Clustering of risk factors for cardiovascular disease among women in Southern Brazil: a population-based study

Sandra Costa Fuchs,Marina Beltrami Moreira,Susi Alves Camey,Leila Beltrami Moreira,Flávio Danni Fuchs

doi:10.1590/s0102-311x2008001400013

Sandra Costa Fuchs, Marina Beltrami Moreira + Show 3 more

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https://doi.org/10.1590/s0102-311x2008001400013

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Abstract

The association between clustering of risk factors and self-reported cardiovascular disease among women was investigated in a cross-sectional study using a multistage population-based sample. Participants were interviewed at home about diabetes mellitus, physical activity, and diet pattern. Hypertension was defined as blood pressure > or =140/90mmHg or use of anti-hypertensive medication. Cardiovascular disease included self-reported myocardial infarction, heart failure, coronary artery bypass surgery, and stroke. A sample of 1,007 women from Porto Alegre, Southern Brazil, mostly white (73%), 44.8 +/- 0.8 years old, and with 9.3 +/- 0.3 years of schooling was investigated. Hypertension, diabetes mellitus, obesity, low fruit and vegetable intake, and lack of vigorous or moderate physical activity were clustered into a combination of risk factors, which were independently associated with self-reported cardiovascular disease. The main cluster included hypertension and diabetes, accounting for an independent risk ratio of 8.5 (95%CI: 3.0-24.5). Clustering of cardiovascular risk factors is strongly associated with self-reported cardiovascular disease among women.

Highlights

The association between clustering of risk factors and self-reported cardiovascular disease among women was investigated in a cross-sectional study using a multistage populationbased sample
Hypertension, diabetes mellitus, obesity, low fruit and vegetable intake, and lack of vigorous or moderate physical activity were clustered into a combination of risk factors, which were independently associated with self-reported cardiovascular disease
The aim of this study was to assess the cardiovascular risk conferred by clustering hypertension, diabetes mellitus, alcohol abuse, obesity, smoking, low fruit and vegetable intake, and lack of vigorous or moderate physical activity among women from a general population, aged [18-90] years

Summary

Introduction

The association between clustering of risk factors and self-reported cardiovascular disease among women was investigated in a cross-sectional study using a multistage populationbased sample. Participants were interviewed at home about diabetes mellitus, physical activity, and diet pattern. Cardiovascular disease included self-reported myocardial infarction, heart failure, coronary artery bypass surgery, and stroke. A sample of 1,007 women from Porto Alegre, Southern Brazil, mostly white (73%), 44.8 ± 0.8 years old, and with 9.3 ± 0.3 years of schooling was investigated. Hypertension, diabetes mellitus, obesity, low fruit and vegetable intake, and lack of vigorous or moderate physical activity were clustered into a combination of risk factors, which were independently associated with self-reported cardiovascular disease. The main cluster included hypertension and diabetes, accounting for an independent risk ratio of 8.5 (95%CI: 3.0-24.5). Clustering of cardiovascular risk factors is strongly associated with selfreported cardiovascular disease among women

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