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Abstract
O objetivo deste trabalho foi analisar a qualidade dos dados antropométricos dos hipertensos, no Programa de Saúde da Família, e sua associação com obesidade e demais fatores de risco. Trata-se de um estudo de coorte em que foram investigados os dados cadastrais, prontuários e entrevistas dos usuários no município de João Pessoa-PB. Investigou-se a qualidade dos dados, pela imputação dos registros faltantes nos hipertensos, cuja comparação dos indicadores construídos antes e depois foi feita pelo teste t´Student, além de calcular a razão de chances, pela regressão logística, com a finalidade de estabelecer uma possível associação destas variáveis com a variável dependente. Observou-se uma associação significativa entre a obesidade dos hipertensos, com circunferência da cintura e razão cintura quadril (p<0,001). Evidenciou-se, também, uma associação significativa dos níveis de hipertensão e idade (p<0,01). Os resultados sugerem aumento da prevalência da pressão arterial com a idade e sua associação com os indicadores antropométricos.
Highlights
In the world setting, chronic degenerative diseases are the main cause of morbimortality, especially cardiovascular diseases
The data spreadsheet used in this study was produced based on a project entitled “Avaliação da efetividade no controle da hipertensão arterial sistêmica e associação com fatores de risco, comparando a atenção do Programa de Saúde da Família e de Unidades Básicas de Saúde de municípios do nordeste do Brasil” (Evaluation of effectiveness in the control of systemic hypertension and association with risk factors comparing the care in the Family Health Program and in Primary Health Care Units in cities in the northeast of Brazil)”.*
The measure of arterial pressure stands out, as this is a fundamental requirement in the medical routine to start analyzing pertinent information to the health condition of patients, and this information was missing in most medical files
Summary
Chronic degenerative diseases are the main cause of morbimortality, especially cardiovascular diseases Risk factors such as hypertension, Diabetes Mellitus, smoking, inadequate eating habits, sedentary lifestyle, overweight and obesity favor these diseases.[1]. The probability of cardiovascular risk is well known to increase or decrease due to inappropriate loss and intake of calories.[2] Studies demonstrate an association of obesity with arterial pressure measures, emphasizing bad food habits and the lack of physical activities as susceptible factors for increasing arterial pressure, suggesting authorities should take action against this problem.[3] Despite the increasing number of occurrences of cardiovascular diseases throughout the years, the government has not favored a specific and interventionist policy to socially articulate treatment for hypertensive patients.[4]. In addition to this lack of incentive, approximately 40% of patients with hypertension problems have difficulties in controlling it, whereas in Brazil, this number reaches more than 70%, with the greatest difficulty being the compliance to treatment, visits to the physician and appropriate change of habits.[5,6,7]
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