Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort

Detalhes bibliográficos
Autor(a) principal: Silva, Maria de Lourdes Lima de Souza e
Data de Publicação: 2022
Outros Autores: Silva, Julia Menezes da, Schleu, Minna Ferrari
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Baiana de Saúde Pública (Online)
Texto Completo: https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3778
Resumo: Systemic arterial hypertension is a major public health issue due to its impact on the health of affected patients; thus, high blood pressure values can lead to major complications for individuals An adequate control of blood pressure levels is therefore necessary, and multidisciplinary intervention has been very promising in this regard. This observational, retrospective, cohort study evaluates the prevalence of arterial hypertension and the effect of a multidisciplinary team treatment on blood pressure in obese women. Statistical Package for the Social Sciences, version 25, analyzed a pre-existing database. Weight, age, body mass index (BMI), waist circumference, blood pressure levels and control, as well as glycemic and lipid profile, were the main variables analyzed in the first and last visit, with a minimum interval of one year. Prevalence of arterial hypertension in the first visit was 65.2%, but 15.1% of hypertensive women showed controlled blood pressure. Overall follow-up time was 6 years [4.0 - 9.0]. At the end of follow-up, prevalence of hypertension increased to 70.9%. Control rate increased to 41.5%, that is, 30.4% of hypertensive women with controlled blood pressure levels. Hypertensive women showed a higher prevalence of diabetes mellitus and metabolic syndrome. Although the group presented improved blood pressure levels, and an increased number of controlled blood pressure, hypertensive women showed a significantly higher prevalence of diabetes mellitus and metabolic syndrome. Thus, new strategies are need to improve patient therapeutic adherence.
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spelling Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohortEfectos del tratamiento con un equipo multiprofesional sobre la presión arterial en mujeres obesas: una cohorte retrospectivaEfeito do tratamento com equipe multiprofissional na pressão arterial em mulheres obesas: uma coorte retrospectivaHipertensão ArterialObesidadeMulheresHipertensión arterialObesidadMujeresHypertensionObesityWomanSystemic arterial hypertension is a major public health issue due to its impact on the health of affected patients; thus, high blood pressure values can lead to major complications for individuals An adequate control of blood pressure levels is therefore necessary, and multidisciplinary intervention has been very promising in this regard. This observational, retrospective, cohort study evaluates the prevalence of arterial hypertension and the effect of a multidisciplinary team treatment on blood pressure in obese women. Statistical Package for the Social Sciences, version 25, analyzed a pre-existing database. Weight, age, body mass index (BMI), waist circumference, blood pressure levels and control, as well as glycemic and lipid profile, were the main variables analyzed in the first and last visit, with a minimum interval of one year. Prevalence of arterial hypertension in the first visit was 65.2%, but 15.1% of hypertensive women showed controlled blood pressure. Overall follow-up time was 6 years [4.0 - 9.0]. At the end of follow-up, prevalence of hypertension increased to 70.9%. Control rate increased to 41.5%, that is, 30.4% of hypertensive women with controlled blood pressure levels. Hypertensive women showed a higher prevalence of diabetes mellitus and metabolic syndrome. Although the group presented improved blood pressure levels, and an increased number of controlled blood pressure, hypertensive women showed a significantly higher prevalence of diabetes mellitus and metabolic syndrome. Thus, new strategies are need to improve patient therapeutic adherence.La hipertensión arterial sistémica es un importante problema de salud pública, debido al impacto en la salud de los portadores. Por lo tanto, los valores elevados de presión arterial pueden causar complicaciones importantes para el individuo. Para evitarlo, es necesario un control adecuado de los niveles de presión arterial, y la intervención multidisciplinar ha sido muy prometedora en ese sentido. Este es un estudio observacional, de cohorte retrospectiva, que se propone evaluar la prevalencia de hipertensión arterial y el efecto del tratamiento con equipo multidisciplinario para la medición de la presión arterial de mujeres obesas. Se aplicó un análisis a una base de datos preexistente, utilizando el Paquete Estadístico para las Ciencias Sociales, versión 25. Las variables peso, edad, índice de masa corporal, circunferencia de cintura, niveles y control de presión arterial, así como perfiles glucémicos y lipídicos fueron las principales analizadas en la primera y última asistencias, con intervalo mínimo de un año. La prevalencia de hipertensión arterial en la primera asistencia fue del 65,2%. Sin embargo, el 15,1% de las hipertensas estaban bajo control. El tiempo de seguimiento fue generalmente de seis (4,0 – 9,0) años. Al final del seguimiento, la prevalencia de hipertensión aumentó al 70,9%. La tasa de control llegó al 41,5%, un aumento del 30,4% de hipertensas controladas. Las mujeres hipertensas presentaron mayor prevalencia de diabetes mellitus y de síndrome metabólico. El grupo tuvo mejora en los niveles de presión arterial. Incluso tuvo un aumento el número de hipertensas controladas. Sin embargo, la prevalencia de diabetes mellitus y de síndrome metabólico fue mayor en mujeres hipertensas. Por tanto, es necesario adoptar nuevas estrategias para mejorar la adherencia terapéutica de las pacientes.A hipertensão arterial sistêmica constitui um grande problema de saúde pública, devido ao impacto na saúde das pessoas portadoras. Sendo assim, valores pressóricos elevados podem acarretar complicações importantes para o indivíduo. Faz-se necessário, portanto, o controle adequado dos níveis pressóricos e a intervenção multiprofissional tem sido bastante promissora nesse sentido. Este é um estudo observacional, coorte retrospectiva, cujo objetivo é avaliar a prevalência da hipertensão arterial e o efeito do tratamento com equipe multiprofissional nas medidas de pressão arterial em mulheres obesas. Foi realizada análise de um banco de dados preexistente, por meio do programa Statistical Package for the Social Sciences, versão 25. Peso, idade, índice de massa corporal, circunferência abdominal, níveis e controle pressóricos, bem como perfil glicêmico e lipídico, foram as principais variáveis analisadas no primeiro e no último atendimento, com intervalo mínimo de um ano. A prevalência de hipertensão arterial, no primeiro atendimento, foi de 65,2%. No entanto, 15,1% das hipertensas estavam controladas. O tempo de acompanhamento foi, em geral, de seis (4,0 – 9,0) anos. No fim do acompanhamento, a prevalência de hipertensão aumentou para 70,9%. A taxa de controle subiu para 41,5%, um incremento, portanto, de 30,4% de hipertensas controladas. As hipertensas apresentaram maior prevalência de diabetes mellitus e síndrome metabólica. O grupo obteve melhora nos níveis pressóricos. Inclusive, a quantidade de hipertensas controladas se elevou. No entanto, a prevalência de diabetes mellitus e síndrome metabólica foi maior nas hipertensas. Sendo assim, novas estratégias precisam ser adotadas de modo a melhorar a adesão terapêutica das pacientes.SESAB2022-12-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/377810.22278/2318-2660.2022.v46.nSupl_1.a3778Revista Baiana de Saúde Pública; v. 46 n. supl. 1 (2022); 9-282318-26600100-023310.22278/2318-2660.2022.v46.NSupl_1reponame:Revista Baiana de Saúde Pública (Online)instname:Secretaria da Saúde do Estado da Bahia (Sesab)instacron:IBICTporhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3778/3062Copyright (c) 2022 Revista Baiana de Saúde Públicainfo:eu-repo/semantics/openAccessSilva, Maria de Lourdes Lima de Souza eSilva, Julia Menezes daSchleu, Minna Ferrari2023-02-13T16:37:43Zoai:ojs.pkp.sfu.ca:article/3778Revistahttps://rbsp.sesab.ba.gov.br/index.php/rbspPUBhttps://rbsp.sesab.ba.gov.br/index.php/rbsp/oai||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br2318-26600100-0233opendoar:2024-03-06T12:58:28.709504Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)false
dc.title.none.fl_str_mv Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
Efectos del tratamiento con un equipo multiprofesional sobre la presión arterial en mujeres obesas: una cohorte retrospectiva
Efeito do tratamento com equipe multiprofissional na pressão arterial em mulheres obesas: uma coorte retrospectiva
title Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
spellingShingle Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
Silva, Maria de Lourdes Lima de Souza e
Hipertensão Arterial
Obesidade
Mulheres
Hipertensión arterial
Obesidad
Mujeres
Hypertension
Obesity
Woman
title_short Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
title_full Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
title_fullStr Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
title_full_unstemmed Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
title_sort Effect of multidisciplinary team tratament on blood pressure in obese women: a retrospective cohort
author Silva, Maria de Lourdes Lima de Souza e
author_facet Silva, Maria de Lourdes Lima de Souza e
Silva, Julia Menezes da
Schleu, Minna Ferrari
author_role author
author2 Silva, Julia Menezes da
Schleu, Minna Ferrari
author2_role author
author
dc.contributor.author.fl_str_mv Silva, Maria de Lourdes Lima de Souza e
Silva, Julia Menezes da
Schleu, Minna Ferrari
dc.subject.por.fl_str_mv Hipertensão Arterial
Obesidade
Mulheres
Hipertensión arterial
Obesidad
Mujeres
Hypertension
Obesity
Woman
topic Hipertensão Arterial
Obesidade
Mulheres
Hipertensión arterial
Obesidad
Mujeres
Hypertension
Obesity
Woman
description Systemic arterial hypertension is a major public health issue due to its impact on the health of affected patients; thus, high blood pressure values can lead to major complications for individuals An adequate control of blood pressure levels is therefore necessary, and multidisciplinary intervention has been very promising in this regard. This observational, retrospective, cohort study evaluates the prevalence of arterial hypertension and the effect of a multidisciplinary team treatment on blood pressure in obese women. Statistical Package for the Social Sciences, version 25, analyzed a pre-existing database. Weight, age, body mass index (BMI), waist circumference, blood pressure levels and control, as well as glycemic and lipid profile, were the main variables analyzed in the first and last visit, with a minimum interval of one year. Prevalence of arterial hypertension in the first visit was 65.2%, but 15.1% of hypertensive women showed controlled blood pressure. Overall follow-up time was 6 years [4.0 - 9.0]. At the end of follow-up, prevalence of hypertension increased to 70.9%. Control rate increased to 41.5%, that is, 30.4% of hypertensive women with controlled blood pressure levels. Hypertensive women showed a higher prevalence of diabetes mellitus and metabolic syndrome. Although the group presented improved blood pressure levels, and an increased number of controlled blood pressure, hypertensive women showed a significantly higher prevalence of diabetes mellitus and metabolic syndrome. Thus, new strategies are need to improve patient therapeutic adherence.
publishDate 2022
dc.date.none.fl_str_mv 2022-12-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3778
10.22278/2318-2660.2022.v46.nSupl_1.a3778
url https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3778
identifier_str_mv 10.22278/2318-2660.2022.v46.nSupl_1.a3778
dc.language.iso.fl_str_mv por
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dc.relation.none.fl_str_mv https://rbsp.sesab.ba.gov.br/index.php/rbsp/article/view/3778/3062
dc.rights.driver.fl_str_mv Copyright (c) 2022 Revista Baiana de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Revista Baiana de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SESAB
publisher.none.fl_str_mv SESAB
dc.source.none.fl_str_mv Revista Baiana de Saúde Pública; v. 46 n. supl. 1 (2022); 9-28
2318-2660
0100-0233
10.22278/2318-2660.2022.v46.NSupl_1
reponame:Revista Baiana de Saúde Pública (Online)
instname:Secretaria da Saúde do Estado da Bahia (Sesab)
instacron:IBICT
instname_str Secretaria da Saúde do Estado da Bahia (Sesab)
instacron_str IBICT
institution IBICT
reponame_str Revista Baiana de Saúde Pública (Online)
collection Revista Baiana de Saúde Pública (Online)
repository.name.fl_str_mv Revista Baiana de Saúde Pública (Online) - Secretaria da Saúde do Estado da Bahia (Sesab)
repository.mail.fl_str_mv ||saude.revista@saude.ba.gov.br|| rbsp.saude@saude.ba.gov.br
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