Factors associated with systemic arterial hypertension and diabetes mellitus in the population served by the Vozes das Ruas Project in Jundiaí
DOI:
https://doi.org/10.5712/rbmfc17(44)2986Keywords:
Hypertension, Diabetes Mellitus, Noncommunicable Diseases, Epidemiology;Abstract
Introduction: Chronic noncommunicable diseases (NCDs) — including diabetes mellitus (DM) and systemic arterial hypertension (SAH) — are responsible for most of the worldwide deaths today, and the identification of associated factors is an essential tool for their prevention and health promotion strategies. Objective: To determine the prevalence of SAH and DM in the adult population served by Projeto Vozes das Ruas (PVR) in Jundiaí, SP, Brazil and associated factors. Methods: A cross-sectional study was carried out from March to November 2019, with a sample of adults over 18 years of age, participating in PVR's health promotion actions in 2019, which consisted in the application of a sociodemographic and health behavior questionnaire, evaluation of capillary glucose, blood pressure, weight, height and waist circumference and subsequent health counseling. Descriptive analysis of the data was performed to determine the association of the outcomes DM and SAH with independent variables. A chi-square test was carried out and variables with p<0.20 were included in multivariate logistic regression (p<0.05). Results: The sample consisted of 50% females with an average age of 48.56 years. The self-reported prevalence of DM was 16.2% and SAH 30.2%, with a relationship between them. The common associated factors were: age group over 39 years and continuous-use medications. Associated with DM were family history of DM, use of basic health unit and smoking history. In relation to SAH the associations were less than eight years of schooling, overweight and obesity and smoking. Conclusions: In the population studied, there was a high prevalence of two of the main NCDs, SAH and DM, which presented risk factors of extreme relevance for the planning of health promotion and disease prevention strategies.
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Duncan BB, Chor D, Aquino EML, Bensenor IM, Mill JG, Schmidt MI, et al. Doenças crônicas não transmissíveis no Brasil: prioridade para enfrentamento e investigação. Rev Saúde Pública 2012;46(Supl):126-34. https://doi.org/10.1590/S0034-89102012000700017 DOI: https://doi.org/10.1590/S0034-89102012000700017
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Departamento de Análise de Situação de Saúde. Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil 2011-2022. Brasília: Ministério da Saúde; 2011. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/plano_acoes_enfrent_dcnt_2011.pdf
Schmidt MI, Duncan BB, Azevedo e Silva G, Menezes AM, Monteiro CA, Barreto SM, et al. Chronic non-communicable diseases in Brazil: burden and current challenges. Lancet. 2011;377(9781):1949-61. https://doi.org/10.1016/S0140-6736(11)60135-9 DOI: https://doi.org/10.1016/S0140-6736(11)60135-9
Malta DC, Bernal RTI, Lima MG, Araújo SSC, Silva MMA, Freitas MIF, et al. Noncommunicable diseases and the use of health services: analysis of the National Health Survey in Brazil. Rev Saúde Pública. 2017;51(suppl 1):4s. https://doi.org/10.1590/S1518-8787.2017051000090 DOI: https://doi.org/10.1590/s1518-8787.2017051000090
Pimentel ÍRS, Coelho BC, Lima JC, Ribeiro FG, Sampaio FPC, Pinheiro RP, et al. Caracterização da demanda em uma Unidade de Saúde da Família. Rev Bras Med Fam Comunidade 2011;6(20):175-81. https://doi.org/10.5712/rbmfc6(20)95 DOI: https://doi.org/10.5712/rbmfc6(20)95
Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes –2017/2018. São Paulo: Editora Clannad; 2017.
Informes Técnicos Institucionais. Programa Saúde da Família. Rev Saúde Pública 2000;34(3):316-9. https://doi.org/10.1590/S0034-89102000000300018 DOI: https://doi.org/10.1590/S0034-89102000000300018
A epidemiologia nas políticas, programas e serviços de saúde. Rev Bras Epidemiol 2005;8(supl 1):28-39. https://doi.org/10.1590/S1415-790X2005000500004 DOI: https://doi.org/10.1590/S1415-790X2005000500004
Pereira HNS, Santos RIO, Uehara SCSA. Efeito da Estratégia Saúde da Família na redução de internações por doenças crônicas não transmissíveis. Revista Enfermagem UERJ 2020;28:e49931. https://doi.org/10.12957/reuerj.2020.49931 DOI: https://doi.org/10.12957/reuerj.2020.49931
Instituto Brasileiro de Geografia e Estatística. Cidades: dados básicos de 2010 [Internet]; 2010. Disponível em: http//www.ibge.gov.br/cidadesat/painel/painel.php?codmun=410840
Malachias MVB, Gomes MAM, Nobre F, Alessi A, Feitosa AD, Coelho EB. Diagnóstico e classificação. In: 7a Diretriz Brasileira de Hipertensão Arterial. Arq Bras Cardiol 2016;107(3 Suppl 3):7-13. https://doi.org/10.5935/abc.20160152 DOI: https://doi.org/10.5935/abc.20160152
Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Geneva: World Health Organization; 2010. Disponível em: https://www.who.int/sdhconference/resources/ConceptualframeworkforactiononSDH_eng.pdf
Kumar S, Preetha GS. Health promotion: an effective tool for global health. Indian J Community Med 2012;37(1):5-12. https://doi.org/10.4103/0970-0218.94009 DOI: https://doi.org/10.4103/0970-0218.94009
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Orientaçãoes para a coleta e análise de dados antropométricos em serviços de saúde: Norma Técnica de Vigilância Alimentar e Nutricional - SISVAN. Brasília: Ministério da Saúde; 2011. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/orientacoes_coleta_analise_dados_antropometricos.pdf
Malerbi DA, Franco LJ. Multicenter study of the prevalence of diabetes mellitus and impaired glucose tolerance in the urban Brazilian population aged 30-69 yr. The Brazilian Cooperative Group on the Study of Diabetes Prevalence. Diabetes Care 1992;15(11):1509-16. https://doi.org/10.2337/diacare.15.11.1509 DOI: https://doi.org/10.2337/diacare.15.11.1509
Moraes SA, Freitas ICM, Gimeno SGA, Mondini L. Prevalência de diabetes mellitus e identificação de fatores associados em adultos residentes em área urbana de Ribeirão Preto, São Paulo, Brasil, 2006: Projeto OBEDIARP. Cad Saúde Pública 2010;26(5):929-41. https://doi.org/10.1590/s0102-311x2010000500015 DOI: https://doi.org/10.1590/S0102-311X2010000500015
Pronk NP, Peek CJ, Goldstein MG. Addressing multiple behavioral risk factors in primary care. A synthesis of current knowledge and stakeholder dialogue sessions. Am J Prev Med 2004;27(2 Suppl):4-17. https://doi.org/10.1016/j.amepre.2004.04.024 DOI: https://doi.org/10.1016/j.amepre.2004.04.024
Barreto SM, Passos VMA, Firmo JOA, Guerra HL, Vidigal PG, Lima-Costa MFF. Hypertension and clustering of cardiovascular risk factors in a community in Southeast Brazil: the Bambuí health and ageing study. Arq Bras Cardiol 2001;77(6):576-81. https://doi.org/10.1590/s0066-782x2001001200008 DOI: https://doi.org/10.1590/S0066-782X2001001200008
Magalhães LBNC, Amorim AM, Rezende EP. Conceito e aspectos epidemiológicos da hipertensão arterial. Rev Bras Hipertens 2018;25(1):6-12.
Fletcher B, Gulanick M, Lamendola C. Risk factors for type 2 diabetes mellitus. J Cardiovasc Nurs 2002;16(2):17-23. https://doi.org/10.1097/00005082-200201000-00003 DOI: https://doi.org/10.1097/00005082-200201000-00003
Wajchenberg BL. Disfunção endotelial no diabetes do tipo 2 diabetes mellitus. Arq Bras Endocrinol Metab 2002;46(5):514-9. https://doi.org/10.1590/S0004-27302002000500004 DOI: https://doi.org/10.1590/S0004-27302002000500004
Ramos LR, Tavares NUL, Bertoldi AD, Farias MR, Oliveira MA, Luiza VL, et al. Polypharmacy and polymorbidity in older adults in Brazil: a public health challenge. Rev Saúde Pública 2016;50(suppl 2):9s. https://doi.org/10.1590/s1518-8787.2016050006145 DOI: https://doi.org/10.1590/s1518-8787.2016050006145
Scott RA, Langenberg C, Sharp SJ, Franks PW, Rolandsson O, Drogan D, et al. The link between family history and risk of type 2 diabetes is not explained by anthropometric, lifestyle or genetic risk factors: the EPIC-InterAct study. Diabetologia 2013;56(1):60-9. https://doi.org/10.1007/s00125-012-2715-x DOI: https://doi.org/10.1007/s00125-012-2715-x
Meigs JB, Cupples LA, Wilson PW. Parental transmission of type 2 diabetes: the Framingham Offspring Study. Diabetes 2000;49(12):2201-7. https://doi.org/10.2337/diabetes.49.12.2201 DOI: https://doi.org/10.2337/diabetes.49.12.2201
Meisinger C, Döring A, Thorand B, Löwel H. Association of cigarette smoking and tar and nicotine intake with development of type 2 diabetes mellitus in men and women from the general population: the MONICA/KORA Augsburg Cohort Study. Diabetologia 2006;49(8):1770-6. https://doi.org/10.1007/s00125-006-0298-0 DOI: https://doi.org/10.1007/s00125-006-0298-0
Uchimoto S, Tsumura K, Hayashi T, Suematsu C, Endo G, Fujii S, et al. Impact of cigarette smoking on the incidence of type 2 diabetes mellitus in middle-aged Japanese men: the Osaka Health Survey. Diabet Med 1999;16(11):951-5. https://doi.org/10.1046/j.1464-5491.1999.00173.x DOI: https://doi.org/10.1046/j.1464-5491.1999.00173.x
Manson JE, Ajani UA, Liu S, Nathan DM, Hennekens CH. A prospective study of cigarette smoking and the incidence of diabetes mellitus among US male physicians. Am J Med 2000;109(7):538-42. https://doi.org/10.1016/s0002-9343(00)00568-4 DOI: https://doi.org/10.1016/S0002-9343(00)00568-4
Willi C, Bodenmann P, Ghali WA, Faris PD, Cornuz J. Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis. JAMA 2007;298(22):2654-64. https://doi.org/10.1001/jama.298.22.2654 DOI: https://doi.org/10.1001/jama.298.22.2654
Houston TK, Person SD, Pletcher MJ, Liu K, Iribarren C, Kiefe CI. Active and passive smoking and development of glucose intolerance among young adults in a prospective cohort: CARDIA study. BMJ 2006;332(7549):1064-9. https://doi.org/10.1136/bmj.38779.584028.55 DOI: https://doi.org/10.1136/bmj.38779.584028.55
Frati AC, Iniestra F, Ariza CR. Acute effect of cigarette smoking on glucose tolerance and other cardiovascular risk factors. Diabetes Care 1996;19(2):112-8. https://doi.org/10.2337/diacare.19.2.112 DOI: https://doi.org/10.2337/diacare.19.2.112
Chiolero A, Faeh D, Paccaud F, Cornuz J. Consequences of smoking for body weight, body fat distribution, and insulin resistance. Am J Clin Nutr 2008;87(4):801-9. https://doi.org/10.1093/ajcn/87.4.801 DOI: https://doi.org/10.1093/ajcn/87.4.801
Hu Y, Zong G, Liu G, Wang M, Rosner B, Pan A, et al. Smoking cessation, weight change, type 2 diabetes, and mortality. N Engl J Med 2018;379(7):623-32. https://doi.org/10.1056/NEJMoa1803626 DOI: https://doi.org/10.1056/NEJMoa1803626
Rzewuska M, Azevedo-Marques JM, Coxon D, Zanetti ML, Zanetti AC, Franco LJ, et al. Epidemiology of multimorbidity within the Brazilian adult general population: evidence from the 2013 National Health Survey (PNS 2013). PLoS One 2017;12(2):e0171813. https://doi.org/10.1371/journal.pone.0171813 DOI: https://doi.org/10.1371/journal.pone.0171813
Fine LJ, Philogene GS, Gramling R, Coups EJ, Sinha S. Prevalence of multiple chronic disease risk factors. 2001 National Health Interview Survey. Am J Prev Med 2004;27(2 Suppl):18-24. https://doi.org/10.1016/j.amepre.2004.04.017 DOI: https://doi.org/10.1016/j.amepre.2004.04.017
de Sousa MG. Tabagismo e hipertensão arterial: como o tabaco eleva a pressão. Rev Bras Hipertens 2015;22(3):78-83.
Jacondino CB, Schwanke CHA, Closs VE, Gomes I, Borges CA, Gottlieb MGV. Associação do tabagismo com biomarcadores REDOX e fatores de risco cardiometabólicos em idosos. Cad Saúde Colet 2019;27(1):45-52. https://doi.org/10.1590/1414-462X201900010279 DOI: https://doi.org/10.1590/1414-462x201900010279
Medina MG, Aquino R, Vilasbôas ALQ, Mota E, Pinto Júnior EP, Luz LA, et al. Promoção da saúde e prevenção de doenças crônicas: o que fazem as equipes de Saúde da Família? Saúde Debate 2014;38(spe):69-82. https://doi.org/10.5935/0103-1104.2014S006 DOI: https://doi.org/10.5935/0103-1104.2014S006
Rahmouni K, Correia MLG, Haynes WG, Mark AL. Obesity-associated hypertension: new insights into mechanisms. Hypertension 2005;45(1):9-14. https://doi.org/10.1161/01.HYP.0000151325.83008.b4 DOI: https://doi.org/10.1161/01.HYP.0000151325.83008.b4
Jiang SZ, Lu W, Zong XF, Ruan HY, Liu Y. Obesity and hypertension. Exp Ther Med 2016;12(4):2395-9. https://doi.org/10.3892/etm.2016.3667 DOI: https://doi.org/10.3892/etm.2016.3667
Baumgartel C, Onofrei M, Grillo LP, Lacerda LLV, Mezadri T. Fatores de risco e proteção de doenças crônicas em adultos: estudo de base populacional em uma cidade de médio porte no sul do Brasil. Rev Bras Med Fam Comunidade 2017;11(38):1-13. https://doi.org/10.5712/rbmfc11(38)1248 DOI: https://doi.org/10.5712/rbmfc11(38)1248
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