Universidade Federal da Bahia - Programa de Pós-Graduação em Saúde, Ambiente e Trabalho, Salvador, BA - Brasil.
Universidade Federal da Bahia - Faculdade de Medicina da Bahia, Salvador, BA - Brasil.
Arq Bras Cardiol. 2020 Jun 1;114(5):755-761. doi: 10.36660/abc.20190065.
Physical activity, each type in its own manner, whether occupational, domestic or leisure, can play a significant role regarding high blood pressure (HBP). However, practicing physical activity only at leisure time, or in specific situations, can be insufficient to achieve the effective control of HBP.
To analyze the isolated and cumulative effect of different types of physical activity and the prevalence of HBP among workers.
A cross-sectional study with 1,070 Urban Cleaning and Footwear Industry workers in Bahia, who answered a survey, conducted by an interviewer on sociodemographic, occupational, lifestyle and hypertensive morbidity aspects. Weight, height, waist circumference and blood pressure were measured. Case of HBP: Systolic blood pressure ≥140 or diastolic blood pressure ≥90, or regular treatment for HBP. The occupational, domestic and leisure aspects of Physical Activity were studied. A multivariate analysis with Cox Regression was performed for cross-sectional studies.
The prevalence of HBP was 24%, being 37% among workers aged between 35-44 years, and 51% among workers aged between 45-54 years. The multivariate model showed that workers who were active in one form of physical activity only or no forms had 62% higher BP levels and that these levels were 25% higher among workers who were active in two out of three physical activity forms. Being a male, being older (> 31 years old) and being overweight were characteristics associated with HBP, with prevalence ratios of 1.62, 2.10 and 2.26, respectively.
There was a cumulative effect of the form of physical activity on the occurrence of HBP. Classifying active subjects at work or at home as inactive persons by relying only on the leisure form can lead to methodological errors. (Arq Bras Cardiol. 2020; 114(5):755-761).
体力活动，无论其职业、家务还是休闲形式，都可以在高血压（HBP）的防治中发挥重要作用。然而，仅在闲暇时间或特定情况下进行体力活动，可能不足以有效控制 HBP。
分析不同类型体力活动的单独和累积效应以及高血压在工人中的流行情况。
横断面研究纳入了巴伊亚州 1070 名城市清洁和制鞋业工人，他们回答了一份由访谈者进行的关于社会人口学、职业、生活方式和高血压发病情况的调查。测量了体重、身高、腰围和血压。高血压病例：收缩压≥140mmHg 或舒张压≥90mmHg，或规律治疗高血压。研究了体力活动的职业、家务和休闲方面。对横断面研究进行了 Cox 回归的多变量分析。
高血压的患病率为 24%，35-44 岁工人中为 37%，45-54 岁工人中为 51%。多变量模型显示，仅从事一种体力活动或不从事任何体力活动的工人血压水平高出 62%，而从事三种体力活动中有两种的工人血压水平高出 25%。男性、年龄较大（>31 岁）和超重是与 HBP 相关的特征，其患病率比分别为 1.62、2.10 和 2.26。
体力活动形式对 HBP 的发生有累积效应。仅根据闲暇形式将工作或家务中活跃的人归类为不活跃的人可能会导致方法学错误。（Arq Bras Cardiol. 2020; 114(5):755-761）。
