• FELIPE GUIMARAES TAVARES - Tavares, F. G. - RIO DE JANEIRO, RJ - ESCOLA NACIONAL DE SAÚDE PÚBLICA / FUNDAÇÃO OSWALDO CRUZ - <felipetavares@ensp.fiocruz.br>
• CARLOS EVERALDO ALVARES COIMBRA JUNIOR - Coimbra Jr., C.E.A - ESCOLA NACIONAL DE SAÚDE PÚBLICA / FUNDAÇÃO OSWALDO CRUZ - <coimbra@ensp.fiocruz.br>
Área Temática:
Epidemiologia
Resumo:
Os povos indígenas no Brasil vivenciam acelerado processo de transição nutricional e epidemiológica, verificando-se a emergência de doenças e agravos não transmissíveis, como hipertensão arterial (HA). Realizou-se, em 2005, um estudo transversal para descrever os níveis tensionais em adultos (≥ 20 anos) indígenas Suruí, Rondônia, e investigar sua relação com o estado nutricional e o nível socioeconômico (SSE). Foram visitadas 9 aldeias e avaliados 251 indivíduos (87,4% dos elegíveis). As médias de PAS e PAD foram maiores no sexo masculino e superiores às verificadas em 1988, com incremento na média da PAS de 7,9 mmHg e de 1,4 mmHg, em mulheres e homens, respectivamente. A PAS apresentou correlações estatisticamente significativas com razão cintura quadril (RCQ) em ambos os sexos, e idade no sexo feminino. A PAD apresentou correlações estatisticamente significativas com todas as variáveis antropométricas, exceto com estatura e área muscular do braço. A prevalência de HA foi 2,8% (M: 2,4%; F: 3,1%). Essa prevalência foi maior nos indivíduos ≥ 40 anos, nos com perímetro da cintura (PC) ou RCQ elevados, sobretudo no grupo feminino e também no grupo de mais baixo SSE. A HA é um problema de saúde emergente entre os Suruí, devendo receber atenção do sistema de saúde e dos pesquisadores.
Indigenous peoples in Brazil are going through rapid epidemiologic and nutrition transition, with non-communicable diseases such as hypertension emerging in their health profile. A cross-sectional study was carried out in 9 Suruí Indian villages (n-251 subjects) in Rondônia, Brazilian Amazon, in 2005, in order to assess blood pressure levels in adults (≥ 20 years of age), as well as to investigate its possible relationship with nutritional and socioeconomic status (SES). Mean systolic (SBP) and diastolic blood pressure (DBP) were higher in men, and both were higher in comparison to the same parameters measured in 1988. An increase on average of SBP was noted in this period, corresponding to 7.9 mmHg and of 1.4 mmHg in women and men, respectively. SBP showed statistically significant correlations with waist-hip ratio (WHR) in both sexes and with age in women. DBP showed statistically significant correlations with all anthropometric variables, except height and arm muscle area. The prevalence of hypertension was 2.8% (M: 2.4%, F: 3.1%), being higher in subjects ≥ 40 years or with high waist circumference (WC) or WHR, especially in women and also in the group that showed lower SES. The study concludes that hypertension is an emerging health problem among Suruí.
Keywords:
Blood pressure
anthropometry
South American Indians
Amazon
Suruí
Blood pressure levels of adult indigenous Suruí, Rondônia, Brazil
Resumo (abstract):
Indigenous peoples in Brazil are going through rapid epidemiologic and nutrition transition, with non-communicable diseases such as hypertension emerging in their health profile. A cross-sectional study was carried out in 9 Suruí Indian villages (n-251 subjects) in Rondônia, Brazilian Amazon, in 2005, in order to assess blood pressure levels in adults (≥ 20 years of age), as well as to investigate its possible relationship with nutritional and socioeconomic status (SES). Mean systolic (SBP) and diastolic blood pressure (DBP) were higher in men, and both were higher in comparison to the same parameters measured in 1988. An increase on average of SBP was noted in this period, corresponding to 7.9 mmHg and of 1.4 mmHg in women and men, respectively. SBP showed statistically significant correlations with waist-hip ratio (WHR) in both sexes and with age in women. DBP showed statistically significant correlations with all anthropometric variables, except height and arm muscle area. The prevalence of hypertension was 2.8% (M: 2.4%, F: 3.1%), being higher in subjects ≥ 40 years or with high waist circumference (WC) or WHR, especially in women and also in the group that showed lower SES. The study concludes that hypertension is an emerging health problem among Suruí.
Palavras-chave (keywords):
Blood pressure
anthropometry
South American Indians
Amazon
Suruí
Tavares, F. G., Cardoso, A. M., Coimbra Jr., C.E.A. Níveis tensionais de adultos indígenas Suruí, Rondônia, Brasil. Cien Saude Colet [periódico na internet] (2012/Jul). [Citado em 28/09/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/niveis-tensionais-de-adultos-indigenas-surui-rondonia-brasil/10598?id=10598&id=10598
