Fatores de risco cardiovasculares em comunidades de remanescentes quilombolas de Inhangapi-Pa

Abstract

Cardiovasculares disease (CVD) currently represent a serious public health problem, with high mortality and disability. In Brazil is the leading cause of death in both gender, as well as higher prevalence among blacks. Risk factores for cardiovascular diseases, however, when addedat risk much higher. Within this contest, this study aimed to analyze the set of cardiovascular risk factors involved in maroon communities reminiscent of the city of Inhangapi-Para. This study of cross-sectional design was conducted in 2009 in the communities of afro-descendents of Pitimandeua, Itaboca and Paraíse, located in the municipality of Inhangapi-Pa, northern Brazil. The sample consisted of 218 adults over 20 years of which were measured through of central and dispersion measures for the general population and by gender, using the Student t test; were categorized to estimate the prevalence and used the chi-square to determine the probability and the odds ratio were employed to characterize the risk factors most relevant to CVD using a range of 95%; we used the linear correlation coefficient of Pearson to identify the level of association between variables; logistic regression was applied using the Stepwise method and used the odds ratio to assess the chance of individuals exposed to risk facotrs present a set of three or more chronic diseases compared to non-exposed. Analyses were processed in the Statistical Package for Social Science (SPSS) version 18.0. The presence of three or more carviovascular risk factors was present in 33% of general population was statistically higher among women (40%). The risk factors were more prevalente excess body fat (42.5%), overweight (40.6%) and hypertension (35.4%) for the general population. In the final model, the set of risk factors for the occurrence of cardiovascular disease for women were body fat (OR: 1.5), abdmonial circumference (OR: 1.3) and systolic blood pressure (OR: 4,5), explaining an accuracy of 88.2% for this model. And for men total cholesterol (OR: 1.1), body fat (OR: 1.3) and systolic blood pressure (OR: 3.1), explaining a hit 83.7%. Excess body fat and systolic hypertension were common among men and women, with systolic hypertension constituted a greater risk to the population of remnants of Quilombo Inhangapi. Standing out among men hypercholesterolemia among women abdominal obesity.