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巴西阿克里州里奥布兰科市成年人和老年人的人体测量指标与心血管疾病风险因素之间的关系。

Relationship between anthropometric indicators and risk factors for cardiovascular disease in adults and older adults of Rio Branco, Acre.

机构信息

Universidade Federal do Acre . Programa de Pós-Graduação em Ciências da Saúde na Amazônia Ocidental. Rio Branco , AC , Brasil.

Universidade Federal do Acre . Centro de Ciências da Saúde e do Desporto . Programa de Pós-Graduação em Saúde Coletiva . Rio Branco , AC , Brasil.

出版信息

Rev Saude Publica. 2020 Mar 16;54:24. doi: 10.11606/s1518-8787.2020054001088. eCollection 2020.

Abstract

OBJECTIVE

To analyze the association between anthropometric variables and cardiovascular risk factors in adults and older adults of Rio Branco, Acre.

METHODS

A population-based cross-sectional study with 641 adults and 957 older adults was conducted. The statistical analyses consisted of the distribution of anthropometric variables according to the cardiovascular risk factors by frequency and dispersion measures. Pearson's correlation coefficient and prevalence ratios (PR) were estimated with their respective 95% confidence intervals (95%CI) using the SPSS ® version 20.0.

RESULTS

Moderate correlations were obtained in adult men for waist-hip ratio and total cholesterol (r = 0.486; p < 0.001) and for waist-hip and triglyceride ratios (r = 0.484; p < 0.001). The highest prevalence of hypertension and diabetes in adults were observed in men; in the older adults, the prevalence of hypertension was above 65% in both sexes. The prevalence of dyslipidemia was above 78% in obese adults and older adults. When analyzing the associations, a higher strength of association was found between arterial hypertension and waist-to-stature ratio (PR = 13.42; 95%CI 12.58-14.31) and body mass index greater than 30 kg/m 2 (PR = 6.61; 95%CI 6.34-6.89) in adult men. In the analysis of diabetes, the waist-hip ratio presented greater robustness in the association for women (PR = 7.53; 95%CI 6.92-8.20) and men (PR = 9.79; 95%CI 9.14-10.49).

CONCLUSION

Anthropometric variables are important predictors of cardiovascular risk; however, their assessments should be performed independently, according to sex and age group.

摘要

目的

分析巴西阿克里州里奥布兰科市成年人和老年人的人体测量变量与心血管危险因素之间的关联。

方法

进行了一项基于人群的横断面研究,共纳入 641 名成年人和 957 名老年人。统计分析包括根据心血管危险因素对人体测量变量进行频率和离散度测量的分布。使用 SPSS ® 20.0 版本,通过 Pearson 相关系数和患病率比(PR)及其各自的 95%置信区间(95%CI)进行估计。

结果

在成年男性中,腰臀比与总胆固醇(r = 0.486;p < 0.001)和腰臀比与甘油三酯比值(r = 0.484;p < 0.001)之间存在中度相关性。成年人中高血压和糖尿病的最高患病率出现在男性中;在老年人中,两性的高血压患病率均高于 65%。肥胖成年人和老年人的血脂异常患病率均高于 78%。在分析关联时,发现动脉高血压与腰高比(PR = 13.42;95%CI 12.58-14.31)和体重指数大于 30 kg/m 2 (PR = 6.61;95%CI 6.34-6.89)之间的关联强度更高。在糖尿病分析中,腰臀比在女性(PR = 7.53;95%CI 6.92-8.20)和男性(PR = 9.79;95%CI 9.14-10.49)中表现出更强的稳健性。

结论

人体测量变量是心血管风险的重要预测指标;然而,它们的评估应根据性别和年龄组独立进行。

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