Brasil
,
Ana Lucia Cervi Prado
2   Universidade Federal de Santa Maria, Departamento de Fisioterapia, Santa Maria RS, Brasil
,
Martim Tobias Bravo Leite
1   Universidade Federal de Santa Maria, Santa Maria RS, Brasil
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ABSTRACT

The aim of this study was to investigate the cardiovascular risk profile of the participants recruited from stroke awareness campaigns in Santa Maria RS, Brazil, from 2012 to 2016, using the simplified version of the Framingham Risk Score (FRS). Questionnaires were used to evaluate 1,061 participants from 20 to 74 years old. Data on cardiovascular risk factors were obtained. The prevalence of risk factors and mean FRS for men and women were estimated. The FRS for women was 11.8% (moderate risk) and 24.7% for men (high risk). The vascular age for women was 61.6 years, whereas the vascular age for men was 66 years. Two percent of women had hypertension and diabetes, while both these risk factors were present in 5% of men. Based on the data, the prevalence of stroke risk factors is worrisome, as are the numbers of individuals with moderate and high cardiovascular risk in Santa Maria.

RESUMO

O objetivo desse estudo foi investigar o perfil de risco cardiovascular dos participantes de campanhas sobre acidente vascular cerebral (AVC) em Santa Maria-RS, dos anos de 2012 a 2016, por meio do Escore de Risco de Framingham (ERF) simplificado. Foram utilizados questionários para avaliação de 1061 indivíduos de 20 a 74 anos. Informações sobre fatores de risco cardiovascular foram obtidas. O ERF médio para as mulheres foi de 11,8% (risco moderado) e para os homens, 24,7% (risco alto). A idade vascular média no sexo feminino foi de 61,6 anos, sendo 66 anos o valor encontrado para o sexo masculino. 2% das mulheres eram hipertensas e tabagistas; nos homens, a concomitância desses fatores de risco foi de 5%. Assim, as prevalências de fatores de risco para AVC e de indivíduos com moderado e alto risco cardiovascular são alarmantes em Santa Maria.

Keywords:

risk factors - stroke - cardiovascular diseases

Palavras-chave:

fatores de risco - acidente vascular cerebral - doenças cardiovasculares


Publikationsverlauf

Eingereicht: 08. Juni 2017

Angenommen: 27. Januar 2018

Artikel online veröffentlicht:
28. August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012 Dec;380(9859):2095-128. https://doi.org/10.1016/S0140-6736(12)61728-0
  • 2 Camargo EC, Bacheschi LA, Massaro AR. Stroke in Latin America. Neuroimaging Clin N Am. 2005 May;15(2):283-96. https://doi.org/10.1016/j.nic.2005.07.002
  • 3 Muniz LC, Schneider BC, Silva IC, Matijasevich A, Santos IS. Accumulated behavioral risk factors for cardiovascular diseases in Southern Brazil. Rev Saude Publica. 2012;46(3):534-42. https://doi.org/10.1590/S0034-89102012005000021
  • 4 Lavados PM, Hennis AJ, Fernandes JG, Medina MT, Legetic B, Hoppe A et al. Stroke epidemiology, prevention, and management strategies at a regional level: Latin America and the Caribbean. Lancet Neurol. 2007 Apr;6(4):362-72. https://doi.org/10.1016/S1474-4422(07)70003-0
  • 5 Gaziano TA, Young CR, Fitzmaurice G, Atwood S, Gaziano JM. Laboratory-based versus non-laboratory-based method for assessment of cardiovascular disease risk: the NHANES I Follow-up Study cohort. Lancet. 2008 Mar;371(9616):923-31. https://doi.org/10.1016/S0140-6736(08)60418-3
  • 6 D'Agostino RB, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008 Feb;117(6):743-53. https://doi.org/10.1161/CIRCULATIONAHA.107.699579
  • 7 Malachias MV, Gomes MA, Nobre F, Alessi A, Feitosa AD, Coelho EB. 7th Brazilian Guideline of Arterial Hypertension: Chapter 2 - Diagnosis and Classification. Arq Bras Cardiol. 2016 Sep;107(3 Suppl 3):7-13. http://dx.doi.org/10.5935/abc.20160152
  • 8 Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes: 2015-2016. Rio de Janeiro: Sociedade Brasileira de Diabetes; 2016 [access 2016 Nov 11]. Available from: http://www.diabetes.org.br/sbdonline/images/docs/DIRETRIZESSBD-2015-2016.pdf
  • 9 Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA et al.; American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Obesity Society. 2013 AHA/ACC/TOS guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014 Jun;129(25 Suppl 2):S102-38. https://doi.org/10.1161/01.cir.0000437739.71477.ee
  • 10 World Health Organization – WHO. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneve: World Healt Organization; 2000. (WHO Technical Report Series, Vol. 894).
  • 11 National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. Obes Res. 1998 Sep;6 Suppl S2:51S-209S.
  • 12 Caspersen CJ, Pereira MA, Curran KM. Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc. 2000 Sep;32(9):1601-9. https://doi.org/10.1097/00005768-200009000-00013
  • 13 Framingham Heart Study. Risk score calculators using BMI. (2016) [access 2016 Out 21]. Available from: http://www.framinghamheartstudy.org/risk-functions/cardiovascular-disease/10-year-risk.php#
  • 14 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. https://doi.org/10.3758/BF03193146
  • 15 Malta DC, Moura EC, Silva SA, Oliveira PP, Silva VL. Prevalence of smoking among adults residing in the Federal District of Brasília and in the state capitals of Brazil, 2008. J Bras Pneumol. 2010;36(1):75-83. https://doi.org/10.1590/S1806-37132010000100013
  • 16 Gigante DP, de França GV, Sardinha LM, Iser BP, Meléndez GV. Temporal variation in the prevalence of weight and obesity excess in adults: Brazil, 2006 to 2009. Rev Bras Epidemiol. 2011 Sep;14 Suppl 1:157-65. https://doi.org/10.1590/S1415-790X2011000500016
  • 17 Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011 Jun;377(9781):1949-61. https://doi.org/10.1016/S0140-6736(11)60135-9P
  • 18 Flor LS, Campos MR, Oliveira AF, Schramm JM. Diabetes burden in Brazil: fraction attributable to overweight, obesity, and excess weight. Rev Saude Publica. 2015;49:29. https://doi.org/10.1590/S0034-8910.2015049005571
  • 19 Schmidt MI, Duncan BB, Hoffmann JF, Moura L, Malta DC, Carvalho RM. Prevalence of diabetes and hypertension based on self-reported morbidity survey, Brazil, 2006. Rev Saude Publica. 2009 Nov;43 Suppl 2:74-82. https://doi.org/10.1590/S0034-89102009000900010
  • 20 Pereira JC, Barreto SM, Passos VM. [Cardiovascular risk profile and health self-evaluation in Brazil: a population-based study]. Rev Panam Salud Publica. 2009 Jun;25(6):491-8. Portuguese. https://doi.org/10.1590/S1020-49892009000600004
  • 21 Gigante DP, Dias-da-Costa JS, Olinto MT, Menezes AM, Silvia M. [Adult obesity in Pelotas, Rio Grande do Sul, Brazil, and the association with socioeconomic status]. Cad Saude Publica. 2006 Sep;22(9):1873-9. Portuguese. https://doi.org/10.1590/S0102-311X2006000900018
  • 22 Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ et al.; Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Blood Glucose). National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2•7 million participants. Lancet. 2011 Jul;378(9785):31-40. https://doi.org/10.1016/S0140-6736(11)60679-X
  • 23 Malta DC, Andrade SSCA, Stopa SR, Pereira CA, Szwarcwald CL, Silva Júnior JD et al. Brazilian lifestyles: National Health Survey results, 2013. Epidemiol Serv Saude. 2015;24(2):217-26. https://doi.org/10.5123/S1679-49742015000200004
  • 24 Iser BP, Claro RM, Moura EC, Malta DC, Morais Neto OL. Risk and protection factors for chronic non communicable diseases by telephone survey - Vigitel Brazil – 2009. Rev Bras Epidemiol. 2011;14 suppl 1:90-102. https://doi.org/10.1590/S1415-790X2011000500010
  • 25 Azevedo MR, Horta BL, Gigante DP, Victora CG, Barros FC. Factors associated to leisure-time sedentary lifestyle in adults of 1982 birth cohort, Pelotas, Southern Brazil. Rev Saude Publica. 2008;42 suppl 2:70-7. https://doi.org/10.1590/S0034-89102008000900010
  • 26 Cohn T, Miller A, Fogg L, Braun LT, Coke L. Impact of individual and neighborhood factors on cardiovascular risk in white hispanic and non-hispanic women and men. Res Nurs Health. 2017;40(2):120-31. https://doi.org/10.1002/nur.21778
  • 27 Jousilahti P, Vartiainen E, Tuomilehto J, Puska P. Sex, age, cardiovascular risk factors, and coronary heart disease: a prospective follow-up study of 14 786 middle-aged men and women in Finland. Circulation. 1999 Mar;99(9):1165-72. https://doi.org/10.1161/01.CIR.99.9.1165
  • 28 Wilson PW, Castelli WP, Kannel WB. Coronary risk prediction in adults (the Framingham Heart Study). Am J Cardiol. 1987;59(14):G91-4. https://doi.org/10.1016/0002-9149(87)90165-2
  • 29 Tunstall-Pedoe H, Kuulasmaa K, Mähönen M, Tolonen H, Ruokokoski E. Contribution of trends in survival and coronar y-event rates to changes in coronary heart disease mortality: 10-year results from 37 WHO MONICA Project populations. Lancet. 1999;353(9164):1547-57. https://doi.org/10.1016/S0140-6736(99)04021-0