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Objective: to identify the risk factors associated with prehypertension and arterial hypertension among Munduruku indigenous people in the Brazilian Amazon. Method: a cross-sectional study carried out with 459 Munduruku indigenous people selected by means of stratified random sampling. Sociodemographic variables, habits and lifestyles, anthropometric data, fasting glucose and lipid profiles were evaluated. An automatic device calibrated and validated to measure blood pressure was used. The analyses of the data collected were carried out in the R software, version 3.5.1. For continuous variables, the Kruskall-Wallis test was used; for the categorical ones, Fischer’s Exact. The significance level was set at 5% and p-value≤0.05. Results: the prevalence of altered blood pressure levels was 10.2% for values suggestive of hypertension and 4.1% for pre-hypertension. The risk of prehypertension among indigenous people was associated with being male (OR=1.65; 95% CI=0.65-4.21) and having a substantially increased waist circumference (OR=7.82; 95% CI=1.80-34.04). Regarding the risk for arterial hypertension, it was associated with age (OR=1.09; 95% CI=1.06-1.12), with increased waist circumference (OR=3.89; 95% CI=1.43-10, 54) and with substantially increased waist circumference (OR=5.46; 95% CI=1.78-16.75). Conclusion: among Munduruku indigenous people, men were more vulnerable to developing hypertension; age and increased waist circumference proved to be strong cardiovascular risk factors. Objetivo: identificar os fatores de risco associados à préhipertensão e hipertensão arterial entre indígenas Munduruku da Amazônia brasileira. Método: estudo transversal realizado com 459 indígenas Munduruku selecionados por meio de amostragem aleatória estratificada. Foram avaliadas variáveis sociodemográficas, hábitos e estilos de vida, dados antropométricos, glicemia de jejum e perfis lipídicos. Utilizou-se aparelho automático calibrado e validado para medir a pressão arterial. As análises dos dados coletados foram realizadas pelo software R versão 3.5.1. Para as variáveis contínuas, utilizou-se o teste Kruskall-Wallis; para as categóricas, o Exato de Fischer. Considerou-se nível de significância de 5% e valor p≤0,05. Resultados: a prevalência de níveis pressóricos alterados foi de 10,2% para valores sugestivos de hipertensão e de 4,1% para pré-hipertensão. O risco de pré-hipertensão entre indígenas associou-se a ser do sexo masculino (OR=1,65; IC95% 0,65-4,21) e ter circunferência da cintura aumentada substancialmente (OR=7,82; IC95% 1,80-34,04). Quanto ao risco para hipertensão arterial, associou-se à idade (OR=1,09; IC95% 1,06-1,12), à circunferência da cintura aumentada (OR=3,89; IC95% 1,43-10,54) e à circunferência da cintura aumentada substancialmente (OR=5,46; IC95% 1,78-16,75). Conclusão: entre indígenas Munduruku, os homens estavam mais vulneráveis para desenvolver hipertensão; a idade e a circunferência da cintura aumentada mostraram-se como fortes fatores de risco cardiovascular. Objetivo: identificar los factores de riesgo asociados con la prehipertensión y la hipertensión arterial entre los indígenas Munduruku en la Amazonía brasileña. Método: estudio transversal realizado con 459 indígenas Munduruku seleccionados mediante muestreo aleatorio estratificado. Se evaluaron variables sociodemográficas, hábitos y estilos de vida, datos antropométricos, glucosa en ayunas y perfiles lipídicos. Se utilizó un dispositivo automático calibrado y validado para medir la presión arterial. Los análisis de los datos recopilados se llevaron a cabo mediante el software R versión 3.5.1. Para las variables continuas se utilizó la prueba de KruskalWallis; para las categóricas, Exacto de Fischer. El nivel de significancia se estableció en 5% y p≤0,05. Resultados: la prevalencia de niveles alterados de presión arterial fue del 10,2% para valores sugestivos de hipertensión y del 4,1% para prehipertensión. El riesgo de prehipertensión entre los indígenas se asoció al sexo masculino (OR=1,65; IC95% 0,65-4,21) y a un aumento sustancial de la circunferencia de cintura (OR=7,82; IC95% 1,80-34,04). En cuanto al riesgo de hipertensión arterial, se asoció con la edad (OR=1,09; IC95% 1,06-1,12), con un aumento de la circunferencia de la cintura (OR=3,89; IC95% 1,43-10,54) y con un aumento sustancial de la circunferencia de la cintura (OR=5,46; IC95% 1,78-16,75). Conclusión: entre los indios Munduruku, los hombres eran más vulnerables a desarrollar hipertensión, la edad y el aumento de la circunferencia de la cintura demostraron ser fuertes factores de riesgo cardiovascular.

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-09T03:09:15Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-09-09T03:14:41Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Made available in DSpace on 2021-09-09T03:14:42Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ITEM INDISPON??VEL - Solicite c??pia.pdf: 84143 bytes, checksum: bec574cfc2dc76cf8ba0e289d73276b9 (MD5) Previous issue date: 2021-05-26 Introduction: Metabolic Syndrome (MS) represents a group of cardiovascular risk factors that include abdominal obesity, combined with high blood pressure, fasting blood glucose and triglycerides, and lowering HDL-Cholesterol level. Brazil has varied prevalence in addition to attributing worsening in the quality of life of individuals and being associated with illness due to cardiovascular disease. Objective: To estimate the prevalence of metabolic syndrome and its association with cardiovascular risk factors in nursing professionals working in two specialized care units. Methods: Cross-sectional study with 394 nursing professionals from two specialized care units in Manaus, Amazonas. The data collection period was performed from January to March 2020 in the first unit and in the second unit from January to September 2020. The criteria of the National Cholesterol Education Program's Adult Treatment Panel III (NCEP-ATP III) for the diagnosis of metabolic syndrome were adopted, as presented in the I Brazilian Guideline for diagnosis and treatment of metabolic syndrome (2005). The participants were characterized in relation to socioeconomic variables related to work, lifestyle (with variables on alcohol consumption, smoking, physical activity, sleep quality, in addition to eating habits during the shift), self-assessment of health status, family history. Anthropometric parameters measured the circumferences: neck, waist, abdominal, height. The ratio of hip waist, taint index and body mass index was calculated. From bioimpedance, the percentage of body fat and visceral fat was evaluated. The measurements of blood pressure levels met the recommendations of the VII Brazilian Guidelines on Hypertension, the digital automatic arm-of-arm device was used, validated and calibrated. Three pressure measurements were performed with the adoption of the mean value of the last two measurements. Serum lipid and blood glucose levels were performed by laboratory analysis in the laboratories of the respective health units involved in the study. Participants were recommended to perform caloric fasting before blood collection of at least 8 hours and a maximum of 12 hours. This study also had five subprojects linked to the Scientific Initiation Program (PIBIC 2019/2020) of the Federal University of Amazonas (UFAM), a pilot study was also conducted with 15 nursing professionals from an emergency care unit in Manaus that allowed the evaluation of the average time of data collection for each participant and mainly to verify the understanding of the professionals to the questions contained in the data collection instrument. Data analyses were performed in the R Development Core Team (2009) program. Categorical variables were presented in tables containing absolute (n) and relative (%), and continuous variables on average and standard deviation. The continuous variables were compared by the Student's T-test and the categorical variables with Pearson's Chi-square test, the p???0.05 value was adopted. The associations of the variables with metabolic syndrome were estimated by odds ratio (OR) obtained by logistic regression with bivariate variance, with respective 95% confidence intervals. The research was approved by the Research Ethics Committee of the Federal University of Amazonas, with the number of Opinion NO 3,739,664. All the prerogatives of Resolution of the National Health Council n?? 466/2012 were respected. Results: Of the 394 professionals, there were two losses due to the non-retest of HDL-Cholesterol serum analysis, so the prevalence of metabolic syndrome in the 392 nursing professionals was 20.1%. Among the five components of MS, established by NCEP-ATP III, it was evidenced that increased triglyceride levels were prevalent in all professionals, followed by the high prevalence of low HDL-Cholesterol (92.4%), increased abdominal circumference (75.9%), changes in blood pressure levels (45.6%) and change in serum blood glucose levels (26.6%). Among the variables associated with metabolic syndrome, we highlight: age [OR=1.06 (95% CI 1.03-1.09); p

Submitted by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-10-09T19:31:20Z No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2019-10-09T20:12:10Z (GMT) No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Made available in DSpace on 2019-10-09T20:12:10Z (GMT). No. of bitstreams: 2 Reprodu????o N??o Autorizada.pdf: 47716 bytes, checksum: 0353d988c60b584cfc9978721c498a11 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2019-07-31 CNPq - Conselho Nacional de Desenvolvimento Cient??fico e Tecnol??gico CAPES - Coordena????o de Aperfei??oamento de Pessoal de N??vel Superior 92 99290-7681 Introduction: All cardiovascular diseases are the leading cause of death in Brazil and worldwide. The few biomedical studies performed with indigenous village groups reveal that obesity, arterial hypertension and diabetes mellitus are the main risk factors for the development of cardiovascular diseases. However, there are ethnic groups that have not yet been investigated for these risk factors. The present study is part of a universal project titled "Risk Factors for Cardiovascular Diseases in Indigenous Munduruku". Objectives: To compare the cardiovascular risk factors, with emphasis on arterial hypertension, of the Munduruku natives living in the villages of Kwat??, Fronteira, Laranjal and Mucaj??. Specific: Describe the anthropometric, metabolic and pressure variables, with emphasis on arterial hypertension; to describe the socioeconomic characteristics, lifestyle, habits, personal and family history and to identify the possible factor of association of these variables with hypertension. Methodology: Cross-sectional study of a quantitative approach, representative of the ethnic group involved. The study was conducted with 459 indigenous people, aged 18 from the Munduruku ethnic group living in Amazonas, Brazil. An interview was conducted that addressed all the variables of the research. Blood pressure was measured in three measurements and the mean of the last two measurements was used. Physical examination included the following data: weight, height, waist and neck circumference, bioimpedance and capillary measurement of glucose, triglycerides and cholesterol. The analyzes were carried out using software R 3.5.1. The variables were analyzed using a multinomial regression model, the odds ratios with the respective 95% confidence intervals and p - value were presented. The final multiple model revealed the factors associated with hypertension. Results: The prevalence of hypertension was 7.4%. After the adjusted analysis, the variables presented as risk factors were gender, age and waist circumference. The final multiple model revealed that men are 8 times more likely to have prehypertension than women; age showed that with every 1 year increase in age, there is a 10% increase in the chance of hypertension; and people with increased waist circumference are 4 times more likely to have hypertension than those with an adequate waist. Conclusion: Despite the low prevalence of hypertension in the non-indigenous population, the risk factors associated with hypertension that were presented reveal that changes in lifestyle and habits may contribute to the onset of these risk factors and increase the risk of hypertension. cardiovascular diseases among the Munduruku Indians. Therefore, health policies should be directed to indigenous peoples in a way that meets their particularities. Introdu????o: O conjunto das doen??as cardiovasculares representa a primeira causa de morte no Brasil e no mundo. Os poucos estudos biom??dicos realizados com grupos ind??genas aldeados revelam que obesidade, hipertens??o arterial e diabetes melitus s??o os principais fatores de risco para o desenvolvimento das doen??as cardiovasculares. Contudo, h?? grupos ??tnicos que ainda n??o foram investigados quanto a esses fatores de risco. O presente estudo faz parte de um projeto universal intitulado ???Fatores de Risco para Doen??as Cardiovasculares em Ind??genas Munduruku???. Objetivos: Comparar os fatores de risco cardiovascular, com ??nfase na hipertens??o arterial, dos ind??genas Munduruku que vivem nas aldeias de: Kwat??, Fronteira, Laranjal e Mucaj??. Espec??ficos: Descrever as vari??veis antropom??tricas, metab??licas e press??ricas, com ??nfase na hipertens??o arterial; descrever as caracter??sticas socioecon??micas, estilo de vida, h??bitos, antecedentes pessoais e familiares e identificar o poss??vel fator de associa????o dessas vari??veis com a hipertens??o. Metodologia: Estudo transversal de abordagem quantitativa, representativo do grupo ??tnico envolvido. O estudo foi realizado com 459 ind??genas, com idade a partir de 18 da etnia Munduruku que vivem no Amazonas, Brasil. Foi realizada uma entrevista que abordava todas as vari??veis da pesquisa. A press??o arterial foi aferida em tr??s medi????es e foi utilizada a m??dia das duas ??ltimas medi????es. O exame f??sico incluiu os seguintes dados: peso, altura, cincunfer??ncia do pesco??o e da cintura, bioimped??ncia e medi????o capilar de glicose, triglic??rides e colesterol. As an??lises foram feitas com aux??lio do software R 3.5.1. As vari??veis foram analisadas com o uso de um modelo de regress??o multinomial, foram apresentadas as raz??es de chance com os respectivos intervalos de confian??a de 95% e valor - p. O modelo m??ltiplo final revelou os fatores associados ?? hipertens??o. Resultados: A preval??ncia de hipertens??o foi de 7,4%. Ap??s a an??lise ajustada as vari??veis que se apresentaram como fator de risco foram sexo, idade e circunfer??ncia da cintura. O modelo m??ltiplo final revelou que os homens tem 8 vezes a chance de apresentar pr??-hipertens??o em rela????o ??s mulheres; a idade mostrou que a cada aumento em 1 ano na idade, h?? um aumento de 10% na chance de hipertens??o; e pessoas com circunfer??ncia da cintura aumentada tem 4 vezes a chance de hipertens??o em rela????o ??quelas com cintura adequada. Conclus??o: Apesar da preval??ncia baixa de hipertens??o em rela????o a popula????o n??o ind??gena, os fatores de risco associados ?? hipertens??o que foram apresentados revelam que as mudan??as nos h??bitos e no estilo de vida podem contribuir com o aparecimento desses fatores de risco e aumentar o risco de doen??as cardiovasculares entre os ind??genas Munduruku. Portanto, as pol??ticas de sa??de devem ser direcionadas aos povos ind??genas de forma que atenda ??s suas particularidades.