Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional Universidade Franciscana |
Texto Completo: | http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/940 |
Resumo: | Introduction: Countless studies have shown that cardiovascular disease represents the main cause of death in the world population and that glycemic alteration is a clinical condition significantly associated with increased morbidity and mortality. Several factors have been associated with these conditions, including poor eating habits and a sedentary lifestyle. It appears that these outcomes have been affecting the younger population, even the Brazilian military. Objective: To investigate the prevalence of dysglycemia and its relationship with the risk factors associated with cardiovascular risk in the Brazilian Army military. Methodology: Cross-sectional study involving 230 military personnel stationed in Military Organizations of the Brazilian Army of Rio Grande do Sul, from July to November 2019. Data collection occurred through a socio-demographic questionnaire, anthropometric assessment and analysis of electronic medical records for data collection. biochemical exam data. Dysglycemia was classified according to the Guidelines of the Brazilian Diabetes Society 2019-2020. The Framinghan Score was used to identify the risk of developing cardiovascular disease over 10 years, based on the criteria used by the Ministry of Health. The statistical analysis included the Kolmogorov-Smirnov Test, Student's T Tests, Mann-Whitney, ANOVA, Kruskal Wallis with Dunn's Post Hoc, Pearson's Chi-square test, Fischer's Exact Test, Spearman's Correlation Test and the Poisson regression model. The analyzes were conducted using SPSS for Windows version 21.0 and p <0.05 was considered significant. Results: The average age of the participants was 35 (8) years. Of these, 17% had dysglycemia and they were older (P = 0.001), lived in their own home (P = 0.040), had a greater number of children (P = 0.004) and more time in the military (P = 0.001). The measurement of dysglycemic glycemia was higher (105.2mg / dL vs. 82.1mg / dL) when compared to normoglycemic (P <0.001) and these had a higher percentage of cardiovascular risk, according to the Framingham Risk Score (P = 0.011). The risk of CVD was observed in those who had WC (P = 0.016), WC (P = 0.023), and WHR (P <0.001) above the desired level, used antihypertensive drugs (P <0.001), did not practice physical activity (P = 0.006) and with high triglycerides (P <0.001). The correlation was low with SBP, DBP, weight, triglycerides, WC and number of children and moderate when correlated with age, WHR, income, WC and military activity time (P <0.001). In this study, no correlation was found between dysglycemia and the risk of developing cardiovascular disease. Conclusion: The results of this study demonstrate a high prevalence of dysglycemia in the military population and there is no association between this change and the risk of cardiovascular disease in the military. In addition, in the general findings, we identified that most of the sample is healthy and presents a low risk for the development of cardiovascular diseases over 10 years. However, it is essential to implement strategies for disease prevention and health promotion in specific population groups where the prevalence of obesity, diabetes, dyslipidemia and cardiovascular diseases are present. |
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Schuch, Natielen JacquesSchuch, Felipe BarretoPreamor, Melissa OrlandinNeves, Matheus da Cunha Goggia2020-11-05T12:21:15Z2020-03-05Neves, Matheus da Cunha Goggia. Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS. 2020. 63f. Dissertação( Mestrado em Ciências da Saúde e da Vida) - Universidade Franciscana, Santa Maria.http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/940Introduction: Countless studies have shown that cardiovascular disease represents the main cause of death in the world population and that glycemic alteration is a clinical condition significantly associated with increased morbidity and mortality. Several factors have been associated with these conditions, including poor eating habits and a sedentary lifestyle. It appears that these outcomes have been affecting the younger population, even the Brazilian military. Objective: To investigate the prevalence of dysglycemia and its relationship with the risk factors associated with cardiovascular risk in the Brazilian Army military. Methodology: Cross-sectional study involving 230 military personnel stationed in Military Organizations of the Brazilian Army of Rio Grande do Sul, from July to November 2019. Data collection occurred through a socio-demographic questionnaire, anthropometric assessment and analysis of electronic medical records for data collection. biochemical exam data. Dysglycemia was classified according to the Guidelines of the Brazilian Diabetes Society 2019-2020. The Framinghan Score was used to identify the risk of developing cardiovascular disease over 10 years, based on the criteria used by the Ministry of Health. The statistical analysis included the Kolmogorov-Smirnov Test, Student's T Tests, Mann-Whitney, ANOVA, Kruskal Wallis with Dunn's Post Hoc, Pearson's Chi-square test, Fischer's Exact Test, Spearman's Correlation Test and the Poisson regression model. The analyzes were conducted using SPSS for Windows version 21.0 and p <0.05 was considered significant. Results: The average age of the participants was 35 (8) years. Of these, 17% had dysglycemia and they were older (P = 0.001), lived in their own home (P = 0.040), had a greater number of children (P = 0.004) and more time in the military (P = 0.001). The measurement of dysglycemic glycemia was higher (105.2mg / dL vs. 82.1mg / dL) when compared to normoglycemic (P <0.001) and these had a higher percentage of cardiovascular risk, according to the Framingham Risk Score (P = 0.011). The risk of CVD was observed in those who had WC (P = 0.016), WC (P = 0.023), and WHR (P <0.001) above the desired level, used antihypertensive drugs (P <0.001), did not practice physical activity (P = 0.006) and with high triglycerides (P <0.001). The correlation was low with SBP, DBP, weight, triglycerides, WC and number of children and moderate when correlated with age, WHR, income, WC and military activity time (P <0.001). In this study, no correlation was found between dysglycemia and the risk of developing cardiovascular disease. Conclusion: The results of this study demonstrate a high prevalence of dysglycemia in the military population and there is no association between this change and the risk of cardiovascular disease in the military. In addition, in the general findings, we identified that most of the sample is healthy and presents a low risk for the development of cardiovascular diseases over 10 years. However, it is essential to implement strategies for disease prevention and health promotion in specific population groups where the prevalence of obesity, diabetes, dyslipidemia and cardiovascular diseases are present.Introdução: Inúmeros estudos demonstram que as doenças cardiovasculares representam a principal causa de morte na população mundial e a alteração glicêmica é uma condição clínica significativamente associada ao aumento da morbimortalidade. Vários fatores vêm sendo associados a essas condições, dentre estes os maus hábitos alimentares e o sedentarismo. Verifica-se que estes desfechos vêm acometendo a população mais jovem, até mesmo os militares brasileiros. Objetivo: Investigar a prevalência de disglicemia e sua relação com os fatores de risco associados ao risco cardiovascular nos militares do Exército Brasileiro. Metodologia: Estudo transversal envolvendo 230 militares lotados em Organizações Militares do Exército Brasileiro do Rio Grande do Sul, no período de julho a novembro de 2019. A coleta de dados ocorreu através de um questionário sócio-demográfico, avaliação antropométrica e análise de prontuários eletrônicos para coleta de dados de exames bioquímicos. A disglicêmia foi classificado de acordo com as Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. Para identificação do risco de desenvolver doença cardiovascular ao longo de 10 anos foi utilizado o Escore de Framinghan, baseado nos critérios utilizados pelo Ministério da Saúde. A análise estatística incluiu o Teste de Kolmogorov-Smirnov, Testes T de Student, Mann-Whitney, ANOVA, Kruskal Wallis com Post Hoc de Dunn, Teste Qui-quadrado de Pearson, Exato de Fischer, Teste de Correlação de Spearman e o modelo de regressão de Poisson. As análises foram conduzidas no software SPSS para Windows versão 21.0 e p < 0,05, foi considerado significante. Resultados: A idade média dos participantes foi de 35(8) anos. Destes 17% apresentaram disglicemia e estes eram mais velhos (P=0,001), residiam em casa própria (P=0,040), tinham maior número de filhos (P=0,004) e mais tempo na carreira militar (P=0,001). A medida da glicemia dos disglicêmico foi superior (105,2mg/dL vs. 82,1mg/dL) quando comparada aos normoglicêmicos (P<0,001) e estes apresentaram maior percentual de risco cardiovascular, segundo o Escore de Risco de Framingham (P=0,011). O risco de DCV foi observado naqueles que possuíam CC (P=0,016), CA (P=0,023), e RCQ (P<0,001) acima do desejado, utilizavam anti-hipertensivo (P<0,001), não praticavam atividade física (P=0,006) e com triglicerídeos elevado (P<0,001). A correlação foi baixa com PAS, PAD, peso, triglicerídeos, CA e número de filhos e moderada quando correlacionada com idade, RCQ, renda, CC e tempo de atividade militares (P<0,001). Neste estudo não foi encontrada correlação entre a disglicemia e o risco de desenvolver doença cardiovascular. Conclusão: Os resultados deste estudo demonstram elevada prevalência de disglicemia na população de militares e inexiste associação entre esta alteração e o risco de doença cardiovascular nos militares. Além disso, nos achados gerais identificamos que a maior parte da amostra é saudável e apresenta baixo risco para o desenvolvimento de doenças cardiovasculares ao longo de 10 anos. Contudo, é essencial a implementação de estratégias de prevenção de doença e promoção de saúde em grupos populacionais específicos onde a prevalência de obesidade, diabetes, dislipidemia e doenças cardiovasculares estão presentes.Submitted by MARCIA ROVADOSCHI (marciar@unifra.br) on 2020-11-05T12:21:15Z No. of bitstreams: 2 Dissertacao_MatheusDaCunhaGoggiaNeves.pdf: 1237809 bytes, checksum: 07a1400f438021ff1f156493d4f3aa3f (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2020-11-05T12:21:15Z (GMT). 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dc.title.por.fl_str_mv |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
title |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
spellingShingle |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS Neves, Matheus da Cunha Goggia Disglicemia, Doença cardiovascular, Militares, Exército Brasileiro Dysglycemia, Cardiovascular disease, Military, Brazilian Army Ciências da Saúde e da Vida |
title_short |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
title_full |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
title_fullStr |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
title_full_unstemmed |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
title_sort |
Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS |
author |
Neves, Matheus da Cunha Goggia |
author_facet |
Neves, Matheus da Cunha Goggia |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Schuch, Natielen Jacques |
dc.contributor.referee1.fl_str_mv |
Schuch, Felipe Barreto |
dc.contributor.referee2.fl_str_mv |
Preamor, Melissa Orlandin |
dc.contributor.author.fl_str_mv |
Neves, Matheus da Cunha Goggia |
contributor_str_mv |
Schuch, Natielen Jacques Schuch, Felipe Barreto Preamor, Melissa Orlandin |
dc.subject.por.fl_str_mv |
Disglicemia, Doença cardiovascular, Militares, Exército Brasileiro |
topic |
Disglicemia, Doença cardiovascular, Militares, Exército Brasileiro Dysglycemia, Cardiovascular disease, Military, Brazilian Army Ciências da Saúde e da Vida |
dc.subject.eng.fl_str_mv |
Dysglycemia, Cardiovascular disease, Military, Brazilian Army |
dc.subject.cnpq.fl_str_mv |
Ciências da Saúde e da Vida |
description |
Introduction: Countless studies have shown that cardiovascular disease represents the main cause of death in the world population and that glycemic alteration is a clinical condition significantly associated with increased morbidity and mortality. Several factors have been associated with these conditions, including poor eating habits and a sedentary lifestyle. It appears that these outcomes have been affecting the younger population, even the Brazilian military. Objective: To investigate the prevalence of dysglycemia and its relationship with the risk factors associated with cardiovascular risk in the Brazilian Army military. Methodology: Cross-sectional study involving 230 military personnel stationed in Military Organizations of the Brazilian Army of Rio Grande do Sul, from July to November 2019. Data collection occurred through a socio-demographic questionnaire, anthropometric assessment and analysis of electronic medical records for data collection. biochemical exam data. Dysglycemia was classified according to the Guidelines of the Brazilian Diabetes Society 2019-2020. The Framinghan Score was used to identify the risk of developing cardiovascular disease over 10 years, based on the criteria used by the Ministry of Health. The statistical analysis included the Kolmogorov-Smirnov Test, Student's T Tests, Mann-Whitney, ANOVA, Kruskal Wallis with Dunn's Post Hoc, Pearson's Chi-square test, Fischer's Exact Test, Spearman's Correlation Test and the Poisson regression model. The analyzes were conducted using SPSS for Windows version 21.0 and p <0.05 was considered significant. Results: The average age of the participants was 35 (8) years. Of these, 17% had dysglycemia and they were older (P = 0.001), lived in their own home (P = 0.040), had a greater number of children (P = 0.004) and more time in the military (P = 0.001). The measurement of dysglycemic glycemia was higher (105.2mg / dL vs. 82.1mg / dL) when compared to normoglycemic (P <0.001) and these had a higher percentage of cardiovascular risk, according to the Framingham Risk Score (P = 0.011). The risk of CVD was observed in those who had WC (P = 0.016), WC (P = 0.023), and WHR (P <0.001) above the desired level, used antihypertensive drugs (P <0.001), did not practice physical activity (P = 0.006) and with high triglycerides (P <0.001). The correlation was low with SBP, DBP, weight, triglycerides, WC and number of children and moderate when correlated with age, WHR, income, WC and military activity time (P <0.001). In this study, no correlation was found between dysglycemia and the risk of developing cardiovascular disease. Conclusion: The results of this study demonstrate a high prevalence of dysglycemia in the military population and there is no association between this change and the risk of cardiovascular disease in the military. In addition, in the general findings, we identified that most of the sample is healthy and presents a low risk for the development of cardiovascular diseases over 10 years. However, it is essential to implement strategies for disease prevention and health promotion in specific population groups where the prevalence of obesity, diabetes, dyslipidemia and cardiovascular diseases are present. |
publishDate |
2020 |
dc.date.accessioned.fl_str_mv |
2020-11-05T12:21:15Z |
dc.date.issued.fl_str_mv |
2020-03-05 |
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info:eu-repo/semantics/masterThesis |
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Neves, Matheus da Cunha Goggia. Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS. 2020. 63f. Dissertação( Mestrado em Ciências da Saúde e da Vida) - Universidade Franciscana, Santa Maria. |
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http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/940 |
identifier_str_mv |
Neves, Matheus da Cunha Goggia. Prevalência de Pré-Diabetes e Fatores de Risco Cardiovascular na Guarnição do Exército de Santa Maria – RS. 2020. 63f. Dissertação( Mestrado em Ciências da Saúde e da Vida) - Universidade Franciscana, Santa Maria. |
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