Banca de DEFESA: RAPHAEL HENRIQUE MACIEL GOMES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : RAPHAEL HENRIQUE MACIEL GOMES
DATE: 07/10/2021
TIME: 09:00
LOCAL: meet.google.com/bjb-mora-zkh
TITLE:

TEMPORAL TREND IN THE FREQUENCY OF CARDIOVASCULAR RISK FACTORS AND ASSOCIATED COMPLICATIONS IN HYPERTENSIVE ADULT INDIVIDUALS FROM MACEIÓ, 2007-2009 AND 2013-2016

KEY WORDS:

cardiovascular diseases, hypertension, adult, time series studies.

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Cardiovascular diseases (CVD) are among the main causes of morbidity and mortality
in the world. An estimated 17.7 million people died from cardiovascular complications
in 2015, accounting for 31% of deaths from all causes. Considering middle and low-
income countries, the rates gain even greater proportions, such as Brazil, where more
than 200,000 deaths, registered only in 2015, were caused by diseases related to the
circulatory system. Furthermore, a higher prevalence of cardiovascular risk factors has
been reported in developing countries where systemic arterial hypertension (SAH), for
example, affects about a third of adult individuals and more than half of the total
number of elderly people, contributing directly or indirectly for about half of CVD
deaths. According to the World Health Organization (WHO), a small set of risk
predictors corresponds to a large portion of deaths from cardiovascular complications
and a considerable fraction of comorbidities attributed to these diseases. That said, this
work, structured in two parts: a literature review and an original article, aims to
investigate the temporal trend of the prevalence of cardiovascular risk factors and
associated complications in adult hypertensive individuals from Maceió, Alagoas, with
data from two surveys carried out within the scope of the Research Program for the
SUS, between 2007 and 2016. The sample of this study consisted of 246 adult
hypertensive individuals of both sexes, who had evaluated the risk factors: smoking,
sedentary lifestyle, family history (FH), short stature, overweight/obesity (OW/OB),

obesity, waist/height ratio (WHR), conicity index (CI) and abdominal obesity (AO), and
associated complications: kidney disease (KD), acute myocardial infarction, other
coronary heart diseases and stroke (stroke). Poisson regression was used, with robust
adjustment of variance in the crude and multivariate analysis, to analyze the prevalence
ratio of the studied variables. In this study, WHR, AO, CI, OW/OB and FH had the
highest prevalences: 93%, 87.9%, 87.5%, 77.2% and 55.7% respectively and, after
adjustment for sex and age, OW/OB (RP=1.22; 95%CI: 1.02-1.45) and KD (RP=9.16;
95%CI: 1.25-66.96) presented a positive and significant percentage evolution. Thus, the
high prevalence and increases in its variations reveal an important risk condition among
hypertensive individuals, locating overweight/obesity, the CVRF that has been
increasing, as well as the outcome of kidney disease resulting from poor control of
SAH. These results can guide decision-making and the development, implementation
and monitoring of more assertive public policies in dealing with cardiovascular risk
factors.

BANKING MEMBERS:
Interno - 2269877 - JONAS AUGUSTO CARDOSO DA SILVEIRA
Presidente - 1120995 - SANDRA MARY LIMA VASCONCELOS
Externa à Instituição - TATIANA MARIA PALMEIRA DOS SANTOS - Tiradentes