Associated Factors With Self-reported Systemic Arterial Hypertension and Diabetes in Brazilian Older Adults: Populational-Based Cross-Sectional Study
DOI:
https://doi.org/10.18316/sdh.v10i3.8833Palavras-chave:
Aged, Diabetes Mellitus, Epidemiology, HypertensionResumo
Objective: This cross-sectional study aimed to assess the prevalence and associated factors of Systemic Arterial Hypertension (SAH) and Diabetes Mellitus (DM) in older adults.
Materials and Methods: Self-reported SAH and DM (outcomes) were obtained through a structured questionnaire. This questionnaire also collected the independent variables (sociodemographic characteristics, use of medication and access to the oral health service). Obesity, physical activity, and tooth loss were assessed using validated instruments. Crude and adjusted Poisson regression with a robust error variance were performed to determine the prevalence ratio (PR) and 95% confidence interval (CI).
Results: A total of 282 older adults were included, with the prevalence of 71.28% and 21.63% for SAH and DM, respectively. SAH was significantly associated with increase in the individuals’ age (PR:1.01; 95%CI:1.00–1.02) and the positive diagnosis for obesity (PR:1.24; 95%CI:1.09–1.43). Those that do not use drugs for other conditions (PR:0.74; 95%CI:0.60–0.71) presented significantly lower PR for SAH. Non-sedentary older adults have the lower RP of DM (PR: 0.42; 95%CI: 0.24–0.74).
Conclusions: A high prevalence of SAH and DM was observed among the older adults, and the main associated factors were mainly related to demographic characteristics, general health and behavioral habits.
Referências
Beard JR, Officer A, Carvalho IA, Sadana R, Pot AM, Michel JP, et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet. 2016 May 21; 387(10033): 2145-2154. Disponível em: https://doi.org/10.1016/S0140-6736(15)00516-4
Nations United. World population aging: highlights 2017. 2017. Disponível em: http://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf.]. Acesso em 25 de Fevereiro, 2021.
Figueiredo AEB. Brasil. Secretaria de Direitos Humanos da Presidência da República. Brasil: Manual de Enfrentamento à Violência contra a Pessoa Idosa. É possível prevenir. É necessário superar. Brasília: Secretaria de Direitos Humanos da Presidência da República; 2014. Ciência & Saúde Coletiva. 2014; 19: 3617-3618.
Miranda GMD, Mendes AdCG, Silva ALAd. Population aging in Brazil: current and future social challenges and consequences. Revista Brasileira de Geriatria e Gerontologia. 2016; 19(3): 507-519.
World Health Organization (WHO). Global status report on noncommunicable diseases 2014: World Health Organization; 2014. Disponível em: https://apps.who.int/iris/bitstream/handle/10665/148114/9789241564854_eng.pdf.]. Acesso em 25 de Fevereiro, 2021.
Ohkuma T, Komorita Y, Peters SAE, Woodward M. Diabetes as a risk factor for heart failure in women and men: a systematic review and meta-analysis of 47 cohorts including 12 million individuals. Diabetologia. 2019; 62(9): 1550-1560. Disponível em: https://doi.org/10.1007/s00125-019-4926-x
James MT, Grams ME, Woodward M, Elley CR, Green JA, Wheeler DC, et al. A Meta-analysis of the Association of Estimated GFR, Albuminuria, Diabetes Mellitus, and Hypertension With Acute Kidney Injury. American Journal of Kidney Diseases. 2015 Oct; 66(4): 602-612. Disponível em: https://doi.org/10.1053/j.ajkd.2015.02.338
Maresova P, Javanmardi E, Barakovic S, Barakovic Husic J, Tomsone S, Krejcar O, et al. Consequences of chronic diseases and other limitations associated with old age - a scoping review. BMC Public Health. 2019 Nov 1; 19(1): 1431. Disponível em: https://doi.org/ 10.1186/s12889-019-7762-5
Apidechkul T. Prevalence and factors associated with type 2 diabetes mellitus and hypertension among the hill tribe elderly populations in northern Thailand. BMC Public Health. 2018 Jun 5; 18(1): 694. Disponível em: https://doi.org/ 10.1186/s12889-018-5607-2
Picon RV, Fuchs FD, Moreira LB, Fuchs SC. Prevalence of Hypertension Among Elderly Persons in Urban Brazil: A Systematic Review With Meta-Analysis. American Journal of Hypertension. 2013 Apr; 26(4): 541-548. Disponível em: https://doi.org/10.1093/ajh/hps076
Telo GH, Cureau FV, de Souza MS, Andrade TS, Copês F, Schaan BD. Prevalence of diabetes in Brazil over time: a systematic review with meta-analysis. Diabetology & Metabolic Syndrome. 2016 Sep 7; 8(1): 65. Disponível em: https://doi.org/10.1186/s13098-016-0181-1
Camacho PA, Gomez-Arbelaez D, Otero J, González-Gómez S, Molina DI, Sanchez G, et al. Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments. Global Heart. 2020; 15(1): 35. Disponível em: https://doi.org/10.5334/gh.792
Fleg JL, Strait J. Age-associated changes in cardiovascular structure and function: a fertile milieu for future disease. Heart Failure Reviews. 2012 Sep; 17(4-5): 545-554. Disponível em: https://doi.org/ 10.1007/s10741-011-9270-2
Flor LS, Campos MR. The prevalence of diabetes mellitus and its associated factors in the Brazilian adult population: evidence from a population-based survey. Revista Brasileira de Epidemiologia. 2017 Jan-Mar; 20(1): 16-29. Disponível em: https://doi.org/ 10.1590/1980-5497201700010002
Malta DC, Bernal RTI, Andrade S, Silva M, Velasquez-Melendez G. Prevalence of and factors associated with self-reported high blood pressure in Brazilian adults. Revista de Saude Publica. 2017 Jun 1; 51(suppl 1): 11s. Disponível em: https://doi.org/ 10.1590/S1518-8787.2017051000006
Malta DC, Andrade SSCdA, Stopa SR, Pereira CA, Szwarcwald CL, Silva Júnior JBd, et al. Estilos de vida da população brasileira: resultados da Pesquisa Nacional de Saúde, 2013. Epidemiologia e Serviços de Saude. 2015; 24: 217-226.
Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies From 90 Countries. Circulation. 2016; 134(6): 441-450. Disponível em: https://doi.org/ 10.1161/CIRCULATIONAHA.115.018912
Sarki AM, Nduka CU, Stranges S, Kandala NB, Uthman OA. Prevalence of Hypertension in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Medicine (Baltimore). 2015; 94(50): e1959. Disponível em: https://doi.org/ 10.1097/MD.0000000000001959
Bloch MJ. Worldwide prevalence of hypertension exceeds 1.3 billion. Journal of the American Society of Hypertension. 2016; 10(10): 753-754. Disponível em: https://doi.org/ 10.1016/j.jash.2016.08.006
Petrie KJ, Weinman J. Why illness perceptions matter. Clinical Medicine (Lond). 2006 Nov-Dec; 6(6): 536-539. https://doi.org/ 10.7861/clinmedicine.6-6-536
Brazil. Censo Demográfico 2010: Características da população e domicílios – resultados gerais. Ministério do Planejamento, Orçamento e Gestão. 2011. Disponível em: https://biblioteca.ibge.gov.br/visualizacao/periodicos/552/cd_2010_agsn_if.pdf. Acesso em 25 Fevereiro 25, 2021
Oliveira IM, Duarte YAdO, Zanetta DMT. Prevalence of Systemic Arterial Hypertension Diagnosed, Undiagnosed, and Uncontrolled in Elderly Population: SABE Study. Journal of Aging Research. 2019 Sep 3; 2019: 3671869. Disponível em: https://doi.org/ 10.1155/2019/3671869
Nascimento CdM, Mambrini JVdM, de Oliveira CM, Giacomin KC, Peixoto SV. Diabetes, hypertension and mobility among Brazilian older adults: findings from the Brazilian National Household Sample Survey (1998, 2003 and 2008). BMC Public Health. 2015 Jun 27; 15: 591. Disponível em: https://doi.org/ 10.1186/s12889-015-1956-2
Szwarcwald CL, Malta DC, Pereira CA, Vieira MLFP, Conde WL, Souza Júnior PRB, et al. National Health Survey in Brazil: design and methodology of application. Ciência & Saude Coletiva. 2014 Feb; 19(2): 333-342. Disponível em: https://doi.org/ 10.1590/1413-81232014192.14072012
Lessan N, Saradalekshmi KR, Alkaf B, Majeed M, Barakat MT, Lee ZPL, et al. Obesity and Diabetes in an Arab population: Role of Adenovirus 36 Infection. Scientific Reports. 2020 May 15; 10(1): 8107. Disponível em: https://doi.org/10.1038/s41598-020-65008-x
Matsudo S, Araújo T, Marsudo V, Andrade D, Andrade E, Braggion G. Questinário internacional de atividade f1sica (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física e Saúde. 2001: 05-18.
Hallal PC, Machado PT, Del Duca GF, Silva IC, Amorim TC, Borges TT, et al. Physical activity advice: short report from a population-based study in Brazil. Journal of Physical Activity & Health. 2010 May; 7(3): 352-354. Disponível em: https://doi.org/10.1123/jpah.7.3.352
World Health Organization (WHO). Oral health surveys: basic methods: World Health Organization; 2013.
Dendup T, Feng X, Clingan S, Astell-Burt T. Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review. International Journal of Environmental Research and Public Health. 2018 Jan 5; 15(1): 78. Disponível em: https://doi.org/10.3390/ijerph15010078.
Galli R, Moriguchi EH, Bruscato NM, Horta RL, Pattussi MP. Active aging is associated with low prevalence of depressive symptoms among Brazilian older adults. Revista Brasileira de Epidemiologia. 2016 Apr-Jun; 19: 307-316. Disponível em: https://doi.org/10.1590/1980-5497201600020008.
Pontes AFL, Feijo JdS, Rosalen NP, Scalco NR, Colussi PRG, Muniz FWMG. Low concern rate with oral health and associated factors among older persons: a cross-sectional study. Geriatriacs Gerontology & Aging. 2020; 14(3): 173-180.
Senger J, Bruscato NM, Werle B, Moriguchi EH, Pattussi MP. Nutritional Status and Cognitive Impairment among the Very Old in a Community Sample from Southern Brazil. Journal of Nutrition and Health Aging. 2019; 23(10): 923-929. Disponível em: https://doi.org/10.1007/s12603-019-1230-x
Firmo JOA, Mambrini JVM, Peixoto SV, Loyola Filho AI, Souza Junior PRB, Andrade FB, et al. Adequate control of hypertension among older adults: ELSI-Brazil. Revista de Saude Publica. 2018 Oct 25; 52Suppl 2(Suppl 2): 13s. Disponível em: https://doi.org/10.11606/S1518-8787.2018052000646
Moreira JP, Moraes JR, Luiz RR. Prevalence of self-reported systemic arterial hypertension in urban and rural environments in Brazil: a population-based study. Cadernos de Saude Publica. 2013 Jan; 29(1): 62-72. Disponível em: https://doi.org/10.1590/s0102-311x2013000100008
Lloyd-Sherlock P, Beard J, Minicuci N, Ebrahim S, Chatterji S. Hypertension among older adults in low- and middle-income countries: prevalence, awareness and control. International Journal of Epidemiology. 2014 Feb; 43(1): 116-128. Disponível em: https://doi.org/10.1093/ije/dyt215
Weber MA, Neutel JM, Cheung DG. Hypertension in the aged: a pathophysiologic basis for treatment. American Journal of Cardiology. 1989 May 2; 63(16): 25h-32h. Disponível em: https://doi.org/10.1016/0002-9149(89)90112-4
Boateng GO, Adams EA, Odei Boateng M, Luginaah IN, Taabazuing MM. Obesity and the burden of health risks among the elderly in Ghana: A population study. PLoS One. 2017 Nov 8; 12(11): e0186947. Disponível em: https://doi.org/10.1371/journal.pone.0186947
Li W, Wang D, Wu C, Shi O, Zhou Y, Lu Z. The effect of body mass index and physical activity on hypertension among Chinese middle-aged and older population. Scientic Reports. 2017 Aug 31; 7(1): 10256. Disponível em: https://doi.org/10.1038/s41598-017-11037-y
Fox CS, Pencina MJ, Wilson PW, Paynter NP, Vasan RS, D'Agostino RB, Sr. Lifetime risk of cardiovascular disease among individuals with and without diabetes stratified by obesity status in the Framingham heart study. Diabetes Care. 2008 Aug; 31(8): 1582-1584. Disponível em: https://doi.org/10.2337/dc08-0025
Alvarez GE, Beske SD, Ballard TP, Davy KP. Sympathetic neural activation in visceral obesity. Circulation. 2002 Nov 12; 106(20): 2533-2536. Disponível em: https://doi.org/ 10.1161/01.cir.0000041244.79165.25
Martins GA, Acurcio FdA, Franceschini SdCC, Priore SE, Ribeiro AQ. Uso de medicamentos potencialmente inadequados entre idosos do Município de Viçosa, Minas Gerais, Brasil: um inquérito de base populacional. Cadernos de Saúde Pública. 2015; 31: 2401-2412. Disponível em: https://doi.org/10.1590/0102-311X00128214
Ribeiro AQ, de AAF, Wick JY. Pharmacoepidemiology of the elderly in Brazil: state of the art. The Consultant Pharmacist. 2009; 24(1) :30-36, 41-44. Disponível em: https://doi.org/10.4140/tcp.n.2009.30
Burnier M, Polychronopoulou E, Wuerzner G. Hypertension and Drug Adherence in the Elderly. Frontiers in Cardiovascular Medicine. 2020 Apr 7; 7: 49. Disponível em: https://doi.org/10.3389/fcvm.2020.00049
Mukete BN, Ferdinand KC. Polypharmacy in Older Adults With Hypertension: A Comprehensive Review. Journal of Clinical Hypertension (Greenwich). 2016 Jan; 18(1): 10-18. Disponível em: https://doi.org/10.1111/jch.12624
Moreira FSM, Jerez-Roig J, Ferreira LMdBM, Dantas APdQM, Lima KC, Ferreira MÂF. Uso de medicamentos potencialmente inapropriados em idosos institucionalizados: prevalência e fatores associados. Ciencia & Saude Coletiva. 2020; 25: 2073-2082. Disponível em: https://doi.org/10.1590/1413-81232020256.26752018
Cho NH, Shaw JE, Karuranga S, Huang Y, da Rocha Fernandes JD, Ohlrogge AW, et al. IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research and Clinical Practice. 2018 Apr; 138: 271-281. Disponível em: https://doi.org/10.1016/j.diabres.2018.02.023
International Diabetes Federation (2013) IDF Diabetes Atlas. 6th Edition, International Diabetes Federation, Brussels. Disponível em: http://www.idf.org/diabetesatlas.48.] Acesso em 25 de Fevereiro, 2021
Schmidt MI, Hoffmann JF, de Fátima Sander Diniz M, Lotufo PA, Griep RH, Bensenor IM, et al. High prevalence of diabetes and intermediate hyperglycemia – The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Diabetology & Metabolic Syndrome. 2014 Nov 18; 6(1): 123. Disponível em: https://doi.org/10.1186/1758-5996-6-123
Pai L-W, Li T-C, Hwu Y-J, Chang S-C, Chen L-L, Chang P-Y. The effectiveness of regular leisure-time physical activities on long-term glycemic control in people with type 2 diabetes: A systematic review and meta-analysis. Diabetes Research and Clinical Practice. 2016 Mar; 113: 77-85. Disponível em: https://doi.org/10.1016/j.diabres.2016.01.011
Sampath Kumar A, Maiya AG, Shastry BA, Vaishali K, Ravishankar N, Hazari A, et al. Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Annals of Physical Rehabilitation. 2019 Mar; 62(2): 98-103. Disponível em: https://doi.org/10.1016/j.rehab.2018.11.001
Heiskanen MA, Motiani KK, Mari A, Saunavaara V, Eskelinen J-J, Virtanen KA, et al. Exercise training decreases pancreatic fat content and improves beta cell function regardless of baseline glucose tolerance: a randomised controlled trial. Diabetologia. 2018 Aug; 61(8): 1817-1828. Disponível em: https://doi.org/10.1007/s00125-018-4627-x
Cleven L, Krell-Roesch J, Nigg CR, Woll A. The association between physical activity with incident obesity, coronary heart disease, diabetes and hypertension in adults: a systematic review of longitudinal studies published after 2012. BMC Public Health. 2020 May 19; 20(1): 726. Disponível em: https://doi.org/10.1186/s12889-020-08715-4
Soleimani Tapehsari B, Alizadeh M, Khamseh ME, Seifouri S, Nojomi M. Physical Activity and Quality of Life in People with Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Internatinal Journal of Preventive Medicine. 2020 Jan 24; 11: 9. Disponível em: https://doi.org/10.4103/ijpvm.IJPVM_202_18
Kokkinos P, Myers J, Nylen E, Panagiotakos DB, Manolis A, Pittaras A, et al. Exercise capacity and all-cause mortality in African American and Caucasian men with type 2 diabetes. Diabetes Care. 2009 Apr; 32(4): 623-628. Disponível em: https://doi.org/10.2337/dc08-1876
American Diabetes Association. 4. Lifestyle Management. Diabetes Care. 2017; 40(Suppl 1): S33-S43. Disponível em: https://doi.org/10.2337/dc17-S007
Zenko Z, Willis EA, White DA. Proportion of adults meeting the 2018 physical activity guidelines for Americans according to accelerometers. Frontiers in Public Health. 2019 Jun 7; 7: 135. Disponível em: https://doi.org/10.3389/fpubh.2019.00135
Duro SM, Tomasi E, Siqueira FV, Silveira DS, Thumé E, Facchini LA. Adult Physical Activity Counseling by Health Professionals in Brazil: A National Urban Population Survey. Journal of Physical Activity and Health. 2015 Aug; 12(8): 1177-1183. Disponível em: https://doi.org/10.1123/jpah.2013-0213
Szwarcwald CL, Souza Júnior PRB, Damacena GN, Almeida WdSd, Malta DC, Stopa SR, et al. Recomendações e práticas dos comportamentos saudáveis entre indivíduos com diagnóstico de hipertensão arterial e diabetes no Brasil: Pesquisa Nacional de Saúde (PNS), 2013. Revista Brasileira de Epidemiologia. 2015; 18: 132-145. Disponível em: https://doi.org/10.1590/1980-5497201500060012?
Downloads
Publicado
Edição
Seção
Licença
Autores que submetem seus manuscritos para serem publicados nesta revista concordam com os seguintes termos:
- Autores mantêm os direitos autorais e concedem à revista o direito de primeira publicação, com o trabalho simultaneamente licenciado sob a Licença Creative Commons Attribution que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
- Em virtude dos artigos aparecerem nesta revista de acesso público, os artigos são de uso gratuito, com atribuições próprias, em aplicações educacionais e não-comerciais.
- Os autores concordam com os termos da Declaração de Direito Autoral, que se aplicará a esta submissão caso seja publicada nesta revista (comentários ao editor podem ser incluídos a seguir). E que anexam declaração assinada que todos os autores leram o documento a ser submetido e que aceitam os termos desta revista.
Os trabalhos publicados na Revista Saúde e Desenvolvimento Humano de ISSN 2317-8582 está licenciado com uma Licença Creative Commons - Atribuição-NãoComercial 4.0 Internacional.
Baseado no trabalho disponível em http://revistas.unilasalle.edu.br/index.php/saude_desenvolvimento/.