Hipertensão arterial na cidade de São Paulo: prevalência referida por contato telefônico

Mion, Décio; Pierin, Ângela Maria Geraldo; Benseñor, Isabela M.; Marin, Júlio César M; Costa, Karla; Henrique, Luiz Fernando de Oliveira; Alencar, Natália de Pinho; Couto, Rodrigo do Carmo; Laurenti, Tales Eduardo; Machado, Thiago Arthur Oliveira

doi:10.1590/s0066-782x2010005000051

Cited by 26 publications

(15 citation statements)

References 25 publications

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“…Most of those articles (n = 7) assessed arterial hypertension control in hypertensives undergoing antihypertensive treatment, reporting rates ranging from 10.1% to 52.4% 4-10 . Arterial hypertension control of individuals knowing their hypertensive condition (n = 3) ranged from 31.3% to 57.6% 11-13 . Two articles assessed arterial hypertension control in the total number of hypertensives identified in the sample, reporting rates of 10.4% and 24.2% 14,15 .…”

Section: Resultsmentioning

confidence: 99%

Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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Hypertension is a major public health problem due to its high prevalence and cardiovascular complications. Its treatment is aimed at reducing cardiovascular morbidity and mortality, its goal being to maintain blood pressure levels below 140/90 mm Hg. Hypertension control in Brazil is low, and nationwide rates are unknown. The objective of this review was to provide an overview on hypertension control in Brazil from publications in a database. We identified 45 publications. In population-based studies, the highest control rate (57.6%) was reported in a multicenter study in 100 municipalities and the city of São José do Rio Preto, São Paulo state (52.4%), while the lowest rates (around 10%) were identified in microregions of the Rio Grande do Sul state and in the city of Tubarão, Santa Catarina state. In conclusion, the studies assessed showed a wide variation in hypertension control rates. It is worth noting that the comparison between studies was a major limiting factor, because of the different methods used.

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Section: Resultsmentioning

confidence: 99%

Hypertension Control in Brazilian Publications

Pinho¹,

Pierin²

2013

Arquivos Brasileiros De Cardiologia

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“…A prevalência de hipertensão arterial na amostra pesquisada foi de 22,6%, resultado semelhante encontrado em estudo realizado por entrevista telefônica na cidade de São Paulo, o qual apresentou prevalência de 23,0% de HAS 24 . Mesmo havendo diferença entre a medida referida e aferida para diagnóstico da HAS, trata-se de um método muito útil em estudos epidemiológicos e populacionais por ser de fácil aplicação e de baixo custo, além de auxiliar o desenvolvimento de ações na Saúde Pública visando à prevenção e tratamento da HAS.…”

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Ganho de peso na vida adulta: preditor da hipertensão arterial?

et al. 2017

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ResumoObjetivos: Avaliar o ganho de peso na idade adulta, bem como a influência sobre a prevalência da hipertensão. Métodos: Estudo transversal, por meio de entrevista telefônica com indivíduos de 30-59 anos, recorte do Sistema Municipal de Monitoramento de Fatores de Risco para Doenças Crônicas Não Transmissíveis por Meio de Entrevistas Telefônicas (SIMTEL). Analisaram-se dados sociodemográficos, antropométricos e estilo de vida. O efeito independente do ganho de peso e do índice de massa corporal atual e aos 20 anos de idade na prevalência da hipertensão arterial foi analisado por meio de Regressão de Poisson. Resultados: Mediana de 42 anos de idade (IC95%; 41,0-43,0). A média do ganho de peso relativo foi de 18,1 ± 11,1%. Na amostra, 7,0% tiveram ganho de peso nulo, 19,2% baixo, 34,2% médio e 39,4% alto. Na análise multivariada, o ganho de peso não se associou à hipertensão arterial, já o IMC atual teve associação significativa, sendo a prevalência 2,4 vezes maior nos obesos do que nos eutróficos, enquanto que nos obesos aos 20 anos de idade a prevalência de hipertensão foi 1,9 vezes maior. Conclusões: Houve elevado ganho de peso na idade adulta, mas esse ganho não foi determinante para a hipertensão quando ajustado pelo IMC atual. Palavras-chave: hipertensão; pressão arterial; índice de massa corporal; ganho de peso; adulto. AbstractObjectives: Assess weight gain in adulthood, as well as influence on the prevalence of hypertension. Methods: Cross-sectional study through a telephone interview with individuals ranging from 30-59 years old, section of the Municipal Monitoring System of Risk Factors for Non-Transmitted Chronical Diseases via Telephone Interview (Sistema Municipal de Monitoramento de Fatores de Risco para Doenças Crônicas Não Transmissíveis por Meio de Entrevistas Telefônicas (SIMTEL)). We analyzed demographic data, anthropometric and lifestyle. The independent effect of weight gain and current body mass index and 20 years of age in the prevalence of hypertension was analyzed using Poisson regression. Results: The median age was 42 years old (CI95%, 41.0-43.0). The average relative weight gain was 18.1 ± 11.1%. In the sample, 7.0% presented zero weight gain, 19.2% low, 34.2% average, and 39.4% high weight gain. In multivariate analysis, the weight gain was not associated to high blood pressure, since the current BMI was significantly associated, with a prevalence 2.4 times higher in obese than in normal weight, while in obese at 20 years of age, the prevalence hypertension was 1.9 times higher. Conclusions: There was a high weight gain in adulthood, but this gain was not decisive for hypertension when adjusted by the current BMI.

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“…2 The hypertensive patient requires periodic medical care associated with adequate pharmacological therapy and lifelong lifestyle changes. 3 The contribution of 24-hour blood pressure (BP) assessment by ambulatory BP monitoring (ABPM) in the diagnosis, monitoring, and prognostic stratification of hypertension is clearly defined in the literature.…”

Section: Introductionmentioning

confidence: 99%

Impact of Different Normality Thresholds for 24-hour ABPM at the Primary Health Care Level

Grezzana

Moraes

Stein

et al. 2016

Arquivos Brasileiros De Cardiologia

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BackgroundHypertension is an important risk factor for cardiovascular outcomes. Primary health care (PHC) physicians should be prepared to act appropriately in the prevention of cardiovascular risk factors. However, the rates of patients with control of blood pressure (BP) remain low. The impact of the reclassification of high BP by 24-hour ambulatory BP monitoring (ABPM) can lead to different medical decisions in PHC.ObjectiveTo evaluate the agreement between the BP measured by a conventional method by PHC physicians and by 24-hour ABPM, considering different BP normal thresholds for the 24-hour ABPM according to the V Brazilian ABPM Guidelines and the European Society of Hypertension Guidelines.MethodsA cross-sectional study including 569 hypertensive patients. The BP was initially measured by the PHC physicians and, later, by 24-hour ABPM. The BP measurements were obtained independently between the two methods. The therapeutic targets for the conventional BP followed the guidelines by the Eighth Joint National Committee (JNC 8), the V ABPM Brazilian Guidelines, and the 2013 European Hypertension Guidelines.ResultsThere was an accuracy of 54.8% (95% confidence interval [95%CI] 0.51 - 0.58%) for the BP measured with the conventional method when compared with the 24-hour ABPM, with a sensitivity of 85% (95%CI 80.8 - 88.6%), specificity of 31.9% (95%CI 28.7 - 34.7%), and kappa value of 0.155, when considering the European Hypertension Guidelines. When using more stringent thresholds to characterize the BP as "normal" by ABPM, the accuracy was 45% (95%CI 0.41 - 0.47%) for conventional measurement when compared with 24-hour ABPM, with a sensitivity of 86.7% (95%CI 0.81 - 0.91%), specificity of 29% (95%CI 0.26 - 0.30%), and kappa value of 0.103.ConclusionThe BP measurements obtained by PHC physicians showed low accuracy when compared with those obtained by 24-hour ABPM, regardless of the threshold set by the different guidelines.

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Hipertensão arterial na cidade de São Paulo: prevalência referida por contato telefônico

Abstract: Background: Little is known about the prevalence of hypertension in São Paulo, Brazil.

Cited by 26 publications

References 25 publications

Hypertension Control in Brazilian Publications

Hypertension Control in Brazilian Publications

Ganho de peso na vida adulta: preditor da hipertensão arterial?

Impact of Different Normality Thresholds for 24-hour ABPM at the Primary Health Care Level

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