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2013年巴西圣卡塔琳娜州Xapecó原住民土地上凯冈人的高血压流行病学

Epidemiology of high blood pressure among the Kaingang people on the Xapecó Indigenous Land in Santa Catarina State, Brazil, 2013.

作者信息

Bresan Deise, Bastos João Luiz, Leite Maurício Soares

出版信息

Cad Saude Publica. 2015 Feb;31(2):331-44. doi: 10.1590/0102-311x00058714.

DOI:10.1590/0102-311x00058714
PMID:25760167
Abstract

This cross-sectional study describes the prevalence of high blood pressure (HBP; measured at one setting, and suggestive of a clinical diagnosis of arterial hypertension) and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) and their associations with socio-demographic and anthropometric variables among 355 Kaingang adults (≥ 20 years) on the Xapecó Indigenous Land in Brazil. Weight, height, waist circumference (WC), SBP, and DBP were measured and socio-demographic data were collected. Prevalence of HBP was 53.2% (95%CI: 45.3; 61.1) in men and 40.7% (95%CI: 33.8; 47.6) in women. In women, age and WC were directly associated with HBP; age was associated with SBP and schooling with DBP. In men, HBP was statistically associated with high body mass index (BMI) and tile floor in the home (as a socioeconomic proxy); BMI and WC were associated with SBP; BMI and WC were associated with DBP. The study highlights the need for measures to control risk factors for HBP, especially due to its relevance for cardiovascular diseases and their consequences.

摘要

这项横断面研究描述了巴西Xapecó原住民土地上355名成年凯冈人(≥20岁)的高血压患病率(在一个测量点测量,提示动脉高血压的临床诊断)以及平均收缩压(SBP)和舒张压(DBP),及其与社会人口统计学和人体测量学变量之间的关联。测量了体重、身高、腰围(WC)、SBP和DBP,并收集了社会人口统计学数据。男性高血压患病率为53.2%(95%CI:45.3;61.1),女性为40.7%(95%CI:33.8;47.6)。在女性中,年龄和WC与高血压直接相关;年龄与SBP相关,受教育程度与DBP相关。在男性中,高血压与高体重指数(BMI)和家中的瓷砖地板(作为社会经济指标)存在统计学关联;BMI和WC与SBP相关;BMI和WC与DBP相关。该研究强调了采取措施控制高血压危险因素的必要性,特别是考虑到其与心血管疾病及其后果的相关性。

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