Dyslipidemia and cardiovascular risk in Afro-descendants: a study of the Quilombola communities in Maranhão, Brazil
DOI:
https://doi.org/10.5712/rbmfc10(36)925Keywords:
Dyslipidemias, Cardiovascular Diseases, African Continental Ancestry Group, Ethnicity and HealthAbstract
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.
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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
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