Prevalence and factors associated with arterial hypertension in a Brazilian rural working population

Salaroli, Luciane Bresciani; Cattafesta, Monica; Petarli, Glenda Blaser; Ribeiro, Sarah Aparecida Vieira; Soares, Ana Cristina de Oliveira; Zandonade, Eliana; Bezerra, Olívia Maria de Paula Alves; Mill, José Geraldo

doi:10.6061/clinics/2020/e1603

Cited by 9 publications

(11 citation statements)

References 23 publications

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“…Recent studies demonstrate that, in fact, apart from the problems related to the type of work activity performed, there is also a high prevalence of other chronic diseases in the field that are common to a more urbanized lifestyle, such as high blood pressure [ 28 , 52 , 54 , 55 , 65 , 66 ], dyslipidemia [ 28 , 54 , 55 ], and diabetes mellitus [ 65 – 67 ]; all conditions closely related to general and abdominal obesity [ 6 ]. Specifically in this same population, we could already identify high prevalences of multimorbidity [ 27 ], cardiovascular risk [ 28 ], hypertension [ 29 ], depression [ 32 , 33 ] and consumption to industrialized foods [ 30 , 31 ], however, obesity had not yet been studied.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil

et al. 2022

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The objectives of this study were to assess the nutritional status of rural workers from a municipality in Southeastern Brazil and estimate the association of sociodemographic, labor, lifestyle, and dietary pattern factors with obesity and abdominal obesity of men and women of this rural area. This is a cross-sectional, epidemiological study of 740 farmers (51.5%, n = 381 males; 48.5%, n = 359 females). The sociodemographic, labor, lifestyle and dietary patterns determinants were assessed. Food intake data were obtained by applying three 24-hour recalls and dietary patterns were determined by Principal Component Analysis with Varimax orthogonal rotation. Poisson regression with robust variance stratified by sex was applied. The general prevalence of overweight status was 31.5% (95% CI 28.2–34.8%), 19.7% of obesity (95% CI 16.8–22.6%) and 31.5% of abdominal obesity (95% CI 28.2–34.8%), with higher rates in women (P < 0.001). Men of higher socioeconomic class had a 2.3 times higher prevalence of obesity (95% CI 1.08–4.90). In addition, the shorter travel time to purchase food increased the prevalence of abdominal obesity in males. For women, the older the age group, the greater the general and central obesity. A lower adherence to traditional dietary patterns (approximately PR [prevalence ratio] 1.6 for general obesity and PR 1.3 for abdominal obesity) and a greater number of places to buy food were associated with higher rates of obesity in women. Finally, women farmers with a higher workload had a 20% lower prevalence of central obesity (PR 0.80; 95% CI 0.65–0.97). Such findings demonstrate that obesity must be an issue in the health care of remote and rural populations. There is a need to promote healthier environments that respect traditional food culture through multiple approaches that consider the heterogeneity of rural areas and the differences between sexes.

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Section: Discussionmentioning

confidence: 99%

Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil

et al. 2022

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“…Regarding health conditions, hypertension and hypercholesterolemia were associated with DM, a result consistent with previous studies in rural and urban areas 1,27,37 . In the Brazilian rural population, both conditions are frequent, with prevalence between 20 and 35% 18,19,37 . Specifically in rural traditional populations, some studies explain these associations by genetic components and sociodemographic factors, such as low education and difficulties in accessing health services 19,37 .…”

Section: Discussionmentioning

confidence: 99%

“…Specifically in rural traditional populations, some studies explain these associations by genetic components and sociodemographic factors, such as low education and difficulties in accessing health services 19,37 . Also noteworthy is the increase in the frequency of unhealthy behaviors, with the ease of consumption of inappropriate foods due to the urban-rural connection, and better income conditions, linked to such social welfare projects as Bolsa Família, Bolsa Floresta and Seguro Defeso 10,18,19 .…”

Section: Discussionmentioning

confidence: 99%

“…In the case of NCDs, such as DM, the lifestyle of rural populations has led to an increase in the frequency of unhealthy behaviors, such as smoking, consumption of alcoholic beverages, physical inactivity and inadequate consumption of vegetables and fruits [14][15][16][17] . In addition, rural and traditional populations have a high prevalence of hypercholesterolemia and hypertension, which are risk factors related to DM 18,19 . These factors, associated with low education and lower socioeconomic status, contribute to the occurrence of NCDs, conditions that increase the demand for health services 12 .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of diabetes mellitus according to associated factors in rural traditional populations in Goiás, Brazil: a cross-sectional study

Mota

Barp

Guimarães

et al. 2022

Rev. bras. epidemiol.

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Objective: To identify the prevalence of and factors associated with diabetes mellitus in rural traditional communities. Methods: Cross-sectional study carried out in 115 rural communities distributed in 45 municipalities in the state of Goiás, including: 13 river communities, 51 quilombolas and 63 agrarian reform settlements. Probabilistic sampling was performed, and participants were selected at random. The outcome variable was self-reported diabetes mellitus, while exposure variables were sociodemographic, lifestyle, health conditions and access to health services. Multiple regression was used to determine the association between study variables. Results: Among the 2,537 participants, the overall prevalence of diabetes was 9.8%, with 13.5% in river dwellers, 10.0% in quilombolas and 9.3% in settlers. Factors associated with diabetes were negative self-perception of health, being a former smoker, high blood pressure, hypercholesterolemia, and living in a river community. Conclusion: The results reinforce the need to strengthen strategies for the prevention and control of diabetes and its complications in rural populations, especially among river dwellers.

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“…It is considered a work-related disease (WRD) due to the indirect and multifactorial causes such as sedentary lifestyle, sedentary work, hereditary factors and occupational characteristics [14]. The burden of CVD among workers was estimated from previous studies in certain occupations such as mining workers [15], [16], public servants [17], healthcare workers [18], farmer [19], industrial sector workers [20] and community restaurants' food handlers [21]. Those who worked in the forest faced stressful working conditions with limited access to healthcare facilities [22], while truck drivers may have maladaptive behavior [23] to meet their job demands.…”

Section: Introductionmentioning

confidence: 99%

The Pattern of Cardiovascular Disease Risks Among Working People (18-64 Years) via a Nationwide Household-Based Survey in Malaysia

Awaluddin¹,

Chong²,

Kuay³

et al. 2022

Preprint

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Background Cardiovascular diseases (CVDs) is prevalent globally and it is increasing tremendously. The article aimed to determine the prevalence and the odds ratio of seven type of diseases/ risk factors which contribute to CVDs among working people (18–64 years) in Malaysia. Methods A cross-sectional study among a nationally representative sample in Malaysia was conducted using a validated questionnaire. Clinical procedures were done by registered nurses to measure glucose, cholesterol, body mass index and blood pressure. The prevalence and prevalence odds ratio were calculated via complex samples data analysis of IBM SPSS Statistics version 25. Results The overall prevalence of CVD risks among working people were 14.1%, 17.3%, 24.5%, 28.8%, 31.7%, 45.9% and 94.2%, for diabetes, obesity, hypertension, physically inactive, tobacco smoker, hypercholesterolemia and inadequate fruit and vegetable (FV) intake, respectively. This study found that older age was associated with the odds of having the most CVD risks. Males were associated with higher odds of having hypertension and tobacco smoker, whereas females were more likely to have hypercholesterolemia, obesity, and physical inactivity. Those who worked as the manager & senior officials, clerical workers and services & sales workers were physically inactive while workers from the lower educational level were more likely to smoke tobacco. Workers in public sector were more likely to have a higher prevalence of diabetes, hypertension, hypercholesterolemia, smoking and obesity than workers in private sector. Conclusions This study highlighted that working people have significant CVD risks and the best intervention should be conducted at workplace settings.

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Prevalence and factors associated with arterial hypertension in a Brazilian rural working population

Cited by 9 publications

References 23 publications

Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil

Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil

Prevalence of diabetes mellitus according to associated factors in rural traditional populations in Goiás, Brazil: a cross-sectional study

The Pattern of Cardiovascular Disease Risks Among Working People (18-64 Years) via a Nationwide Household-Based Survey in Malaysia

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