The natural history of cardiovascular risk factors in health professionals: 20-year follow-up

BMC Public Health

Research Article

Thais Inacio Rolim Povoa¹  Brunela Chinem¹  Rafaela Bernardes¹  Ana Luiza Lima Sousa¹  Paulo Cesar Brandão Veiga Jardim¹  Thiago Veiga Jardim¹  Luciana Jardim¹  Weimar Kunz Sebba Barroso¹  Antonio Coca² 

[1] Hypertension League, Federal University of Goiás, Primeira Avenida Sem número, Setor Universitário, CEP 74000-000, Goiânia Goiás, Brazil;Hypertension and Vascular Risk Unit, Hospital Clínic (IDIBAPS), University of Barcelona, Barcelona, Spain;

关键词: Body Mass Index;    Blood Glucose;    Alcohol Consumption;    Cardiovascular Risk Factor;    Excessive Weight;   

DOI  :  10.1186/s12889-015-2477-8

 received in 2015-07-17, accepted in 2015-11-06,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThe knowledge of the presence and evolution of cardiovascular risk factors in young people may significantly contribute to actions to modify the natural history of these risks and prevent the onset of cardiovascular disease.ObjectivesTo assess the presence and evolution of cardiovascular risk factors in health professionals over a 20-year period.MethodsA group of individuals was evaluated when they first started graduate programs in medicine, nursing, nutrition, dentistry, and pharmacy, and 20 years later. Data obtained in the two phases were compared. Questionnaires about hypertension, diabetes, hypercholesterolemia, family history of early-onset cardiovascular disease, smoking, alcohol consumption, and sedentary lifestyle were administered. Cholesterol, blood glucose, blood pressure, weight, height, and body mass index (BMI) were measured.ResultsOf the 281 individuals (62.9 % women; mean age 19.7 years) initially analyzed, 215 (59.07 % women; mean age 39.8 years) were analyzed 20 years later. An increase in mean values of systolic (111.6 vs 118.7 mmHg– p < 0.001) and diastolic blood pressure (71vs 77.1 mmHg – p < 0.001), cholesterol (150.1 vs 182.4 mg/dL – p < 0.001), blood glucose (74.3 vs 81.4 mg/dL – p < 0.001) and BMI (20.7 vs 23.7 kg/m2 – p = 0.017) was observed. Despite the decrease of sedentarism (50.2 vs 38.1 % - p = 0.015), the prevalence of hypertension (4.6 vs 18.6 % - p < 0.001), excessive weight (8.2 vs 32.1 % - p < 0.001), hypercholesterolemia (7.8 vs 24.2 % - p < 0.001), and alcohol consumption (32.7 vs 34.9 % - p = 0.037) increased. There was no change in the prevalence of smoking.ConclusionHealth professionals presented an increase in systolic and diastolic blood pressure, blood glucose, body mass index, and cholesterol over the 20-year study period. Regarding the prevalence of cardiovascular risk factors, increased blood pressure, overweight, hypercholesterolemia and alcohol consumption, and a decrease in sedentary lifestyle were observed.

【 授权许可】

CC BY   
© Jardim et al. 2015