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[Cardiovascular risk factors in a population attending a community event on health education]
Rodrigo Soler Coltro1, Bruno Moreira Mizutani, Anibal Mutti
1Faculdade de Medicina de Botucatu, Botucatu, SP.
Insights
Cardiovascular disease (CVD) risk factors like hypertension and diabetes are common in Brazil. Educational programs are needed for primary prevention, especially for the elderly and overweight.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Context:
- Cardiovascular diseases (CVD) represent a significant public health concern, being the leading cause of mortality in Brazil.
- Community health events offer a platform for assessing population health and identifying prevalent risk factors.
Purpose:
- To determine the prevalence of cardiovascular disease risk factors within a population attending a community health education event.
- To analyze the association between risk factors such as Arterial Hypertension (AH) and Diabetes Mellitus (DM) with clinical and demographic variables.
Summary:
- A retrospective study of 428 participants revealed high frequencies of AH (39.5%), DM (15.4%), and dyslipidemia (25.8%).
- A notable percentage of participants were unaware of their risk factors (8.4% for AH, 17.5% for DM, 33.1% for dyslipidemia).
- Obesity (27.3% of participants) was significantly associated with higher blood pressure, casual glycemia, and dyslipidemia, with age and BMI independently linked to AH and DM.
Impact:
- Findings underscore the urgent need for targeted educational interventions and primary prevention strategies.
- Focusing on modifiable risk factors, particularly in elderly and overweight populations, can mitigate the burden of CVD.
- This study provides valuable data for public health initiatives aimed at reducing CVD incidence in Brazil.
Introduction:
Cardiovascular diseases (CVD) are the main cause of death in Brazil.
Objective:
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.
Results:
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.
Conclusion:
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.
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