Dyslipidemia and cardiovascular risk in Afro-descendants: a study of the Quilombola communities in Maranhão, Brazil

Authors

  • Maria do Carmo Lacerda Barbosa Federal University of Maranhão (UFMA). São Luís, MA
  • José Bonifácio Barbosa Federal University of Maranhão (UFMA). São Luís, MA
  • Luis Felipe Alves Guerra Federal University of Maranhão (UFMA). São Luís, MA
  • Mirza Ferreira Lima Barbosa Federal University of Maranhão (UFMA). São Luís, MA
  • Felipe Lacerda Barbosa Federal University of Maranhão (UFMA). São Luís, MA
  • Raphael Lacerda Barbosa Federal University of Maranhão (UFMA). São Luís, MA
  • Dayane Lima Guida Federal University of Maranhão (UFMA). São Luís, MA
  • Maylla Luanna Barbosa Martins Federal University of Maranhão (UFMA). São Luís, MA
  • Eliete Bouskela Federal State University of Rio de Janeiro (UERJ). Rio de Janeiro, RJ
  • Maria do Desterro Soares Brandão Nascimento Federal University of Maranhão (UFMA). São Luís, MA
  • Gabriel Sandrin de Oliveira Melo Federal University of Maranhão (UFMA). São Luís, MA
  • Mariana Marques da Silva Castro Federal University of Maranhão (UFMA). São Luís, MA

DOI:

https://doi.org/10.5712/rbmfc10(36)925

Keywords:

Dyslipidemias, Cardiovascular Diseases, African Continental Ancestry Group, Ethnicity and Health

Abstract

Objective: to evaluate the prevalence of cardiovascular risk factors associated with dyslipidemia in Quilombola communities in Maranhão, Brazil. Methods: a cross-sectional study was performed from February 2010 to November 2011. A total of 202 individuals belonging to the Quilombola communities in Codó, Maranhão were assessed. Risk factors associated with dyslipidemia and metabolic syndrome (MS) were evaluated. Results: the results showed a high prevalence of dyslipidemia (72.28%) and hypertension (43.07%). Isolated hypertriglyceridemia (38.61%) with normal levels of high-density lipoprotein cholesterol and low-density lipoprotein cholesterol was present in most individuals. Furthermore, the prevalence of MS and the estimated cardiovascular risks were low in this population. Conclusion: dyslipidemia, at the expense of triglycerides, and hypertension was highly prevalent. However, the frequency of other risk factors for cardiovascular events was low. A low prevalence of MS and cardiovascular risk according to the Framingham score for cardiovascular diseases was also identified.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Maria do Carmo Lacerda Barbosa, Federal University of Maranhão (UFMA). São Luís, MA

Rheumatologist Physician

PhD. Professor of the Federal University of Maranhão

José Bonifácio Barbosa, Federal University of Maranhão (UFMA). São Luís, MA

Cardiologist Physician

PhD. Professor of the Federal University of Maranhão

Luis Felipe Alves Guerra, Federal University of Maranhão (UFMA). São Luís, MA

Graduated Physician of the Federal University of Maranhão

Mirza Ferreira Lima Barbosa, Federal University of Maranhão (UFMA). São Luís, MA

Graduated Nutritionist of the Federal University of Maranhão

Felipe Lacerda Barbosa, Federal University of Maranhão (UFMA). São Luís, MA

Graduated Physician of the Federal University of Maranhão

Raphael Lacerda Barbosa, Federal University of Maranhão (UFMA). São Luís, MA

Medical student of the Federal University of Maranhão

Dayane Lima Guida, Federal University of Maranhão (UFMA). São Luís, MA

Medical student of the Federal University of Maranhão

Maylla Luanna Barbosa Martins, Federal University of Maranhão (UFMA). São Luís, MA

Graduated Nutritionist of the Federal University of Maranhão

Eliete Bouskela, Federal State University of Rio de Janeiro (UERJ). Rio de Janeiro, RJ

PhD. Professor of the Stade University of Rio de Janeiro

Maria do Desterro Soares Brandão Nascimento, Federal University of Maranhão (UFMA). São Luís, MA

PhD. Professor of the Federal University of Maranhão

 

Gabriel Sandrin de Oliveira Melo, Federal University of Maranhão (UFMA). São Luís, MA

Medical student of the Federal University of Maranhão

Mariana Marques da Silva Castro, Federal University of Maranhão (UFMA). São Luís, MA

Medical student of the Federal University of Maranhão

References

Fundação Palmares: Comunidades Quilombolas [on line] [cited 2015 Ago 26]. Available from: http://www.palmares.gov.br/?page_id=37551

Reis M. Dimensão sócio cultural. In: Revista Palmares. Edição Especial; 2010. p. 45 [on line] [cited 2015 Ago 26]. Available from: http://www.palmares.gov.br/wp-content/uploads/2011/02/revista-ede.pdf

Comissão Pró-Índio de São Paulo: Comunidades Quilombolas no Brasil [on line [cited 2015 Ago 26]. Available from: http://www.cpisp.org.br

Shiraishi Neto J. Babaçu livre: conflito entre legislação extrativa e práticas camponesas. In: Almeida AWB, eds. Economia do Babaçu: levantamento preliminar de dados. São Luís: Thiphografia; 2000.

Brasil. Ministério do Meio Ambiente. Valoração econômica da biodiversidade. Brasília: Ministério do Meio Ambiente; 2000. p.37-8.

Clement CR, Lleras PE, Leeuwen J. O potencial das palmeiras tropicais do Brasil: acertos e fracassos das últimas décadas. Agrociencia Uruguay. 2005;9(1/2):67-71.

Pinheiro CUB. Palmeiras do Maranhão (Onde Canta o Sabiá). São Luís: Editora Aquarela; 2011. 232p.

Mesquita BA. As mulheres agroextrativistas do Babaçu: a pobreza a serviço da preservação do meio ambiente. Rev Pol Públ. 2008;12(1):53-61.

Barbosa Mdo C, Bouskela E, Cyrino FZ, Azevedo AP, Costa MC, de Souza Md, et al. Effects of babassu nut oil on ischemia/reperfusion-induced leukocyte adhesion and macromolecular leakage in the microcirculation: observation in the hamster cheek pouch. Lipids Health Dis. 2012;11:158. DOI: http://dx.doi.org/10.1186/1476-511X-11-158

Polanczyk CA. Cardiovascular risk factors in Brazil: the next 50 years! Arq Bras Cardiol. 2005;84(3):199-201. DOI: http://dx.doi.org/10.1590/S0066-782X2005000300001

Sociedade Brasileira de Cardiologia. Departamento de Aterosclerose da Sociedade Brasileira de Cardiologia IV Diretriz Brasileira sobre Dislipidemias e Prevenção da Aterosclerose. Arq Bras Cardiol. 2007;88(Suppl 1):1-19.

Chien KL, Lin HJ, Hsu HC, Chen MF. Lipid-related residual risk and renal function for occurrence and prognosis among patients with first-event acute coronary syndrome and normal LDL cholesterol. Lipids Health Dis. 2011;10:215. DOI: http://dx.doi.org/10.1186/1476-511X-10-215

National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation. 2002;106(25):3143-421.

Angeli CB. Susceptibilidade genética e outros fatores de risco associados ao sobrepeso e à obesidade em populações afro-descendentes do Vale do Ribeira [Tese de doutorado]. São Paulo: Instituto de Biociências da Universidade de São Paulo; 2008. 212p.

Sociedade Brasileira de Cardiologia; Sociedade Brasileira de Hipertensão; Sociedade Brasileira de Nefrologia. VI Diretrizes Brasileiras de Hipertensão. Arq Bras Cardiol. 2010;951(Suppl 1):1-51.

Holt R. The Food and Agriculture Organization/World Health Organization expert report on diet, nutrition and prevention of chronic diseases. Diabetes Obes Metab. 2003;5(5):354.

World Health Organization. Global database on body mass index [on line] [cited 2015 Ago 26]. Available from: http://www.who.int/bmi/index.jsp?introPage=intro_3.html

Janssen I, Katzmarzyk PT, Ross R. Body mass index, waist circumference, and health risk: evidence in support of current National Institutes of Health guidelines Arch Intern Med. 2002;162(18):2074-9. DOI: http://dx.doi.org/10.1001/archinte.162.18.2074

Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med. 2006;23(5):469-80. DOI: http://dx.doi.org/10.1111/j.1464-5491.2006.01858.x

Tadano YS, Ugaya CML, Franco AT. Método de regressão de Poisson: metodologia para avaliação do impacto da poluição atmosférica na saúde populacional. Ambient Soc. 2009;12(2):241-55. DOI: http://dx.doi.org/10.1590/S1414-753X2009000200003

Bergmann ML, Bergmann GG, Halpern R, Rech RR, Constanzi CB, Alli LR. Associated factors to total cholesterol: school based study in southern Brazil. Arq Bras Cardiol. 2011;97(1):17-25. DOI: http://dx.doi.org/10.1590/S0066-782X2011005000065

Lotufo PA. Framingham score for cardiovascular diseases. Rev Med (São Paulo). 2008;87(4): 232-7. DOI: http://dx.doi.org/10.11606/issn.1679-9836.v87i4p232-237

Zoratti R. A review on ethnic differences in plasma triglycerides and high-density-lipoprotein cholesterol: is the lipid pattern the key factor for the low coronary heart disease rate in people of African origin? Eur J Epidemiol. 1998;14(1):9-21. DOI: http://dx.doi.org/10.1023/A:1007492202045

Medeiros ALCL. Síndrome metabólica em idosos quilombolas e não-quilombolas no Estado do Amapá [Dissertação de mestrado]. Brasília: Universidade Católica de Brasília; 2009. 88p.

Barbosa JB, Silva AAM, Barbosa FF, Monteiro Júnior FC, Figueiredo Neto JA, Nina VJS, et al. Síndrome metabólica em ambulatório cardiológico. Arq Bras Cardiol. 2010;94(1):46-54. DOI: http://dx.doi.org/10.1590/S0066-782X2010000100009

Lopes AA. Raça e hipertensão arterial. HiperAtivo. 1996;3:153-62.

Ferreira SR, Moura EC, Malta DC, Sarno F. Frequency of arterial hypertension and associated factors: Brazil, 2006. Rev Saude Publica. 2009;43 Suppl 2:98-106. DOI: http://dx.doi.org/10.1590/S0034-89102009000900013

Fernandes RA, Christofaro DGD, Casonatto J, Codogno JS, Rodrigues E, Cardoso M, et al. Prevalência de dislipidemia em indivíduos fisicamente ativos durante a infância, adolescência e idade adulta. Arq Bras Cardiol. 2011;97(4):317-23. DOI: http://dx.doi.org/10.1590/S0066-782X2011005000083

Nunes Filho JR, Debastiani D, Nunes AD, Peres KG. Prevalence of cardiovascular risk factors in adults living in Luzerna, Santa Catarina, in 2006. Arq Bras Cardiol. 2007;89(5):289-93. DOI: http://dx.doi.org/10.1590/S0066-782X2007001700007

Balducci S, Zanuso S, Nicolucci A, Fernando F, Cavallo S, Cardelli P, et al. Anti-inflammatory effect of exercise training in subjects with type 2 diabetes and the metabolic syndrome is dependent on exercise modalities and independent of weight loss. Nutr Metab Cardiovasc Dis. 2010;20(8):608-17. DOI: http://dx.doi.org/10.1016/j.numecd.2009.04.015

Carrel AL, McVean JJ, Clark RR, Peterson SE, Eickhoff JC, Allen DB. School-based exercise improves fitness, body composition, insulin sensitivity, and markers of inflammation in non-obese children. J Pediatr Endocrinol Metab. 2009;22(5):409-15. DOI: http://dx.doi.org/10.1515/JPEM.2009.22.5.409

Downloads

Published

2015-09-30

How to Cite

1.
Barbosa M do CL, Barbosa JB, Guerra LFA, Barbosa MFL, Barbosa FL, Barbosa RL, Guida DL, Martins MLB, Bouskela E, Nascimento M do DSB, Melo GS de O, Castro MM da S. Dyslipidemia and cardiovascular risk in Afro-descendants: a study of the Quilombola communities in Maranhão, Brazil. Rev Bras Med Fam Comunidade [Internet]. 2015 Sep. 30 [cited 2024 Jul. 3];10(36). Available from: https://rbmfc.org.br/rbmfc/article/view/925

Issue

Vol. 10 No. 36 (2015): Julho-Setembro

Section

Research Articles

License

By submitting a manuscript to the RBMFC, authors retain ownership of the copyright in the article, and authorize RBMFC to publish that manuscript under the Creative Commons Attribution 4.0 license and identify itself as the vehicle of its original publication.

Crossref
Scopus
Google Scholar
Europe PMC

Plaudit