0166/2017 - Análise da prevalência de doenças cardiovasculares e fatores associados em idosos, 2000-2010. Analysis of the prevalence of cardiovascular diseases and associated factors among the elderly, 2000-2010.
• Alexandre Chiavegatto Filho - Chiavegatto Filho, Alexandre - Universidade de São Paulo - <alexdiasporto@usp.br>
Área Temática:
Epidemiologia
Resumo:
O objetivo do estudo foi analisar a mudança na prevalência de doença cardiovascular (DCV) entre 2000 e 2010 e sua associação com os fatores socioeconômicos e fatores de risco em idosos. A diferença da prevalência de DCV ao longo do período foi analisada por meio de modelos multinível bayesianos e a análise da associação entre a presença de DCV e os fatores individuais utilizou modelos de regressão logística para amostras complexas nos três períodos separadamente (2000, 2006 e 2010). A presente pesquisa utilizou os dados do Estudo de Saúde, Bem-Estar e Envelhecimento (SABE), realizado no município de São Paulo, referente às amostras de 2000, 2006 e 2010. Foi observado um aumento geral na prevalência de DCV em idosos no município de São Paulo na última década, apresentando prevalências iguais a 17,9% em 2000, 22,2% em 2006 e 22,9% em 2010. Em relação à prevalência em 2000, foi observado o aumento estatisticamente significativo da presença de DCV em 2006 (OR=3,20 IC95%=1,93-5,31) e 2010 (OR=2,98 IC95%=1,51-5,89), mesmo após o ajuste estatístico para características individuais. A presença de DCV apresentou associação com maior faixa etária, histórico de tabagismo e presença de diabetes e hipertensão arterial, sendo observada uma associação inversa entre a presença de DCV e a ingestão de álcool.
This study aimed to analyze the differences in the prevalence of cardiovascular disease (CVD) between 2000 and 2010 and its association with socioeconomic and risk factors among the elderly. Bayesian multilevel models were applied to analyze the differences in the prevalence of CVD, and the associations between individual characteristics and presence of CVD were analyzed by logistic regression models with complex samples, separately for 2000, 2006 and 2010. This research is part of the Health, Welfare and Aging (SABE) study, performed in Sao Paulo, Brazil, and used the samples collected in 2000, 2006 and 2010. An increase in cardiovascular disease prevalence among elderly was observed during the period, from 17.9% in 2000, to 22.2% in 2006, reaching 22.9% in 2010. In reference to the prevalence observed in 2000, the multilevel analysis indicated a significant increase in presence of cardiovascular diseases in 2006 (OR = 3.20 95%CI = 1.93-5.31) and 2010 (OR = 2.98 95%CI = 1.51-5.89), even after controlling for individual factors. The presence of CVD was associated with older age, smoking history, presence of diabetes and hypertension, and an inverse association was observed between CVD presence and alcohol intake.
Analysis of the prevalence of cardiovascular diseases and associated factors among the elderly, 2000-2010.
Resumo (abstract):
This study aimed to analyze the differences in the prevalence of cardiovascular disease (CVD) between 2000 and 2010 and its association with socioeconomic and risk factors among the elderly. Bayesian multilevel models were applied to analyze the differences in the prevalence of CVD, and the associations between individual characteristics and presence of CVD were analyzed by logistic regression models with complex samples, separately for 2000, 2006 and 2010. This research is part of the Health, Welfare and Aging (SABE) study, performed in Sao Paulo, Brazil, and used the samples collected in 2000, 2006 and 2010. An increase in cardiovascular disease prevalence among elderly was observed during the period, from 17.9% in 2000, to 22.2% in 2006, reaching 22.9% in 2010. In reference to the prevalence observed in 2000, the multilevel analysis indicated a significant increase in presence of cardiovascular diseases in 2006 (OR = 3.20 95%CI = 1.93-5.31) and 2010 (OR = 2.98 95%CI = 1.51-5.89), even after controlling for individual factors. The presence of CVD was associated with older age, smoking history, presence of diabetes and hypertension, and an inverse association was observed between CVD presence and alcohol intake.
Massa, Kaio, Duarte, Y.A.O, Chiavegatto Filho, Alexandre. Análise da prevalência de doenças cardiovasculares e fatores associados em idosos, 2000-2010.. Cien Saude Colet [periódico na internet] (2017/abr). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/analise-da-prevalencia-de-doencas-cardiovasculares-e-fatores-associados-em-idosos-20002010/16212?id=16212&id=16212
