Abstract
To evaluate the nutritional status and cardiovascular risk among executives. In a cross-sectional study. 329 executives of both genders, aged 31 to 70 years, were evaluated during a health check-up in a private hospital in the city of São Paulo. The variables related to weight, height and waist circumference were measured and Body Mass Index - BMI (kg/m(2)) was determined. Blood pressure and serum levels of total cholesterol and fractions, triacylglycerol, glucose and uric acid were analyzed. Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ) and cardiovascular risk was estimated by the Framingham Scoring. The variance analysis and the Bonferroni methods were used for statistical treatment. The mean age was 44.6 (SD=6.8), with the male gender predominating (89.7%). As for lifestyle, 17% were tobacco smokers and 7.3% sedentary. The mean values found in the clinical and biochemical exams were the following: blood pressure of 117 x 78.6 mmHg (SD=12 x 8.3), total cholesterol of 200.5 mg/dL (SD=35.9), LDL-c of 121.8 mg/dL (SD=29.9), HDL-c of 52.2 mg/dL (SD= 10.9), triacylglycerol of 133.7 mg/dL (SD=76.8), glucose of 96.3 mg/dL (SD=20.5) and uric acid 4.2 and 6.0 mg/dL (SD=1.0 and 0.9) for men and women respectively. The BMI mean for all executives was classified as overweight (26.1 kg/m(2); SD=6.8). Waist circumference was normal in women (79.6 cm; SD=7.3) and indicated a high risk level of chronic disease for the men (96.1cm; SD=8.9). The average Framingham Risk was 5.7%. The executives were overweight and presented low cardiovascular risk, according to the Framingham Scoring.
Highlights
Os executivos classificados como ativos apresentaram um menor Risco de Framingham (5,4%) quando comparados com os irregularmente ativos (6,0%) e os sedentários (6,5%), porém essa diferença não foi significante na população estudada (p=0,269)
Physical activity was evaluated by the International Physical Activity Questionnaire (IPAQ) and cardiovascular risk was estimated by the Framingham Scoring
Strategy for primary prevention of coronary heart disease based on results of health check-up
Summary
THELMA FERNANDES FELTRIN RODRIGUES*, SONIA TUCUNDUVA PHILIPPI Trabalho realizado na Faculdade de Saúde Pública da Universidade de São Paulo, São Paulo, SP. O presente estudo tem como objetivo avaliar o risco cardiovascular em executivos da Região Sudeste do Brasil, submetidos à avaliação de saúde periódica, e verificar a associação do risco de Framingham segundo gênero, atividade física e estado nutricional. Trata-se de estudo transversal, utilizando-se amostra de conveniência, em que foram avaliados 329 indivíduos, de ambos os gêneros, com idade entre 31 e 70 anos, submetidos a avaliação de saúde periódica (check-up). Os fatores de risco que compreendem o Escore de Framingham são: idade, colesterol total, HDL-c, pressão arterial, Diabetes mellitus e tabagismo com uma pontuação específica para cada item. Os executivos classificados como ativos apresentaram um menor Risco de Framingham (5,4%) quando comparados com os irregularmente ativos (6,0%) e os sedentários (6,5%), porém essa diferença não foi significante na população estudada (p=0,269). Tabela 2 - Distribuição dos indivíduos, segundo idade, tabagismo, atividade física e gênero
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