Influence of educational level on myocardial hypertrophy of hemodialysis patients

Detalhes bibliográficos
Autor(a) principal: Martin, Rosana dos Santos e Silva [UNESP]
Data de Publicação: 2010
Outros Autores: Franco, Roberto Jorge da Silva [UNESP], Matsubara, Beatriz Bojikian [UNESP], Zanati, Silméia Garcia [UNESP], Barretti, Pasqual [UNESP], Martin, Luis Cuadrado [UNESP], Balbi, André Luis [UNESP], Antunes, Aline Araújo [UNESP], Martins, Antonio Sérgio [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1590/S0101-28002010000100012
http://hdl.handle.net/11449/11518
Resumo: Introduction: Chronic renal disease is associated with a high cardiovascular risk. Data from the general population associate cardiovascular diseases with low educational level, but no study has evaluated this association in patients on hemodialysis. Objective: This study aimed at evaluating the association between educational level, hypertension, and left ventricular hypertrophy in patients on chronic hemodialysis. Methods: A standard socioeconomic questionnaire was applied to 79 hemodialysis patients at the Hospital das Clínicas of Faculdade de Medicina de Botucatu, state of São Paulo. Clinical, laboratory and echocardiographic data were obtained from medical records. The patients were divided into two groups according to the median educational level, as follows: G1, patients with three or less years of schooling; G2, patients with more than three years of schooling. Results: Blood pressure, interdialytic weight gain, and variables statistically different in the two groups (p < 0.2) underwent multiple analysis. Independent associations were stated with p < 0.05 in multiple analysis. The mean age of patients was 57 ± 12.8 years, 46 were males (57%), and 53 white (67%). The variables selected for multiple analysis were: age (p = 0.004); educational level (p < 0.0001); body mass index (p = 0.124); left ventricular diameter (p = 0.048); and left ventricular mass index (p = 0.006). Antihypertensive drugs were similar in both groups. Systolic blood pressure (p = 0.006) and years of schooling (p = 0.047) had a significant and independent correlation with left ventricular mass index. Conclusion: In hemodialysis patients, left ventricular mass associated not only with blood pressure but also with educational level.
id UNSP_10d913703778e6eee21d63125e3db868
oai_identifier_str oai:repositorio.unesp.br:11449/11518
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Influence of educational level on myocardial hypertrophy of hemodialysis patientsInfluência da escolaridade na hipertrofia miocárdica de pacientes em hemodiáliseEducational levelLeft ventricular hypertrophyUremiaDialysisHypertensionEscolaridadeHipertrofia ventricular esquerdaUremiaHipertensãoDiáliseIntroduction: Chronic renal disease is associated with a high cardiovascular risk. Data from the general population associate cardiovascular diseases with low educational level, but no study has evaluated this association in patients on hemodialysis. Objective: This study aimed at evaluating the association between educational level, hypertension, and left ventricular hypertrophy in patients on chronic hemodialysis. Methods: A standard socioeconomic questionnaire was applied to 79 hemodialysis patients at the Hospital das Clínicas of Faculdade de Medicina de Botucatu, state of São Paulo. Clinical, laboratory and echocardiographic data were obtained from medical records. The patients were divided into two groups according to the median educational level, as follows: G1, patients with three or less years of schooling; G2, patients with more than three years of schooling. Results: Blood pressure, interdialytic weight gain, and variables statistically different in the two groups (p < 0.2) underwent multiple analysis. Independent associations were stated with p < 0.05 in multiple analysis. The mean age of patients was 57 ± 12.8 years, 46 were males (57%), and 53 white (67%). The variables selected for multiple analysis were: age (p = 0.004); educational level (p < 0.0001); body mass index (p = 0.124); left ventricular diameter (p = 0.048); and left ventricular mass index (p = 0.006). Antihypertensive drugs were similar in both groups. Systolic blood pressure (p = 0.006) and years of schooling (p = 0.047) had a significant and independent correlation with left ventricular mass index. Conclusion: In hemodialysis patients, left ventricular mass associated not only with blood pressure but also with educational level.Introdução: A doença renal crônica apresenta elevado risco cardiovascular. Dados da popula- ção geral associam as doenças cardiovasculares a baixo nível de escolaridade, porém nenhum trabalho avaliou essa associação entre pacientes em hemodiálise. Objetivo: Avaliar a associação entre nível educacional, hipertensão e hipertrofia do ventrículo esquerdo em pacientes submetidos a hemodiálise crônica. Métodos: Foi aplicado um questionário socioeconômico padrão a 79 pacientes em hemodiálise, no Hospital das Clínicas da Faculdade de Medicina de Botucatu (UNESP). Dados clínicos, laboratoriais e ecocardiográficos foram extraídos dos prontuários. Os pacientes foram divididos em dois grupos de acordo com a mediana da escolaridade: o grupo I foi constituído por pacientes com escolaridade ≤ três anos, e grupo II por pacientes com escolaridade superior a três anos. Resultados: Pressão arterial, ganho de peso interdialítico e variáveis com diferença estatística entre os dois grupos ao nível de p < 0,2 foram selecionadas para análise múltipla. Na análise múltipla, associa- ções independentes foram consideradas ao ní- vel de p < 0,05. A média de idade dos pacientes foi 57 ± 12.8 anos, 46 pacientes eram homens (57%) e 53 eram brancos (67%). As variáveis selecionadas para análise múltipla foram: idade (p = 0,004), anos de escolaridade (p < 0,0001), índice de massa corpórea (p = 0,124), diâmetro do ventrículo esquerdo (p = 0,048) e índice de massa ventricular (p = 0,006). As drogas antihipertensivas empregadas foram similares em ambos os grupos. A pressão sistólica (p = 0,006) e a escolaridade (p = 0,047) apresentaram correlação significativa e independente com índice de massa ventricular. Conclusão: Em pacientes em hemodiálise, houve correlação da massa do ventrículo esquerdo não apenas com a pressão arterial, mas também com o nível educacional.Universidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, BrasilUniversidade Estadual Paulista (UNESP), Faculdade de Medicina de Botucatu (FMB), Departamento de Clínica Médica, Botucatu, SP, BrasilSociedade Brasileira de NefrologiaUniversidade Estadual Paulista (Unesp)Martin, Rosana dos Santos e Silva [UNESP]Franco, Roberto Jorge da Silva [UNESP]Matsubara, Beatriz Bojikian [UNESP]Zanati, Silméia Garcia [UNESP]Barretti, Pasqual [UNESP]Martin, Luis Cuadrado [UNESP]Balbi, André Luis [UNESP]Antunes, Aline Araújo [UNESP]Martins, Antonio Sérgio [UNESP]2014-05-20T13:33:38Z2014-05-20T13:33:38Z2010-03-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article71-76application/pdfhttp://dx.doi.org/10.1590/S0101-28002010000100012Jornal Brasileiro de Nefrologia. Sociedade Brasileira de Nefrologia, v. 32, n. 1, p. 71-76, 2010.0101-2800http://hdl.handle.net/11449/1151810.1590/S0101-28002010000100012S0101-280020100001000122-s2.0-84865403033S0101-28002010000100012.pdf7095933557855151699097712234079554964119838934795697804493071661991991023421993749232031684466150000-0003-4979-4836SciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengJornal Brasileiro de Nefrologiainfo:eu-repo/semantics/openAccess2024-08-14T17:21:54Zoai:repositorio.unesp.br:11449/11518Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:21:54Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Influence of educational level on myocardial hypertrophy of hemodialysis patients
Influência da escolaridade na hipertrofia miocárdica de pacientes em hemodiálise
title Influence of educational level on myocardial hypertrophy of hemodialysis patients
spellingShingle Influence of educational level on myocardial hypertrophy of hemodialysis patients
Martin, Rosana dos Santos e Silva [UNESP]
Educational level
Left ventricular hypertrophy
Uremia
Dialysis
Hypertension
Escolaridade
Hipertrofia ventricular esquerda
Uremia
Hipertensão
Diálise
title_short Influence of educational level on myocardial hypertrophy of hemodialysis patients
title_full Influence of educational level on myocardial hypertrophy of hemodialysis patients
title_fullStr Influence of educational level on myocardial hypertrophy of hemodialysis patients
title_full_unstemmed Influence of educational level on myocardial hypertrophy of hemodialysis patients
title_sort Influence of educational level on myocardial hypertrophy of hemodialysis patients
author Martin, Rosana dos Santos e Silva [UNESP]
author_facet Martin, Rosana dos Santos e Silva [UNESP]
Franco, Roberto Jorge da Silva [UNESP]
Matsubara, Beatriz Bojikian [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Martin, Luis Cuadrado [UNESP]
Balbi, André Luis [UNESP]
Antunes, Aline Araújo [UNESP]
Martins, Antonio Sérgio [UNESP]
author_role author
author2 Franco, Roberto Jorge da Silva [UNESP]
Matsubara, Beatriz Bojikian [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Martin, Luis Cuadrado [UNESP]
Balbi, André Luis [UNESP]
Antunes, Aline Araújo [UNESP]
Martins, Antonio Sérgio [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Martin, Rosana dos Santos e Silva [UNESP]
Franco, Roberto Jorge da Silva [UNESP]
Matsubara, Beatriz Bojikian [UNESP]
Zanati, Silméia Garcia [UNESP]
Barretti, Pasqual [UNESP]
Martin, Luis Cuadrado [UNESP]
Balbi, André Luis [UNESP]
Antunes, Aline Araújo [UNESP]
Martins, Antonio Sérgio [UNESP]
dc.subject.por.fl_str_mv Educational level
Left ventricular hypertrophy
Uremia
Dialysis
Hypertension
Escolaridade
Hipertrofia ventricular esquerda
Uremia
Hipertensão
Diálise
topic Educational level
Left ventricular hypertrophy
Uremia
Dialysis
Hypertension
Escolaridade
Hipertrofia ventricular esquerda
Uremia
Hipertensão
Diálise
description Introduction: Chronic renal disease is associated with a high cardiovascular risk. Data from the general population associate cardiovascular diseases with low educational level, but no study has evaluated this association in patients on hemodialysis. Objective: This study aimed at evaluating the association between educational level, hypertension, and left ventricular hypertrophy in patients on chronic hemodialysis. Methods: A standard socioeconomic questionnaire was applied to 79 hemodialysis patients at the Hospital das Clínicas of Faculdade de Medicina de Botucatu, state of São Paulo. Clinical, laboratory and echocardiographic data were obtained from medical records. The patients were divided into two groups according to the median educational level, as follows: G1, patients with three or less years of schooling; G2, patients with more than three years of schooling. Results: Blood pressure, interdialytic weight gain, and variables statistically different in the two groups (p < 0.2) underwent multiple analysis. Independent associations were stated with p < 0.05 in multiple analysis. The mean age of patients was 57 ± 12.8 years, 46 were males (57%), and 53 white (67%). The variables selected for multiple analysis were: age (p = 0.004); educational level (p < 0.0001); body mass index (p = 0.124); left ventricular diameter (p = 0.048); and left ventricular mass index (p = 0.006). Antihypertensive drugs were similar in both groups. Systolic blood pressure (p = 0.006) and years of schooling (p = 0.047) had a significant and independent correlation with left ventricular mass index. Conclusion: In hemodialysis patients, left ventricular mass associated not only with blood pressure but also with educational level.
publishDate 2010
dc.date.none.fl_str_mv 2010-03-01
2014-05-20T13:33:38Z
2014-05-20T13:33:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1590/S0101-28002010000100012
Jornal Brasileiro de Nefrologia. Sociedade Brasileira de Nefrologia, v. 32, n. 1, p. 71-76, 2010.
0101-2800
http://hdl.handle.net/11449/11518
10.1590/S0101-28002010000100012
S0101-28002010000100012
2-s2.0-84865403033
S0101-28002010000100012.pdf
7095933557855151
6990977122340795
5496411983893479
5697804493071661
9919910234219937
4923203168446615
0000-0003-4979-4836
url http://dx.doi.org/10.1590/S0101-28002010000100012
http://hdl.handle.net/11449/11518
identifier_str_mv Jornal Brasileiro de Nefrologia. Sociedade Brasileira de Nefrologia, v. 32, n. 1, p. 71-76, 2010.
0101-2800
10.1590/S0101-28002010000100012
S0101-28002010000100012
2-s2.0-84865403033
S0101-28002010000100012.pdf
7095933557855151
6990977122340795
5496411983893479
5697804493071661
9919910234219937
4923203168446615
0000-0003-4979-4836
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Jornal Brasileiro de Nefrologia
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 71-76
application/pdf
dc.publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
publisher.none.fl_str_mv Sociedade Brasileira de Nefrologia
dc.source.none.fl_str_mv SciELO
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128104523104256