[Hypertension prevalence and risk factors in a Brazilian urban population].

Autor: Cipullo JP; Faculdade de Medicina de São José do Rio Preto/SP (FAMERP), São Paulo, SP - Brasil., Martin JF, Ciorlia LA, Godoy MR, Cação JC, Loureiro AA, Cesarino CB, Carvalho AC, Cordeiro JA, Burdmann Ede A
Jazyk: portugalština
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 2010 Apr; Vol. 94 (4), pp. 519-26. Date of Electronic Publication: 2010 Mar 26.
DOI: 10.1590/s0066-782x2010005000014
Abstrakt: Background: The available studies have not fully analyzed the several factors involved in the genesis of hypertension (HT), especially the association among blood pressure, urinary sodium excretion and renal dysfunction.
Objective: To assess the HT prevalence and risk factors in different age groups in a representative sample of an urban Brazilian population.
Methods: The studied population (1717 adult individuals) was evaluated by age groups: 18 to 39 years; 40 to 49; 50 to 59; 60 to 69 and > 70 years. Quantitative variable means and categorical variables of the hypertensive and normotensive groups were compared.
Results: The adjusted overall prevalence of HT was 25.23%. The prevalence increased with age and was higher in individuals with low educational level. Increased body mass index and abdominal waist were positively related to a higher prevalence of HT. There was a significant positive association between HT and urinary sodium excretion. Hypertensive individuals presented higher frequency of renal dysfunction, defined as measured creatinine clearance <60 ml/min/m(2). The prevalence of diabetes mellitus was 5.6% in the overall population and 14.5% in hypertensive individuals. Hypertension was a known condition to 74.4% of the hypertensive individuals. Among treated hypertensive individuals, 52.4% achieved controlled blood pressure and only 34.3% of the overall hypertensive patients (treated or not) had blood pressure controlled.
Conclusion: This population-based is unique by gathering different demographic, epidemiologic and risk factors involved in the genesis of hypertension in a single sample assessment with a population calculation, which might be extrapolated to other hypertensive populations.
Databáze: MEDLINE