[PP.11.29] CARDIOVASCULAR RISK PROFILE IN A FAMILY HEALTH PROGRAM IN RIO DE JANEIRO – A PILOT PROJECT. (September 2017)

• Record Type: Journal Article
• Authors: Santos, T. Lorena Dos; Lobão, M.B.; Santana, J. Prado; Paula, E. Louysi D.; Ruschel, M. Roveda; Hermsdorff, C. Freitas; Cunha, M. Loureiro; Rozemberg, L. Bom; Tostes, C. Nessimian; Mayer, T. Amado; Barata, C. Pavani; Santana, L. Oliveira; Oliveira, T. Santos; Silva, L. Fernandes Da; Lima, J. Barros De; Fontes, L. Flores; Carvalho, A. Nunes; Sampaio, C.; Fuchs, R.J. Povoleri; Muxfeldt, E.S.
• Is Part Of: Journal of hypertension. Volume 35(2017)Supplement 2
• Publication Date: 2017-09
• Subjects: Hypertension -- Periodicals; Hypertension -- Periodicals; 616.132005
• DOI: 10.1097/01.hjh.0000523513.23576.84
• Languages: English
• ISSNs: 1473-5598

Abstract

Abstract : Objective: To evaluate the cardiovascular (CV) risk profile of a young adult population assisted by a Family Health Program unit in Rio de Janeiro – LapARC cohort study. Design and method: This is a cross-sectional population study enrolling young adult between 20–50 years. The eligible population consisted of all 1, 795 residents in Rio de Janeiro downtown, previously registered in Family Health Program unit. This pilot project intends to evaluate 15% of the total population at this first moment. A database is being developed at the entrance of each participant into the cohort, including sociodemographic characteristics, CV risk factors (hypertension, diabetes, dyslipidemia, smoking, physical inactivity, and obesity), and previous CV diseases. All subjects were submitted to a standard protocol, including a thorough clinical examination, a laboratory evaluation, and electrocardiogram. Clinic BP was measured on 2 occasions with suitably sized cuffs, with patients in the supine position, using a digital BP monitor. The mean between the 2 readings was registered. Results: A total of 270 subjects [34.2% males, mean (SD) age: 38 (9) years] were evaluated. The distribution of socio-demographic variables revealed a medium schooling levels (12 [1–23] years), being 22% in elementary school, 60% in high school and 18% in graduation and a predominance of low personal income was observed. One third of cohort members are married (34%). Only 20% of participants did not present CV risk factor and 70% presented 1 to 3 CV risk factors. The most common condition was physical inactivity (45%), followed by obesity (31%) and smokers (18%). A total of 43 (18%) participants had previous diagnosis of hypertension and 46 (19%) of dyslipidemia. Previous CV diseases were present in 41 (17%) subjects (10% with coronary diseases). There were no differences between genders. Patients between 35 to 50 years had higher prevalence of obesity, hypertension, and dyslipidemia. Conclusions: We found a high prevalence of modifiable (obesity, smokers and physical inactivity) and controllable (hypertension and dyslipidemia) CV risk factors for a young adult population, pointing to the importance of early CV risk stratification. In this way, effective prevention measures can be planned and implemented