Banca de DEFESA: LUCIANA DE BRITO GONCALVES NASCIMENTO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : LUCIANA DE BRITO GONCALVES NASCIMENTO
DATA : 09/07/2020
HORA: 15:00
LOCAL: De forma remota (online)
TÍTULO:

MODIFIABLE CARDIOVASCULAR RISK FACTORS IN PATIENTS WITH ATHEROSCLEROSIS OF EIGHT CITIES IN NORTHEAST BRAZIL

PALAVRAS-CHAVES:

Cardiovascular Diseases; Obesity Abdominal; Cardiovascular Risk Factors; Secondary Prevention; Food Consumption, dynamometer, muscle strength.

PÁGINAS: 177
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

Introduction: despite the ample knowledge about the importance of secondary cardiovascular prevention, the minimum portion does not reach the recommended therapeutic goals. Objective: to identify the dietary adequacy of cardiac patients isolated from the Northeast region of the country, according to the recommendations of the Brazilian Society of Cardiology (SBC). Methodology: cross-sectional study with patients with cardiovascular disease (CVD), age ≥45 years, attended in outpatient clinics specialized in cardiovascular health in eight states in the Northeast of Brazil. Indicators of abdominal obesity and the components of metabolic syndrome (MS) were specified, according to the requirements of the Adult Treatment Panel III of the National Cholesterol Education Program (NCEP ATP III) and the Joint Interim Declaration (JIS). In a sample referring to the center of Bahia, relative muscle strength (RMS) was assessed. Food consumption was used by the 24-hour food record. Include food adequacy, according to SBC. A sample was stratified into two groups of agreements with the presence of diabetes mellitus (DM) identifying the factors associated with DM. Statistical analysis includes descriptive statistics and Student's t, Mann Whitney and chi-square tests for group comparison. Values of p <0.05 were significant. Results: 647 individuals with a mean (standard deviation) age of 63.1 (9.3) years were selected, 50.5% female and 40.3% diabetic. In the evaluation of food intake, the low adequacy to the consumption of carbohydrates (54.8%), proteins (27.8%), lipids (40.0%), saturated fatty acids (40.8%) and fibers is reduced (22.4%). When the groups with and without DM were compared, the first presented a higher percentage of obesity (38.5% vs. 23.2%, p <0.001), high waist circumference (84.8% vs. 71.9%; p <0.001); higher waist-to-height ratio [0.6 (0.6- 0.7) vs. 0.6 (0.5-0.6); p <0.001], taper index [1.35 (1.29-1.39) vs. 1.32 (1.27-1.38); p = 0.004] and prevalence of MS, both by NCEP ATPIII (98.8% vs 80.4%; p <0.001) and by JIS (99.2% vs 89.3%; p <0.001). The most frequent component was high blood pressure and / or hypertension (95.0%), followed by hypertriglyceridemia (93.0%). In addition, it was observed that 65.2% of those with muscle weakness were elderly. The men had superior measurements of RMS [1.30 (1.15-1.52) vs. 0.68 (0.53-0.87), p <0.001] and diabetics included lower values [0.8 (0.6-1.2) vs 1.1 (0.7-1.4); p = 0.034] when compared to non-diabetics. No third-third group had a higher prevalence of women (6.3% vs. 93.8% vs. 6.3%; p <0.001), greater subcutaneous adipose tissue reserve in the elderly [13.5 (8, 8- 16.5) vs. 20.0 (14.0-23.0) vs. 23.0 (20.0-28.0) mm; p <0.001] and in adults [42.0 (30.5-52.0) vs. 58.0 (38.0-67.0) vs. 64.0 (49.0-74.0) mm; p = 0.035], lower caloric consumption [23.8 (20.2-29.7) vs. 19.7 (15.2-25.0) vs. 16.3 (13.7-20.0) kcal / kgP; p <0.001] and protein [1.0 (0.8-1.4) vs. 0.8 (0.6-1.2) vs. 0.8 (0.6-1.0) g / kgP; p = 0.025]. Conclusion: the individuals ate a diet low in fiber and low nutritional quality, rich in saturated fat. In addition, diabetic patients suffering from MS and more abdominal obesity than diabetics do not have diabetes, all of which predispose to the occurrence of other cardiovascular outcomes. In addition, it demonstrated that muscle weakness was prevalent in the elderly, women and diabetics. 

MEMBROS DA BANCA:
Externo à Instituição - JACQUELINE COSTA DIAS PITANGUEIRA - UFRB
Externo ao Programa - 1066101 - JAIRZA MARIA BARRETO MEDEIROS
Interno - 287.581.105-34 - ROQUE ARAS JUNIOR - UFBA