Differences in Early Cardiovascular Risk Markers in Adults from the Municipality of El Carmen de Chucurí

Authors

Keywords:

Body composition, Hand strength, Blood pressure, Public health

Abstract

Introduction: There is a lack of studies comparing cardiovascular risk markers between urban and rural populations in specific local contexts.

Objective: To establish differences between rural and urban populations regarding early cardiovascular risk markers in adults from the municipality of El Carmen de Chucurí.

Method: A quantitative, non-experimental research design was conducted. From a total population of 20,500 inhabitants, a random sample of 815 sedentary subjects aged 18 to 40 years was selected (406 from rural areas and 409 from urban areas). Body Mass Index (BMI), body composition, handgrip strength, and blood pressure were assessed as early markers of cardiovascular risk.

Results: Men in the rural sector showed lower values for BMI (25.11 kg/m²) and body fat percentage (23.11%) compared to the urban sector (BMI: 25.46 kg/m²; body fat: 25.48%). Regarding blood pressure, rural men recorded a mean of 130.26 mmHg (systolic) and 82.04 mmHg (diastolic), while urban men showed 127.83 mmHg and 79.46 mmHg, respectively. In handgrip strength, urban men presented better results than rural men in both the right hand (44.96 kg vs. 43.44 kg) and the left hand (43.53 kg vs. 42.36 kg). Women in the urban sector also showed higher values compared to those in the rural sector (right hand: 28.11 kg vs. 27.70 kg; left hand: 27.56 kg vs. 27.31 kg).

Conclusions: The population of Carmen de Chucurí presented homogeneous characteristics regarding cardiovascular risk markers when comparing rural and urban groups, with no significant clinical differences between them.

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References

1. Villarreal E, Forero Y, Poveda E, Baracaldo C, López E. Marcadores de riesgo cardiovascular en escolares de cinco departamentos de la región oriental en Colombia. Biomedica. 2008;28(1):38-49. DOI: https://doi.org/10.7705/biomedica.v28i1.107

2. Cífková R, Bruthans J, Wohlfahrt P, Krajčoviechová A, Šulc P, Jozífová M, et al. 30-year trends in major cardiovascular risk factors in the Czech population, Czech MONICA and Czech post-MONICA, 1985 - 2016/17. PLoS One [Internet]. 2020 [citado 12 Jun 2023];15(5):e0232845. Disponible en: https://doi.org/10.1371/journal.pone.0232845

3. Otero J, Camacho PA, Gómez-Peña LM, Rueda-Quijano SM, Gómez-Cuellar JF, Rey JJ, et al. Medición, control y conocimiento de la presión arterial: Iniciativa Mayo Mes de la Medición Colombia 2017. Hipertens Riesgo Vasc. 2020;37(1):4-10. DOI: https://doi.org/10.1016/j.hipert.2019.03.004

4. Marrugat J, Elosua R, Icaza G, Morales-Salinas A, Dégano IR. Utilidad práctica de las funciones de riesgo cardiovascular. Medwave. 2016;16(Suppl4):e6792. DOI: https://doi.org/10.5867/medwave.2016.6792

5. Brotons Cuixart C. Los nuevos marcadores de riesgo cardiovascular: ¿de dónde venimos, dónde estamos, hacia donde vamos? Clin Invest Arterioscl. 2012;24(2):89-91. DOI: https://doi.org/10.1016/j.arteri.2012.02.005

6. Kannel WB, Dawber TR, Kagan A, Revotskie N, Stokes J. Factors of risk in the development of coronary heart disease — Six year follow-up experience. The Framingham Study. Ann Intern Med. 1961;55(1):33-50. DOI: https://doi.org/10.7326/0003-4819-55-1-33

7. Sánchez-Herrera B, Carrillo GM, Chaparro-Díaz L, Carreño SP, Gómez OJ. Concepto carga en los modelos teóricos sobre enfermedad crónica: Revisión sistemática. Rev Salud Pública. 2016;18(6):976-85. DOI: https://doi.org/10.15446/rsap.v18n6.53210

8. Esteve-Ruiz I, Grande-Trillo A, Acosta-Delgado D. Factores de riesgo cardiovascular, ¿realmente existe una relación con el nivel educativo? Cardiocore. 2015;50(1):34-7. DOI: https://doi.org/10.1016/j.carcor.2014.12.003

9. Doron D, Muñoz M. Marcadores cardiacos y riesgo cardiovascular. Rev Médica Clínica Las Condes. 2015;26(2):133-41. DOI: https://doi.org/10.1016/j.rmclc.2015.04.002

10. Banks E, Crouch SR, Korda RJ, Stavreski B, Page K, Thurber KA, et al. Absolute risk of cardiovascular disease events, and blood pressure- and lipid-lowering therapy in Australia. Med J Aust. 2016;204(8):320.e3-e8. Disponible en: https://doi.org/10.5694/mja15.01004

11. Rodrigues LC, Rego Fortes MS, Muniz Lippert MA, Da Rosa SE, Filho JF. Visceral fat, physical fitness and biochemical markers of brazilian military personnel. Rev Bras Med Esporte. 2020;26(1):21-4. DOI: https://doi.org/10.1590/1517-869220202601187736

12. Park JJ, Choi DJ. Current status of heart failure: Global and Korea. Korean J Intern Med. 2020;35(3):487-97. DOI: https://doi.org/10.3904/kjim.2020.120

13. Du T, Fernandez C, Barshop R, Guralnik J, Bazzano LA. Cardiovascular risk factors from childhood and midlife physical function: The Bogalusa Heart Study. Exp Gerontol [Internet]. 2020 [citado 14 Jun 2023];136:110947. Disponible en: https://doi.org/10.1016/j.exger.2020.110947

14. Pacheco-Herrera JD, Ramírez-Vélez R, Correa-Bautista JE. Índice general de fuerza y adiposidad como medida de la condición física relacionada con la salud en niños y adolescentes de Bogotá, Colombia: Estudio FUPRECOL. Nutr Hosp. 2016;33(3):556-64. Enlace: https://scielo.isciii.es/pdf/nh/v33n3/09_original8.pdf

15. Triana-Reina HR, Ramírez-Vélez R. Asociación de la fuerza muscular con marcadores tempranos de riesgo cardiovascular en adultos sedentarios. Endocrinol Nutr. 2013;60(8):433-8. DOI: https://doi.org/10.1016/j.endonu.2013.01.009

16. Leong DP, Teo KK, Rangarajan S, Lopez-Jaramillo P, Avezum A Jr, Orlandini A, et al. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. 2015;386(9990):266-73. DOI: https://doi.org/10.1016/S0140-6736(14)62000-6

17. Vintimilla R, Reyes M, Johnson L, Hall J, O'Bryant S. Cardiovascular risk factors in Mexico and the United States: a comparative cross-sectional study between the HABLE and MHAS participants. Gac Med Mex. 2020;156(1):17-21. DOI: https://doi.org/10.24875/GMM.19005350

18. Bailey DP, Withers TM, Goosey-Tolfrey VL, Dunstan DW, Leicht CA, Champion RB, et al. Acute effects of breaking up prolonged sedentary time on cardiovascular disease risk markers in adults with paraplegia. Scand J Med Sci Sports. 2020;30(8):1398-408. DOI: https://doi.org/10.1111/sms.13671

19. Ångström L, Hörnberg K, Sundström B, Jonsson SW, Södergren A. Aerobic capacity is associated with disease activity and cardiovascular risk factors in early rheumatoid arthritis. Physiother Res Int [Internet]. 2020 [citado 14 Jun 2023];25(3):e1833. Disponible en: https://doi.org/10.1002/pri.1833

20. Briceño G, Céspedes J, Leal M, Vargas S. Prevalence of cardiovascular risk factors in schoolchildren from a rural and urban area in Colombia. Biomedica. 2018;38(4):545-54. DOI: https://doi.org/10.7705/biomedica.v38i4.4223

21. Amaral JF, Mancini M, Novo Júnior JM. Comparison of three hand dynamometers in relation to the accuracy and precision of the measurements. Rev Bras Fisioter. 2012;16(3):216-24. DOI: https://doi.org/10.1590/S1413-35552012000300007

22. Giraldo Gómez D, Zabala Cuestas LC. Fuerza prensil como indicador de riesgo cardiovascular en jóvenes de pregrado de la Universidad de La Sabana: estudio Fuprecol Unisabana [Tesis]. Chía: Universidad de La Sabana [Internet]; 2018 [citado 15 Jun 2023]. Disponible en: http://hdl.handle.net/10818/35387

23. Omron®. Manual de instrucciones. Balanza de control corporal Modelo HBF-514C [Internet]. 2020 [citado 15 Jun 2023]. Disponible en: http://bit.ly/494EsdY

24. Martínez EG. Composición corporal: Su importancia en la práctica clínica y algunas técnicas relativamente sencillas para su evaluación. Salud Uninorte. 2009;25(2):98-116. Enlace: http://www.scielo.org.co/pdf/sun/v26n1/v26n1a11.pdf

25. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension. 2018;71(6):1269-324. DOI: https://doi.org/10.1161/hyp.0000000000000066

26. Rendón-Macías ME, Zarco-Villavicencio IS, Villasís-Keever MÁ. Métodos estadísticos para el análisis del tamaño del efecto. Rev Alerg Mex. 2021;68(2):128-36. DOI: https://doi.org/10.29262/ram.v658i2.949

27. Das M, Pal S, Ghosh A. Rural urban differences of cardiovascular disease risk factors in adult Asian Indians. Am J Hum Biol. 2008 Jul-Aug;20(4):440-5. DOI: https://doi.org/10.1002/ajhb.20757

28. Houehanou YC, Lacroix P, Mizehoun GC, Preux PM, Marin B, Houinato DS. Magnitude of cardiovascular risk factors in rural and urban areas in Benin: findings from a nationwide steps survey. PLoS One [Internet]. 2015 [citado 18 Jun 2023];10(5):e0126441. Disponible en: https://doi.org/10.1371/journal.pone.0126441

29. Lindroth M, Lundqvist R, Lilja M, Eliasson M. Cardiovascular risk factors differ between rural and urban Sweden: the 2009 Northern Sweden MONICA cohort. BMC Public Health. 2014;14:825. DOI: https://doi.org/10.1186/1471-2458-14-825

30. Ji C, Zheng L, Zhang R, Wu Q, Zhao Y. Handgrip strength is positively related to blood pressure and hypertension risk: results from the National Health and nutrition examination survey. Lipids Health Dis. 2018;17(1):86. DOI: https://doi.org/10.1186/s12944-018-0734-4

31. Van Daele CM, Chirinos JA, De Meyer T, De Buyzere ML, Langlois MR, Bekaert S, et al. Muscle strength is a major determinant of the blood pressure response to isometric stress testing: the Asklepios population study. J Hypertens. 2020;38(2):224-34. DOI: https://doi.org/10.1097/HJH.0000000000002272

32. Oliveros Rangel O, García Yerena CE, Bustos-Viviescas BJ, Villamizar Navarro A, Lizcano Sánchez AP. Relación entre fuerza prensil y riesgo cardiovascular en adultos del municipio del Carmen de Chucurí. Rev Cuba Cardiol Cir Cardiovasc [Internet]. 2023 [citado 11 Sep 2023];29(4):e2195. Disponible en: https://revcardiologia.sld.cu/index.php/revcardiologia/article/view/2195/pdf

Published

2025-01-12 — Updated on 2025-01-12

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Oliveros Rangel O, García Yerena CE, Bustos-Viviescas BJ, Villamizar Navarro A, Lizcano Sánchez AP. Differences in Early Cardiovascular Risk Markers in Adults from the Municipality of El Carmen de Chucurí. CorSalud [Internet]. 2025 Jan. 12 [cited 2026 Feb. 2];16(1):e974. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/974

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