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3. Global distributions of age- and sex-related arterial stiffness: systematic review and meta-analysis of 167 studies with 509,743 participants

Author

Lu, Yao, primary, Kiechl, Sophia J., additional, Wang, Jie, additional, Xu, Qingbo, additional, Kiechl, Stefan, additional, Pechlaner, Raimund, additional, Aguilar, David, additional, Al-Hashmi, Khamis M., additional, Alvim, Rafael O., additional, Al-Zakwani, Ibrahim S., additional, Antza, Christina, additional, Cicero, Arrigo F.G., additional, Avramovska, Maja, additional, Avramovski, Petar, additional, Baek, Hyun Jae, additional, Bäck, Magnus, additional, Bailey, Kent, additional, Baldo, Marcelo P., additional, Batista, Rosângela F.L., additional, Benetos, Athanasios, additional, Benjamin, Emelia J., additional, Bia, Daniel, additional, Borghi, Claudio, additional, Roux, Shani Botha-Le, additional, Breet, Yolandi, additional, Burgner, David, additional, Cardoso, Viviane C., additional, Cecelja, Marina, additional, Ceponiene, Indre, additional, Chen, Chen-Huan, additional, Cheung, Michael, additional, Cheng, Hao-min, additional, Cho, Jaegeol, additional, Chowienczyk, Phil, additional, Coelho, Eduardo B., additional, Cseprekal, Orsolya, additional, Silva, Amilcar BT Da, additional, Dallaire, Frédéric, additional, Cunha, Roberto De Sá, additional, Diaz, Alejandro, additional, Ferreira, Albano V.L., additional, Ferrières, Jean, additional, Furuta, Yoshihiko, additional, Gómez-Marcos, Manuel A., additional, Gómez-Sánchez, Leticia, additional, Halcox, Julian, additional, Hanis, Craig, additional, Herzig, Karl-Heinz, additional, Jaeggi, Edgar, additional, Kavousi, Maryam, additional, Kiechl-Kohlendorfer, Ursula, additional, Kim, Hack-Lyoung, additional, Kim, Mi-Kyung, additional, Kim, Yu-Mi, additional, Kis, Eva, additional, Knoflach, Michael, additional, Kotsis, Vasilios, additional, Koyama, Teruhide, additional, Kozakova, Michaela, additional, Kruger, Ruan, additional, Kullo, Iftikhar J., additional, Kweon, Sun-Seog, additional, Lambrinoudaki, Irene, additional, Liu, Chang, additional, Loeffler, Markus, additional, Logan, Jeongok G., additional, Maddock, Jane, additional, Magalhães, Pedro, additional, Maldonado, João, additional, Mattace-Raso, Francesco U.S., additional, Messner, Alex, additional, Meyer, Michelle L., additional, Mi, Jie, additional, Mill, José Geraldo, additional, Mitchell, Gary F., additional, Mu, Jian-Jun, additional, Muhammad, Iram F., additional, Nairz, Johannes, additional, Nakagomi, Atsushi, additional, Nakamura, Mieko, additional, Nilson, Peter M., additional, Ninomiya, Toshiharu, additional, Palombo, Carlo, additional, Pereira, Alexandre C., additional, Pereira, Telmo, additional, Capingana, Daniel P., additional, Poon, Anna K., additional, Probst-Hensch, Nicole, additional, Quyyumi, Arshed A., additional, Reusz, George S., additional, Rhee, Moo-Yong, additional, Ribeiro, Cecilia C.C., additional, Rietzschel, Ernst, additional, Rocha, Paulo R.H., additional, Rodilla, Enrique, additional, Rojek, Marta, additional, Ruidavets, Jean-Bernard, additional, Rutten, Joost H.W., additional, Saijo, Yasuaki, additional, Salvi, Paolo, additional, Schmidt-Trucksäss, Arno, additional, Scholz, Markus, additional, Shin, Min-Ho, additional, Segers, Patrick, additional, Stamatelopoulos, Kimon, additional, Strazhesko, Irina D., additional, Sugiura, Minoru, additional, Tkacheva, Olga N., additional, Tomiyama, Hirofumi, additional, Urbina, Elaine M., additional, van den Munckhof, Inge C.L., additional, Vasan, Ramachandran S., additional, Wake, Melissa A., additional, Wannamethee, Goya, additional, Wong, Andrew, additional, Yamashina, Akira, additional, Yan, Yinkun, additional, Zaniqueli, Divanei, additional, Zhu, Fang, additional, and Zócalo, Yanina, additional

Published
2023
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5. Arterial stiffness in black adults from Angola and Brazil

Author

Cruz, Vitória P. D., primary, Gonzaga, Carla W. O., additional, Silva, Victor B., additional, Cruz, André F. P., additional, Silva, Amilcar B. Tomé, additional, Capingana, Daniel P., additional, Magalhães, Pedro, additional, Zaniqueli, Divanei A., additional, Guimarães, André L. S., additional, Cunha, Roberto Sá, additional, Mill, José Geraldo, additional, and Baldo, Marcelo P., additional

Published
2020
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6. Cardiovascular risk factors in pre-pubertal schoolchildren in Angola

Author

Silva, Amílcar BT, Rodrigues, Sérgio L, Baldo, Marcelo P, Mill, José Geraldo, Capingana, Daniel P, Magalhães, Pedro, Gonçalves, Mauer AA, Mateus, Miguel SB, and Molina, Maria del Carmen B

Subjects
cardiovascular risk, Blood Glucose, Male, obesity, Pediatric Obesity, medicine.medical_specialty, Pediatrics, Cross-sectional study, 030231 tropical medicine, Overweight, Body Mass Index, 03 medical and health sciences, chemistry.chemical_compound, Age Distribution, 0302 clinical medicine, Risk Factors, childern, Internal medicine, Prevalence, medicine, overweight, Humans, 030212 general & internal medicine, Child, Dyslipidemias, business.industry, Cholesterol, Cardiovascular Topics, Incidence (epidemiology), Age Factors, blood pressure, General Medicine, medicine.disease, Obesity, Confidence interval, Cross-Sectional Studies, Blood pressure, Angola, chemistry, Cardiovascular Diseases, Hyperglycemia, Hypertension, Female, medicine.symptom, Cardiology and Cardiovascular Medicine, business, Body mass index, Biomarkers
Abstract

Summary Methods The incidence of obesity is increasing worldwide, especially in countries with accelerated economic growth. We determined the prevalence of and associations between overweight/ obesity and cardiovascular risk factors in pre-pubertal (seven- to 11-year-old) schoolchildren (both genders, n = 198) in Luanda, Angola. Biochemical (fasting blood) and clinical examinations were obtained in a single visit. Data are reported as prevalence (95% confidence intervals) and association (r, Pearson). Results Prevalence of overweight/obesity was 17.7% (12.4–23.0%), high blood pressure (BP < 90% percentile) was 14.6% (9.7–19.5%), elevated glucose level was 16.7% (11.5–21.9%) and total cholesterol level < 170 mg/dl (4.4 mmol/l) was 69.2% (62.8–75.6%). Significant associations between body mass index (BMI) and systolic and diastolic BP (r = 0.46 and 0.40, respectively; p < 0.05) were found. No association between BMI and elevated glucose or cholesterol levels was found. Conclusion The prevalence of cardiovascular risk factors was high in pre-pubertal schoolchildren in Angola and fat accumulation was directly associated with blood pressure increase but not with other cardiovascular risk factors.

Published
2016

7. Lipid disorders among Black Africans non-users of lipid-lowering medication

Author

Borgo, Mariana Veronez, primary, Baldo, Marcelo Perim, additional, Alvim, Rafael de Oliveira, additional, Zaniqueli, Divanei, additional, Capingana, Daniel Pires, additional, Magalhães, Pedro, additional, Silva, Amilcar Bernardo da, additional, Oliosa, Polyana Romano, additional, Sartório, Carmem Luiza, additional, and Mill, José Geraldo, additional

Published
2018
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8. Knowledge, attitude and behaviour regarding dietary salt intake among medical students in Angola

Author

Magalhães, Pedro, Sanhangala, Edgar JR, Dombele, Isildro M, Ulundo, Henrique SN, Capingana, Daniel P, and Silva, Amílcar BT

Subjects
Adult, Male, Health Knowledge, Attitudes, Practice, Students, Medical, Adolescent, Education, Medical, Cardiovascular Topics, behavioural, Sodium, medical students, Feeding Behavior, salt intake, Young Adult, Angola, Hypertension, Potassium, Humans, Female, Sodium Chloride, Dietary
Abstract

Summary Background Levels of salt consumption and its awareness among medical students in Angola remain insufficiently studied. This study determined salt intake and assessed medical students’ knowledge, attitude and behaviour regarding salt consumption. Methods Were collected 24-hour urine samples from a random sample of 123 undergraduate medical students aged 17–43 years who were studying at the University of Agostinho Neto in Luanda. Their knowledge, attitude and behaviour regarding dietary salt were surveyed. Socio-demographic, clinical and anthropometric data were collected. Results Average salt intake was 14.2 ± 5.1 g/day, without significant difference between genders (p = 0.221). In total, 96.7% consumed over 5 g/day, but only 6.5% of participants were aware of their excessive salt intake. The majority knew about salt-related health consequences and 45.5% reported they controlled their salt intake. Conclusions This study indicated a high salt intake and inadequate behaviour regarding dietary salt consumption among medical students studying at the University of Agostinho Neto. This highlights the need for nutritional education to improve their dietary habits and future role in counselling.

Published
2015

9. Prevalence of the metabolic syndrome and determination of optimal cut-off values of waist circumference in university employees from Angola

Author

Magalhães, Pedro, Capingana, Daniel P, and Mill, José G

Subjects
Adult, Male, Metabolic Syndrome, Universities, Cardiovascular Topics, Black People, Middle Aged, waist circumference, Body Mass Index, Occupational Diseases, Young Adult, Age Distribution, Cross-Sectional Studies, Angola, Risk Factors, Prevalence, Humans, Africans, Aged
Abstract

Summary Background Estimates of the prevalence of the metabolic syndrome in Africans may be inconsistent due to lack of African-specific cut-off values of waist circumference (WC). This study determined the prevalence of the metabolic syndrome and defined optimal values of WC in Africans. Methods This cross-sectional study collected demographic, anthropometric and clinical data of 615 Universitary employees, in Luanda, Angola. The metabolic syndrome was defined using the third report of the National Cholesterol Education Program Adult Treatment Panel (ATPIII) and the Joint Interim Statement (JIS) criteria. Receiver operating characteristics curves were constructed to assess cut-off values of WC. Results The crude prevalence of the metabolic syndrome was higher with the JIS definition (27.8%, age-standardised 14.1%) than with the ATP III definition (17.6%, age-standardised 8.7%). Optimal cut-off values of WC were 87.5 and 80.5 cm in men and women, respectively. Conclusions There was a high prevalence of the metabolic syndrome among our African subjects. Our data suggest different WC cut-off values for Africans in relation to other populations.

Published
2014

10. 2017 Guidelines for Arterial Hypertension Management in Primary Health Care in Portuguese Language Countries

Author

Oliveira, Gláucia Maria Moraes de, primary, Mendes, Miguel, additional, Malachias, Marcus Vinícius Bolívar, additional, Morais, João, additional, Moreira Filho, Osni, additional, Coelho, Armando Serra, additional, Capingana, Daniel Pires, additional, Azevedo, Vanda, additional, Soares, Irenita, additional, Menete, Alda, additional, Ferreira, Beatriz, additional, Soares, Miryan Bandeira dos Prazeres C., additional, and Fernandes, Mário, additional

Published
2017
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15. Distribution of Serum Uric Acid in Black Africans and Its Association With Cardiovascular Risk Factors.

Author

Moulin, Stephanie R., Baldo, Marcelo P., Souza, Juliana B., Luchi, Weverton M., Capingana, Daniel P., Magalhães, Pedro, and Mill, José G.

Subjects
HYPERTENSION epidemiology, HYPERURICEMIA, CROSS-sectional method, CARDIOVASCULAR diseases, BLACK Africans, METABOLIC syndrome, WAIST circumference, URIC acid
Abstract

Hyperuricemia is associated with cardiovascular disease and its prevalence is unknown in black Africans. This study reports hyperuricemia distribution and its association with cardiovascular risk factors in a selected Angolan population. A cross-sectional study in 585 black Africans was performed. Hyperuricemia was defined as uric acid >7.0 mg/dL in men or >5.7 mg/dL in women. Overall prevalence was 25%. Hyperuricemia was associated with hypertension (odds ratio [OR], 2.20; confidence interval [CI], 95% 1.41-3.47), high waist circumference (OR, 1.67; CI, 95% 1.05-2.65), and metabolic syndrome (OR, 1.66; CI, 95% 1.07-2.57). Compared to those with uric acid levels in the first quartile, individuals in the fourth quartile showed higher body mass index, waist circumference, systolic blood pressure, and plasma levels of creatinine and triglycerides. Hypertension, high waist circumference, and metabolic syndrome were the major cardiovascular risk factors associated with hyperuricemia. [ABSTRACT FROM AUTHOR]

Published
2017
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17. Predictors and Reference Values of Pulse Wave Velocity in Prepubertal Angolan Children.

Author

Silva, Amílcar B.T., Capingana, Daniel P., Magalhães, Pedro, Molina, Maria del Carmen B., Baldo, Marcelo P., Mill, José Geraldo, Silva, Amílcar B T, Magalhães, Pedro, and Mill, José Geraldo

Abstract

Carotid-femoral pulse wave velocity (PWV) has been used as the gold standard method to estimate arterial stiffness. However, its use in clinical practice is still limited because reference values for specific groups, such as black children, remain unknown. The authors aimed to investigate predictors and to propose preliminary reference values of PWV in this population. Prepubertal schoolchildren (N=157; mean age, 9.36±1.41 year) from Luanda (Angola) with normal blood pressure values and without obesity were included. Mean PWV was 5.73±0.68 m/s, with no difference between the sexes. Univariate regression analysis showed a significant (P<.05) positive correlation between PWV and height, age, body weight, lean body weight, and blood pressure. In multivariate analysis, however, only height remained an independent predictor of PWV [PWV=0.018×height (cm)+3.230]. Curves of PWV percentiles as a function of height are proposed, thus identifying normal PWV in black children. [ABSTRACT FROM AUTHOR]

Published
2016
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19. Arterial Stiffness in Lower Limb Amputees.

Author

Magalhæes, Pedro, Capingana, Daniel P., Silva, Am¡lcar B. T., Capunge, Ins R., and Gonalves, Mauer A. A.

Subjects
*ARTERIAL physiology, *AMPUTEES, *BLOOD pressure, *BODY composition, *GOODNESS-of-fit tests, *HEART beat, *HEMODYNAMICS, *LEG, *VASCULAR resistance, *MULTIVARIATE analysis, *REGRESSION analysis, *SPHYGMOMANOMETERS, *T-test (Statistics), *CROSS-sectional method, *CASE-control method, *DATA analysis software, *DESCRIPTIVE statistics
Abstract

Background: A high carotid-femoral pulse wave velocity (PWV) has been related to increased cardiovascular morbidity and mortality, but has not been previously evaluated in amputees. The aim of this study was to compare PWV between amputees and nonamputees. Methods: In this cross-sectional study, data were collected from 60 male lower limb amputees and 86 male age-matched nonamputees. PWV was measured noninvasively using a Complior® device. All participants underwent laboratory investigations and anthropometry. The difference in PWV between amputee and nonamputees was estimated. Multivariate regression was used to adjust for differences between the groups as a result of potential confounders. Results: PWV was higher in amputees than in nonamputees (10.8 ± 1.9 m/sec versus 9.9 ± 1.8 m/sec, P = 0.008, respectively). This difference remained even after adjusting for confounding factors. Conclusion: A higher PWV was demonstrated in lower limb amputees. Routine assessment of PWV may contribute to cardiovascular risk stratification in amputees. [ABSTRACT FROM AUTHOR]

Published
2011
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20. Head Lice Among Primary School Children in Viana, Angola: Prevalence and Relevant Teachers' Knowledge.

Author

Magalhães, Pedro, Figueiredo, Emília V., and Capingana, Daniel P.

Abstract

Background: A high rate of Pediculosis capitis in school children has been reported in some African countries. However, systematic information on ectoparasitosis among school children from Angola is not available. The aim of this research was to determine the prevalence of head lice among school children and ascertain relevant teachers' knowledge about head lice infestation. Methods: This cross-sectional study was conducted in 171 randomly selected children attending school in Viana. The children were examined for presence of head lice by visual inspection. In addition, a questionnaire was used to assess teachers' and children's' knowledge about this ectoparasite. Results: The overall prevalence of head lice was 42.1%, with a significance difference between the genders (girls [95.8%] versus boys [4.2%,] P < 0.001). Self-reported history of being in contact with another person infested with head lice was the main risk factor for becoming infested. Conclusion: A high rate of head lice infestation was demonstrated. Female gender and history of contact with someone already infested were the main risk factors. Teachers demonstrated a knowledge of the biology and clinical signs of head lice, but did not have adequate knowledge about its treatment, suggesting a need for increased competence on the part of teachers to be able to teach children about preventative measures. However, further systematic epidemiological studies are required to increase our understanding of ectoparasitosis in Angola. [ABSTRACT FROM AUTHOR]

Published
2011
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21. 2017 Guidelines for the management of arterial hypertension in primary health care in Portuguese-speaking countries.

Author

Oliveira GMM, Mendes M, Malachias MVB, Morais J, Filho OM, Coelho AS, Capingana DP, Azevedo V, Soares I, Menete A, Ferreira B, Soares MBDPC, and Fernandes M

Subjects
Humans, Practice Guidelines as Topic, Primary Health Care, Hypertension diagnosis, Hypertension therapy
Abstract

The World Health Organization goal's to reduce mortality due to chronic non-communicable diseases by 2% per year demands a huge effort from member countries. This challenge for health professionals requires global political action on implementation of social measures, with cost-effective population interventions to reduce chronic non-communicable diseases and their risk factors. Systemic arterial hypertension is highly prevalent in Portuguese-speaking countries, and is a major risk factor for complications such as stroke, acute myocardial infarction and chronic kidney disease, rivaling dyslipidemia and obesity in importance for the development of atherosclerotic disease. Joint actions to implement primary prevention measures can reduce outcomes related to hypertensive disease, especially ischemic heart disease and stroke. It is essential to ensure the implementation of guidelines for the management of systemic hypertension via a continuous process involving educational actions, lifestyle changes and guaranteed access to pharmacological treatment., (Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)

Published
2017
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