Evolução dos fatores de risco cardiovasculares em uma coorte de profissionais da área médica em um intervalo de quinze anos

• Autor(a) principal: Jardim, Thiago de Souza Veiga
• Data de Publicação: 2009
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tde/1763
• topic: fatores de risco, doenças cardiovasculares, profissional da saúde; risk factors, cardiovascular diseases, health professional; CNPQ::CIENCIAS DA SAUDE

Background: According to World Health Organization (WHO), Cardiovascular Disease (CVD) are responsible for 16,7 million deaths/year. In Brazil, respond for more than 30% of deaths after 20 years of age. Data shows that CVD are due to an interaction of multiple risk factors that are present since childhood and adolescence. Objectives: Verify, in a cohort of medical professionals, prevalence and evolution of cardiovascular risk factors (CVRF) in a fifteen years interval. Methods: We analyzed a group of medical professionals at their first year in medical school and fifteen years later. They answered a questionnaire about CVRF (hypertension, diabetes, dyslipidemia, family history of early CVD, smoking habits, drinking habits and physical activities practice). Cholesterol, glycemia, blood pressure (BP), weight, height, body mass index (BMI) and waist circunference were evaluated. Results: From 100 subjects (64% men, mean age of 19,9 years), data from 72 individuals (62,5% men, mean age of 34,8 years) were used for comparison 15 years later. There was an increase in hypertension (PA≥140x90mmHg) overweight (BMI>25Kg/m2) and dyslipidemia (total cholesterol>200mg/dL). There was no change on prevalence of other CVRF evaluated. The analyses of systolic blood pressure (SBP), diastolic blood pressure (DBP), cholesterol, glycemia and BMI showed elevation in mean values of all these variables. Analyses by sex, found greater elevation of these values in men. There was a positive relation between values of SBP, DBP, BMI and glycemia found in the two moments. Conclusion: In a cohort of medical professionals we found a significant elevation in mean values of SBP, DBP, cholesterol, BMI and glycemia in a fifteen years interval. In the analyses of prevalence of CVRF the elevation was Abstract xv seen for hypertension, overweight and dyslipidemia. There was a positive relation between values found in first phase comparing to second of SBP, DBP, BMI and glycemia.