RISK FACTORS AND COMPLICATIONS IN PATIENTS WITH HYPERTENSION/DIABETES IN A REGIONAL HEALTH DISTRICT OF NORTHEAST BRAZIL

RISK FACTORS AND COMPLICATIONS IN PATIENTS WITH HYPERTENSION/DIABETES IN A REGIONAL HEALTH DISTRICT OF NORTHEAST BRAZIL
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DOI:
10.1590/s0080-62342012000500013
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发表时间:
2012-10-01
影响因子:
0.9
通讯作者:
Magalhaes Moreira, Thereza Maria
Magalhaes Moreira, Thereza Maria
中科院分区:
医学4区
文献类型:
--
作者:
dos Santos, Jenifa Cavalcante;Magalhaes Moreira, Thereza Maria

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本研究的目的是确定在CE福塔莱萨执行区域卫生部VI的HIPERDIA中登记的高血压/糖尿病患者的风险因素和相关并发症。这项分析性文献研究包括2,691人。其中,73.6%为妇女; 44.6%年龄在60-79岁之间(平均年龄60.8岁); 87.4%为高加索人、亚洲人或帕尔多人; 63.7%受教育年限为8年或更少; 79.7%为非吸烟者; 56.6%被认为久坐不动; 59.6%超重/肥胖; 48.4%有心血管疾病家族史。在糖尿病患者以及糖尿病和高血压患者中,观察到久坐不动的生活方式与超重/肥胖之间的关联;在高血压患者以及糖尿病和高血压患者中,心血管疾病家族史;在高血压患者以及糖尿病和高血压患者中,中风、冠状动脉疾病和慢性肾衰竭;以及糖尿病患者的梗死和中风。心血管疾病家族史与冠状动脉疾病和梗死相关。发现了相关的风险因素和并发症,突出了对客户进行健康教育的必要性。
The objective of this study was to identify the risk factors and associated complications present in clients with hypertension/diabetes, enrolled in the HIPERDIA of the Executive Regional Health Department VI in Fortaleza, CE. This analytical documental study included 2,691 people. Of this total, 73.6% were women; 44.6% were between 60-79 years of age (mean age of 60.8 years); 87.4% were Caucasian, Asian or Pardo; 63.7% had eight or fewer years of education; 79.7% were nonsmokers; 56.6% were considered sedentary; 59.6% were overweight/obese; and 48.4% had a family history of cardiovascular disease. An association was observed between having a sedentary lifestyle and being over-weight/obese among patients with diabetes, and those with both diabetes and hypertension; family history of cardiovascular disease in patients with hypertension and those with both diabetes and hypertension; stroke, coronary artery disease and chronic renal failure in patients with hypertension and those with both diabetes and hypertension; and infarction and stroke in patients with diabetes. A family history of cardiovascular disease was associated with coronary artery disease and infarction. A relevant presence of risk factors and complications was found, highlighting the need for health education among clients.