Fatores associados ao descontrole da pressão arterial em homens

Abstract

Conflicts of interest: no conflicts of interest to declare. ResumoObjetivo: Verificar os fatores associados ao descontrole da pressão arterial em homens. Métodos: Estudo exploratório, de corte transversal, realizado em centro de referência para doenças cardiovasculares, em Salvador-BA, lócus para o núcleo de referência do programa de saúde do homem do Ministério da Saúde. Amostra foi selecionada por conveniência totalizando 130 homens atendidos em centro de saúde, submetidos a entrevista, avaliação clínica e antropométrica. Na análise bivariada empregou-se o Qui-quadrado de Pearson ou Exato de Fisher realizando-se posteriormente análise de regressão logística múltipla sendo a OR corrigida pelo modelo de Poisson. Adotou-se significância estatística de 5%. Resultados: Constatou-se alta prevalência de descontrole da pressão arterial (65,4%), de hábitos de vida inadequados e de excesso de peso. Não houve associação estatisticamente significante entre descontrole dos níveis pressóricos e variáveis sociodemográficas, hábitos de vida e medidas antropométricas. Na regressão, o descontrole da pressão arterial associou-se ao uso inadequado da medicação (RP: 1,35, IC 95%: 1,03; 1,76). Conclusão: O uso inadequado da medicação foi reforçado como importante fator associado ao descontrole. Medidas efetivas para mudança deste panorama são emergenciais e desafiam profissionais e autoridades públicas. ResumoObjective: Verify the factors associated with lack of blood pressure control in men. Methods: Exploratory and cross-sectional study undertaken at a referral center for cardiovascular diseases in Salvador-BA, where the referral center of the Ministry of Health's male health program is located. A convenience sample was selected, totaling 130 men attended at a health center, submitted to interview, clinical and anthropometric assessment. In the bivariate analysis, Pearson's Chi-squared or Fisher's Exact test was employed, followed by multiple logistic regression analysis. The OR was corrected by means of Poisson's model. Statistical significance was set at 5%. Results: The high prevalence of lack of blood pressure control (65.4%), inappropriate living habits and overweight was verified. No statistically significant association was found between lack of pressure control and sociodemographic variables, living habits and anthropometric measures. In the regression, the lack of blood pressure control was associated with inappropriate medication use (PR: 1.35, 95% CI: 1.03; 1.76). Conclusion: Inappropriate medication use was emphasized as an important factor associated with lack of control. Effective measures to change this situation are urgent and challenge professionals and public authorities.

Prevalência, tratamento e controle da hipertensão arterial com método diferenciado de busca ativa

“…Adicionalmente, o IMC foi significantemente superior nos hipertensos que nos normotensos (p<0,001). Estudos prévios já encontraram dados semelhantes, associando o excesso de peso à maior prevalência de HAS 23,24 . Supomos, portanto, que a elevada prevalência de excesso de peso no presente estudo esteja associada à elevada prevalência de HAS verificada.…”

Low health literacy in older patients with uncontrolled blood pressure at secondary care

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