Risk factors for myocardial infarction in Brazil

Piegas, Leopoldo Soares; Avezum, Álvaro; Pereira, Júlio César Rodrigues; Neto, João Manoel Rossi; Hoepfner, Clóvis; Farran, Jorge; Ramos, Rui Fernando; Timerman, Ari; Esteves, J. Péricles

doi:10.1016/s0002-8703(03)00181-9

Cited by 132 publications

(134 citation statements)

References 24 publications

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“…The association between CHD and higher BMI and tobacco use is not surprising, given that they are very well known risk factors for coronary disease 12 . On the other hand, the present findings on ethnicity and the greater risk in black respondents was not observed in previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…Moraes et al 11 found a positive association between incident cardiovascular disease and alcohol consumption (measured in grams per day). In another study, Piegas et al 12 observed that alcohol intake was a protective factor against acute myocardial infarction. Unfortunately, these works have no measured alcohol consumption, which could explain the apparently incongruent results 11,12 .…”

Section: Introductionmentioning

confidence: 93%

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Consumo de álcool e risco para doença coronariana na região metropolitana de São Paulo: uma análise do Projeto GENACIS

Lima

Kerr-Corrêa

Rehm³

2013

Rev. bras. epidemiol.

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Objectives: To examine the association between patterns of drinking and coronary heart disease (CHD) risk in a populational sample. Methods: A population-based cross-sectional study carried out from January 2006 to June 2007, in Metropolitan São Paulo, Brazil, in conjunction with the international collaborative GENACIS project (Gender, Alcohol, and Culture: an International Study), with PAHO support. The subjects (1,501; 609 men, 892 women) of this study were residents of randomly chosen households aged 30 years and above who consented to provide information. The dependent variable was cardiac risk as assessed by the WHO Rose Angina Questionnaire. Logistic Regression analysis was used and the data were adjusted for Body Mass Index (BMI) and smoking. Results: The response rate was 75%. Being female, older, African-American, a current smoker, and having a greater BMI were associated with higher risk of coronary heart disease. Lifetime abstainers (OR = 2.22) and former drinkers (OR = 2.42) had greater CHD risk than those who consumed up to 19g pure alcohol per day, with no binge. Among those who had binged weekly or more there was a tendency toward higher risk (OR = 3.95, p = .09). Conclusions: Our findings suggest a lower risk for CHD among moderate drinkers. It is important, in studies which were investigating cardiac risk, assess heavy alcohol use, since it can change that risk. Also, effective public policies are needed to reduce harmful drinking and related morbidity in Brazil.Keywords: Alcohol. Alcohol consumption. Coronary heart disease. Cross-sectional study. Epidemiology.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 93%

Consumo de álcool e risco para doença coronariana na região metropolitana de São Paulo: uma análise do Projeto GENACIS

Lima

Kerr-Corrêa

Rehm³

2013

Rev. bras. epidemiol.

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“…In Brazil, the situation is not different. This occurs both with regard to the incidence and the prevalence, but especially in relation to an evolution analysis of these CVRF in the population [7][8][9][10][11][12] …”

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confidence: 99%

Fatores de risco cardiovasculares em coorte de profissionais da área médica: 15 anos de evolução

Jardim

Araújo

et al. 2010

Arq. Bras. Cardiol.

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“…Brazil, a country of continental dimensions, has about 15 million postmenopausal women and widely diverse regions in terms of dietary habits and human development indicators 6 . In Brazil, the prevalence of obesity, hypertension, diabetes and other cardiovascular risk factors has increased in all regions, regardless of socioeconomic level and cultural context 7 . Given that no information is available on the prevalence of METS in Brazilian postmenopausal women, we would like to report data from a study aimed at assessing the prevalence of metabolic syndrome in very low-income postmenopausal women living in Rio Grande do Norte, a tropical state with a human development index of 0.668 located in the Northeastern region of Brazil.…”

mentioning

confidence: 99%

Metabolic syndrome in postmenopausal women: higher prevalence in the Northeastern Region of Brazil than in other Latin American countries and the influence of obesity and socioeconomic factors

Silveira¹,

Maranhão²,

Azevedo³

2007

Climacteric

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Risk factors for myocardial infarction in Brazil

Cited by 132 publications

References 24 publications

Consumo de álcool e risco para doença coronariana na região metropolitana de São Paulo: uma análise do Projeto GENACIS

Consumo de álcool e risco para doença coronariana na região metropolitana de São Paulo: uma análise do Projeto GENACIS

Fatores de risco cardiovasculares em coorte de profissionais da área médica: 15 anos de evolução

Metabolic syndrome in postmenopausal women: higher prevalence in the Northeastern Region of Brazil than in other Latin American countries and the influence of obesity and socioeconomic factors

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