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Published on: September 26, 2018

Prehypertension and cardiovascular risk factors in adults enrolled in a primary care programme

Aline B Nery1, Evandro T Mesquita, Jocemir R Lugon

  • 1Department of Epidemiology and Biostatistics, Universidade Federal Fluminense (UFF), Niteroi, Rio de Janeiro, Brazil.

European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology
|April 1, 2011
PubMed

Insights

Prehypertension in Brazil is linked to cardiovascular risk factors like high BMI, triglycerides, and uric acid. Early identification in primary care can help prevent cardiovascular disease.

Area of Science:

  • Cardiology
  • Public Health
  • Epidemiology

Background:

  • Prehypertension is associated with increased cardiovascular disease risk, often co-occurring with other risk factors.
  • Limited data exists on prehypertension prevalence and its associated risk factors in Brazil.
  • Understanding these associations is crucial for public health initiatives in Brazil.

Purpose of the Study:

  • To determine the association between prehypertension and cardiovascular risk factors within a Brazilian public primary healthcare program.
  • To identify key metabolic and demographic factors linked to prehypertension in this population.

Main Methods:

  • A cross-sectional study design was employed.
  • Generalized estimating equations were used to estimate associations.
  • Results were reported as odds ratios (OR) with 95% confidence intervals (CI).

Main Results:

  • Of 357 participants, 35.6% had prehypertension.
  • Univariate analysis showed associations with male gender, age, salt intake, diabetes, BMI, uric acid, and lipids (excluding HDL).
  • Adjusted analysis revealed significant associations for BMI (OR(a)=1.097), triglycerides (OR(a)=1.008), and uric acid (OR(a)=1.269).
  • Triglyceride association remained significant after adjusting for BMI, indicating independence from obesity.

Conclusions:

  • Prehypertension in Brazil is significantly associated with established cardiovascular risk factors.
  • These findings highlight the importance of monitoring prehypertension in primary care settings.
  • Identifying prehypertension serves as an early warning for potential cardiovascular disease, prompting timely intervention.
Abstract

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