Coltro Rodrigo Soler, Mizutani Bruno Moreira, Mutti Anibal, Délia Maria Paula Barbieri, Martinelli Luiz Mário Baptista, Cogni Ana Lúcia, Matsubara Beatriz Bojikian
Faculdade de Medicina de Botucatu, Botucatu, SP.
Rev Assoc Med Bras (1992). 2009 Sep-Oct;55(5):606-10. doi: 10.1590/s0104-42302009000500028.
Cardiovascular diseases (CVD) are the main cause of death in Brazil.
To evaluate the frequency of CVD risk factors in a population attending a health education community event. METHODS. Retrospective study that included 428 completed forms with clinical and demographic information of volunteers attending a public event, in May, 2006. Data were expressed by means and standard deviation or proportions and compared by Student s t test or Chi-square test. Associations between Arterial Hypertension (AH), Diabetes Mellitus (DM) and clinical variables were analyzed by multinomial logistic regression. Significance level was p <0.05.
Mean age was 57+/-14 years, and women represented 58% of the total population. The main cardiovascular risk factors were AH (39.5%), DM (15.4%) and dyslipidemia (25.8%). The frequency of unawareness about these risk factors was respectively 8.4%, 17.5% and 33.1%.. Family history of CVD was reported by 41% while only 67% reported having any information about DM or dyslipidemia. Among obese individuals (IMC>30 Kg/m2, 27.3% of the population), systolic blood pressure (133+/-16 mm Hg), diastolic blood pressure (84+/-11.5 mm Hg) and casual glycemia (124+/-52.5mg/dl) were higher when compared to non-obese (p<0.05). There was a significant association between obesity and dyslipidemia (p=0.04). Age and IMC were independently associated with AH and DM.
The high frequency of modifiable cardiovascular risk factors in this population suggests the need for educational programs to promote primary prevention, mainly for the elderly and overweight.
心血管疾病（CVD）是巴西的主要死因。
评估参加社区健康教育活动人群中CVD危险因素的频率。方法。回顾性研究，纳入了428份填写完整的表格，这些表格包含了2006年5月参加一项公共活动的志愿者的临床和人口统计学信息。数据以均值和标准差或比例表示，并通过学生t检验或卡方检验进行比较。通过多项逻辑回归分析动脉高血压（AH）、糖尿病（DM）与临床变量之间的关联。显著性水平为p<0.05。
平均年龄为57±14岁，女性占总人口的58%。主要的心血管危险因素为AH（39.5%）、DM（15.4%）和血脂异常（25.8%）。对这些危险因素 unaware的频率分别为8.4%、17.5%和33.1%。41%的人报告有CVD家族史，而只有67%的人报告了解任何有关DM或血脂异常的信息。在肥胖个体（体重指数>30 Kg/m2，占人群的27.3%）中，收缩压（133±16 mmHg）、舒张压（84±11.5 mmHg）和随机血糖（124±52.5mg/dl）高于非肥胖个体（p<0.05）。肥胖与血脂异常之间存在显著关联（p=0.04）。年龄和体重指数与AH和DM独立相关。
该人群中可改变的心血管危险因素的高频率表明需要开展教育项目以促进一级预防，主要针对老年人和超重者。
