Epidemiological characterization of some variables related to lifestyle and cardiovascular risk factors in hypertensive patients
Abstract
Introduction: The high blood pressure (HBP) is a frequent reason for consultation in health services and it is one of the most common diseases that affects adult individuals in all parts of the world. Its epidemiological characterization is very important to prevent risks.
Objectives: To determine the prevalence of HBP, its strength of association with some epidemiological and lifestyle variables, and its percentage population attributable risk.
Method: A retrospective analytical observational epidemiological research (cases and controls) was conducted to determine the strength of association of some variables related to HBP in the population of 15 or more years of age.
Results: The punctual prevalence rate of high blood pressure was 111.5 × 103. Caucasian patients predominated, in the age group between 45-59 years, without sex differences. The most prevalent modifiable risk factors were the ingestion of salt, the consumption of coffee, the non-practice of physical exercise and the habit of smoking. The highest percentage population attributable risk figures corresponded to the ingestion of salt, the non-practice of physical exercise and obesity.
Conclusions: The overweight, obesity, increased consumption of salt, little or no practice of physical exercise, excessive consumption of coffee, smoking, personal pathological history of diabetes mellitus, regardless of type, and family history of high blood pressure showed a causal association with HBP and, therefore, with the risk of suffering some of its complications, mainly cardio-cerebrovascular and renal.
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1. Pérez Caballero MD, Dueñas Herrera A, Alfonzo Guerra JP, Vázquez Vigoa A, Navarro Despaigne D, del Pozo Jerez HA, et al. Hipertension Arterial: Guía para la prevención, diagnóstico y tratamiento. La Habana: Editorial Ciencias Médicas; 2008.
2. Ostchega Y, Dillon CF, Hughes JP, Carroll M, Yoon S. Trends in hypertension prevalence, awareness, treatment, and control in older U.S. adults: data from the National Health and Nutrition Examination Survey 1988 to 2004. J Am Geriatr Soc. 2007;55(7):1056-65.
3. Fuster V, Voûte J. MDGs: chronic diseases are not on the agenda. Lancet. 2005;366(9496):1512-4.
4. Yusuf S, Reddy S, Ounpuu S, Anand S. Global burden of cardiovascular diseases: Part I: General considerations, the epidemiologic transition, risk factors, and impact of urbanization. Circulation. 2001;104 (22):2746-53.
5. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-52.
6. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F, et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. Lancet. 2004;364(9438):937-52.
7. Ministerio de Salud Pública. Anuario Estadístico de Salud 2016. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2017.
8. Pérez Caballero MD, Dueñas Herrera A, Alfonzo Guerra JP, Vázquez Vigoa A, Navarro Despaigne D, Hernández Cueto M, et al. Guía cubana para la prevención, diagnóstico y tratamiento de la hipertensión arterial. La Habana: MINSAP; 2006.
9. Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial. Rev Cuban Med [Internet]. 2017 [citado 10 Mar 2018];56(4):242-321. Disponible en: http://scielo.sld.cu/pdf/med/v56n4/med01417.pdf
10. Pérez Caballero MD, León Álvarez JL, Dueñas Herrera A, Alfonzo Guerra JP, Navarro Despaigne DA, de la Noval García R, et al. Guía cubana de diagnóstico, evaluación y tratamiento de la hipertensión arterial. Rev Cubana Med [Internet]. 2017 [citado 13 Mar 2018];56(4):242-321. Disponible en: http://scielo.sld.cu/pdf/med/v56n4/med01417.pdf
11. Mediavilla García JD, Fernández-Torres C, Arroyo A, Jiménez-Alonso J. Estudio del patrón circadiano de la presión arterial en pacientes hipertensos. An Med Interna (Madrid). 2007;24(2):61-6.
12. Kikuya M, Ohkubo T, Asayama K, Metoki H, Obara T, Saito S, et al. Ambulatory blood pressure and 10-year risk of cardiovascular and noncardiovascular mortality: The Ohasama Study. Hypertension. 2005;45(2):240-5.
13. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.
14. Dueñas Herrera A, de la Noval García R, Armas Rojas N. Manual para la Educación del paciente Hipertenso. Entrenamiento al personal de la Salud. La Habana: MINSAP; 2008.
15. Roméu M, Sabina D, Sabina B. Evaluación del paciente hipertenso: Experiencia de la consulta especializada de hipertensión arterial. Medisur [Internet]. 2005 [citado 24 Feb 2018];3(2):5-11. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/101/4727
16. Soto-Ruiz KM, Peacock WF, Varon J. Perioperative hypertension: diagnosis and treatment. Neth J Crit Care. 2011;15(3):143-8.
17. James MFM, Dyer RA, Rayner BL. A modern look at hypertension and anaesthesia. S Afr J Anaesth Analg. 2011;17(2):168-73.
18. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360(9349):1903-13.
19. Huerta B. Factores de riesgo para la hipertensión arterial. Arch Cardiol Méx. 2001;71(Supl 1):208-10.
20. Céspedes E, Ponte G, Riverón G, Castillo JA. Marcadores de estrés oxidativo en pacientes hipertensos de una población rural en provincia Habana. Rev Cuban Invest Bioméd [Internet]. 2008 [citado 10 Mar 2018];27(1). Disponible en: http://scielo.sld.cu/pdf/ibi/v27n1/ibi02108.pdf
21. Jiménez Acosta SM, Rodríguez Suárez A, Díaz Sánchez ME. La obesidad en Cuba. Una mirada a su evolución en diferentes grupos poblacionales. Rev Cuban Aliment Nutr [Internet]. 2013 [citado 11 Mar 2018];23(2):297-308. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/299/289
22. Lao XQ, Xu YJ, Wong MC, Zhang YH, Ma WJ, Xu XJ, et al. Hypertension prevalence, awareness, treatment, control and associated factors in a developing southern Chinese population: analysis of serial cross-sectional health survey data 2002-2010. Am J Hypertens. 2013;26(11):1335-45.
23. Álvarez Gómez JL, Terrero EO, Díaz Novás J, Ferrer Arrocha M. Exceso de peso corporal e hipertensión arterial en adolescentes de secundaria básica. Rev Cuban Med Gen Integr [Internet]. 2010 [citado 11 Mar 2018];26(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252010000100004&lng=es&nrm=iso&tlng=es
24. Pérez Caballero MD. Aportes al estudio de la hipertensión arterial en Cuba [tesis doctoral en Internet]. La Habana: Instituto Superior de Ciencias Médicas de la Habana; 2008 [citado 11 Mar 2018]. Disponible en: http://tesis.sld.cu/index.php?P=DownloadFile&Id=526
25. Dueñas AF, Hernández O, Armas N, Sosa E, de la Noval R, Aguiar J. Manejo comunitario de la hipertensión arterial en el municipio Jagüey Grande, Matanzas. Rev Cuban Cardiol [Internet]. 2010 [citado 10 Mar 2018];16(3):251-8. Disponible en: http://www.revcardiologia.sld.cu/index.php/revcardiologia/article/view/171/112
26. De la Noval R, Armas NB, Dueñas A, Acosta M, Pagola J, Cáceres F. Programa de control de la hipertensión arterial en el municipio Plaza (CHAPLAZA). Rev Cubana Med Gen Integr [Internet]. 2005 [citado 14 Mar 2018];21(5-6). Disponible en: http://scielo.sld.cu/pdf/mgi/v21n5-6/mgi035-605.pdf
27. Díaz AA. Epidemiología de la hipertensión arterial y factores de riesgo cardiovascular en una población rural de la República Argentina [tesis doctoral en Internet]. La Plata: Universidad Nacional de La Plata; 2013 [citado 14 Mar 2018]. Disponible en: http://sedici.unlp.edu.ar/bitstream/handle/10915/30104/Documento_completo__.%20Epidemiologia%20de%20la%20hipertension.pdf?sequence=3&isAllowed=y
28. Pérez MD. Guías para diagnóstico y tratamiento de la hipertensión arterial en el siglo XXI. Rev Cubana Med [Internet]. 2013 [citado 12 Mar 2018];52(4):286-94. Disponible en: http://scielo.sld.cu/pdf/med/v52n4/med08413.pdf
29. Xu L, Wang S, Wang YX, Wang YS, Jonas JB. Prevalence of arterial hypertension in the adult population in rural and urban China: The Beijing Eye Study. Am J Hypertens. 2008;21(10):1117-23.
30. Zhang Y, Moran AE. Trends in the Prevalence, Awareness, Treatment, and Control of Hypertension Among Young Adults in the United States, 1999 to 2014. Hypertension. 2017;70(4):736-42.
31. Dorobantu M, Darabont RO, Badila E, Ghiorghe S. Prevalence, Awareness, Treatment, and Control of Hypertension in Romania: Results of the SEPHAR Study. Int J Hypertens [Internet]. 2010 [citado 11 Mar 2018];2010:970694. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958500/pdf/IJHT2010-970694.pdf
32. Burroughs Peña MS, Abdala CVM, Silva LC, Ordúñez P. Usefulness for surveillance of hypertension prevalence studies in Latin America and the Caribbean: the past 10 years. Rev Panam Salud Publica. 2012;32(1):15-21.
33. López-Jaramillo P, Sánchez RA, Diaz M, Cobos L, Bryce A, Parra Carrillo JZ, et al. Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome. J Hypertens. 2013;31(2):223-38.
34. Ordunez P, Munoz JL, Espinosa-Brito A, Silva LC, Cooper RS. Ethnicity, education, and blood pressure in Cuba. Am J Epidemiol. 2005;162(1):49-56.
35. Ordúñez P, Barceló A, Bernal JL, Espinosa A, Silva LC, Cooper RS. Risk factors associated with uncontrolled hypertension: findings from the baseline CARMEN survey in Cienfuegos, Cuba. J Hypertens. 2008;26(4):663-71.
36. Ordúñez P, Kaufman JS, Benet M, Morejon A, Silva LC, Shoham DA, Cooper RS. Blacks and Whites in the Cuba have equal prevalence of hypertension: confirmation from a new population survey. BMC Public Health [Internet]. 2013 [citado 13 Mar 2018];13:169. Disponible en: https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-13-169
37. Lopez-Garcia E, Orozco-Arbeláez E, Leon-Muñoz LM, Guallar-Castillon P, Graciani A, Banegas JR, Rodríguez-Artalejo F. Habitual coffee consumption and 24-h blood pressure control in older adults with hypertension. Clin Nutr. 2016;35(6):1457-63.
38. Rizvi AA. Addressing hypertension in the patient with type 2 diabetes mellitus: pathogenesis, goals, and therapeutic approach. Eur Med J Diabetes. 2017;5(1):84-92.
39. De All J, Lanfranconi M, Bledel I, Doval H, Hughes A, Laroti A, et al. Prevalencia de la hipertensión arterial en poblaciones rurales del norte argentino. Hipertens Riesgo Vasc. 2012;29(2):31-5.
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