0262/2020 - Saúde cardiovascular e validação do escore autorreferido no Brasil: uma análise da Pesquisa Nacional de Saúde Cardiovascular health and validation of the self-reported score in Brazil: analysis of the National Health Survey
Objetivo: Estimar a prevalência de saúde cardiovascular e a validade do escore autorreferido na população brasileira. Métodos: Estudo transversal, metodológico, com 8.943 indivíduos adultos e dados laboratoriais da Pesquisa Nacional de Saúde 2013. Escores utilizados: comportamental (índice de massa corporal, tabagismo, dieta, atividade física, ideal se ? 3 fatores ideais), biológico (tabagismo, dislipidemia, hipertensão e diabetes, ideal se ? 3 fatores ideais) e saúde cardiovascular (todos os fatores, , ideal se ? 4 fatores ideais). Estimaram-se prevalências dos escores e análises de sensibilidade e especificidade dos escores autorreferidos, considerando padrão-ouro os escores com variáveis aferidas. Resultados:56,7% indivíduos apresentaram valores ideais para o escore de saúde cardiovascular aferido. Para o escore biológico autorreferido, a sensibilidade foi de 92% e a especificidade 30%. Para o comportamental autorreferido, a sensibilidade e especificidade foram, respectivamente, 90,6% e 97,2%. O escore de saúde cardiovascular autorreferido teve sensibilidade 92,4% e especificidade 48,5%. Conclusão: Pouco mais da metade da população apresentou escore de saúde cardiovascular ideal. O escore autorreferido apresentou boa sensibilidade e menores proporções de especificidade.
Palavras-chave:
Estudo de Validação, Doenças Cardiovasculares, Autorrelato, Inquéritos e Questionários
Abstract:
Objective: To estimate the prevalence of cardiovascular health and the validity of the self-reported score in the Brazilian population. Methods: Cross-sectional, methodological study with 8,943 adult individuals and laboratory datathe National Health Survey 2013. Scores used: behavioral (body mass index, smoking, diet, physical activity, ideal if ≥ 3 ideal factors), biological (smoking, dyslipidemia, hypertension and diabetes, ideal if ≥ 3 ideal factors) and cardiovascular health (all factors, ideal if ≥ 4 ideal factors). Prevalence of the scores and analyzes of sensitivity and specificity of the self-reported scores were estimated, considering as gold standard the scores with measured variables. Results: 56.7% individuals had ideal values for the measured cardiovascular health score. For the self-reported biological score, sensitivity was 92% and specificity 30%. For self-reported behavior, sensitivity and specificity were, respectively, 90.6% and 97.2%. The self-reported cardiovascular health score had a sensitivity of 92.4% and specificity of 48.5%. Conclusion: about half of the population had an ideal cardiovascular health score. The self-reported score showed good sensitivity and lower proportions of specificity.
Keywords:
Validation Study, Cardiovascular Diseases, Self-Report, Surveys and Questionnaires
Cardiovascular health and validation of the self-reported score in Brazil: analysis of the National Health Survey
Resumo (abstract):
Objective: To estimate the prevalence of cardiovascular health and the validity of the self-reported score in the Brazilian population. Methods: Cross-sectional, methodological study with 8,943 adult individuals and laboratory datathe National Health Survey 2013. Scores used: behavioral (body mass index, smoking, diet, physical activity, ideal if ≥ 3 ideal factors), biological (smoking, dyslipidemia, hypertension and diabetes, ideal if ≥ 3 ideal factors) and cardiovascular health (all factors, ideal if ≥ 4 ideal factors). Prevalence of the scores and analyzes of sensitivity and specificity of the self-reported scores were estimated, considering as gold standard the scores with measured variables. Results: 56.7% individuals had ideal values for the measured cardiovascular health score. For the self-reported biological score, sensitivity was 92% and specificity 30%. For self-reported behavior, sensitivity and specificity were, respectively, 90.6% and 97.2%. The self-reported cardiovascular health score had a sensitivity of 92.4% and specificity of 48.5%. Conclusion: about half of the population had an ideal cardiovascular health score. The self-reported score showed good sensitivity and lower proportions of specificity.
Palavras-chave (keywords):
Validation Study, Cardiovascular Diseases, Self-Report, Surveys and Questionnaires
Moreira, A.D, Gomes, C.S, Machado, I.E., Malta, D.C., Felisbino-Mendes, M.S.. Saúde cardiovascular e validação do escore autorreferido no Brasil: uma análise da Pesquisa Nacional de Saúde. Cien Saude Colet [periódico na internet] (2020/ago). [Citado em 22/01/2025].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/saude-cardiovascular-e-validacao-do-escore-autorreferido-no-brasil-uma-analise-da-pesquisa-nacional-de-saude/17744?id=17744
