Perfil antropométrico e parâmetros cardiovasculares dos participantes de um programa de promoção da saúde de Araranguá/SC

Viviane José de Oliveira Bristot, Danielle Soares Rocha Vieira, Ione Jayce Ceola Schneider, Viviane de Menezes Caceres


Este estudo buscou investigar os parâmetros antropométricos, cardiovasculares e índices glicêmicos de participantes de um programa de promoção da saúde na cidade de Araranguá, bem como seus níveis de atividade física. Foi realizado um estudo transversal no período de julho a dezembro de 2015. A coleta dos dados foi realizada com 323 indivíduos com idade entre 18 a 90 anos, e observou-se alta prevalência de excesso de peso e obesidade (78,5%) e hipertensão autorreferida (43,3%). Avaliar fatores de risco para doenças cardiovasculares é um aspecto importante do processo de avaliação global de saúde, em particular nos domínios de detecção precoce e prevenção de doenças crônicas. Nesse contexto, este e outros estudos que tem sido desenvolvidos e estão em andamento, pretendem fornecer informações sobre o estado de saúde de participantes de um programa de promoção de saúde da cidade de Araranguá, a fim de auxiliar a implementação de serviços de saúde. 


Promoção da Saúde; Prevenção de Doenças; Fatores de Risco Cardiovascular

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AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION TASK FORCE ON PRACTICE GUIDELINES, O. E. E. P., 2013. Executive summary: Guidelines (2013) for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013. Obesity (Silver Spring), v. 22 Suppl 2, p. S5-39, Jul 2014. ISSN 1930-739X. Available at: < >.

ANDERSSON, M. et al. Physical activity and fatigue in chronic obstructive pulmonary disease - A population based study. Respir Med, v. 109, n. 8, p. 1048-57, Aug 2015. ISSN 1532-3064. Available at: < >.

BARREIRA, T. V. et al. Anthropometric correlates of total body fat, abdominal adiposity, and cardiovascular disease risk factors in a biracial sample of men and women. Mayo Clin Proc, v. 87, n. 5, p. 452-60, May 2012. ISSN 1942-5546. Available at: < >.

BELARDINELLI, R. et al. 10-year exercise training in chronic heart failure: a randomized controlled trial. J Am Coll Cardiol, v. 60, n. 16, p. 1521-8, Oct 2012. ISSN 1558-3597. Available at: < >.

BOUAZIZ, W. et al. Health benefits of endurance training alone or combined with diet for obese patients over 60: a review. Int J Clin Pract, v. 69, n. 10, p. 1032-49, Oct 2015. ISSN 1742-1241. Available at: < >.

BOWERS, M. T. Cardiovascular Health Among an Underserved Population: Clinical Implications. Nurs Clin North Am, v. 50, n. 3, p. 457-64, Sep 2015. ISSN 1558-1357. Available at: < >.

BRANT, L. C. et al. Relations of digital vascular function, cardiovascular risk factors, and arterial stiffness: the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) cohort study. J Am Heart Assoc, v. 3, n. 6, p. e001279, Dec 2014. ISSN 2047-9980. Available at: < >.

BRAWNER, C. A.; CHURILLA, J. R.; KETEYIAN, S. J. Prevalence of Physical Activity Is Lower among Individuals with Chronic Disease. Med Sci Sports Exerc, v. 48, n. 6, p. 1062-7, Jun 2016. ISSN 1530-0315. Available at: < >.

BURROWS, R. et al. High cardiometabolic risk in healthy Chilean adolescents: associations with anthropometric, biological and lifestyle factors. Public Health Nutr, v. 19, n. 3, p. 486-93, Feb 2016. ISSN 1475-2727. Available at: < >.

CAMPBELL, N. R.; NIEBYLSKI, M. L.; EXECUTIVE, W. H. L. Prevention and control of hypertension: developing a global agenda. Curr Opin Cardiol, v. 29, n. 4, p. 324-30, Jul 2014. ISSN 1531-7080. Available at: < >.

COTTS, T. B. et al. A school-based health education program can improve cholesterol values for middle school students. Pediatr Cardiol, v. 29, n. 5, p. 940-5, Sep 2008. ISSN 0172-0643. Available at: < >.

DANIELE, T. M. et al. Associations among physical activity, comorbidities, depressive symptoms and health-related quality of life in type 2 diabetes. Arq Bras Endocrinol Metabol, v. 57, n. 1, p. 44-50, Feb 2013. ISSN 1677-9487. Available at: < >.

ENG, J. Y.; MOY, F. M.; BULGIBA, A. Impact of a Workplace Health Promotion Program on Employees' Blood Pressure in a Public University. PLoS One, v. 11, n. 2, p. e0148307, 2016. ISSN 1932-6203. Available at: < >.

GARCÍA-ORTIZ, L. et al. Relationship between objectively measured physical activity and cardiovascular aging in the general population--the EVIDENT trial. Atherosclerosis, v. 233, n. 2, p. 434-40, Apr 2014. ISSN 1879-1484. Available at: < >.

HARRIS, K. C. et al. Hypertension Canada's 2016 Canadian Hypertension Education Program Guidelines for Blood Pressure Measurement, Diagnosis, and Assessment of Risk of Pediatric Hypertension. Can J Cardiol, v. 32, n. 5, p. 589-97, May 2016. ISSN 1916-7075. Available at: < >.

HESSELINK, A. E. et al. A cluster-randomized controlled trial to study the effectiveness of a protocol-based lifestyle program to prevent type 2 diabetes in people with impaired fasting glucose. BMC Fam Pract, v. 14, p. 184, 2013. ISSN 1471-2296. Available at: < >.

JERÔNIMO, J. S. et al. [Physical activity in staff workers at Centers for Psychosocial Care in southern Brazil: temporal trends]. Cad Saude Publica, v. 30, n. 12, p. 2656-68, Dec 2014. ISSN 1678-4464. Available at: < >.

KNAPPER, J. T. et al. Time to Change Our Focus: Defining, Promoting, and Impacting Cardiovascular Population Health. J Am Coll Cardiol, v. 66, n. 8, p. 960-71, Aug 2015. ISSN 1558-3597. Available at: < >.

LEE, I. M. et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet, v. 380, n. 9838, p. 219-29, Jul 2012. ISSN 1474-547X. Available at: < >.

LONG, G. H. et al. Temporal shifts in cardiovascular risk factor distribution. Am J Prev Med, v. 46, n. 2, p. 112-21, Feb 2014. ISSN 1873-2607. Available at: < >.

LOPRINZI, P. D.; DAVIS, R. E. Effects of individual, combined, and isolated physical activity behaviors on all-cause mortality and CVD-specific mortality: Prospective cohort study among U.S. adults. Physiol Behav, v. 151, p. 355-9, Nov 2015. ISSN 1873-507X. Available at: < >.

MARGETTS, B. M. et al. Relationship between attitudes to health, body weight and physical activity and level of physical activity in a nationally representative sample in the European Union. Public Health Nutr, v. 2, n. 1A, p. 97-103, Mar 1999. ISSN 1368-9800. Available at: < >.

MARTHA, S.; RAMREDDY, S.; PANTAM, N. Study of impaired glucose tolerance, dyslipidemia, metabolic syndrome, and cardiovascular risk in a south Indian population. J Postgrad Med, v. 57, n. 1, p. 4-8, 2011 Jan-Mar 2011. ISSN 0972-2823. Available at: < >.

MAZALIN PROTULIPAC, J.; SONICKI, Z.; REINER, Ž. Cardiovascular disease (CVD) risk factors in older adults - Perception and reality. Arch Gerontol Geriatr, v. 61, n. 1, p. 88-92, 2015 Jul-Aug 2015. ISSN 1872-6976. Available at: < >.

MINDER, C. M. et al. Relation between self-reported physical activity level, fitness, and cardiometabolic risk. Am J Cardiol, v. 113, n. 4, p. 637-43, Feb 2014. ISSN 1879-1913. Available at: < >.

MURRAY, C. J.; LOPEZ, A. D. Mortality by cause for eight regions of the world: Global Burden of Disease Study. Lancet, v. 349, n. 9061, p. 1269-76, May 1997. ISSN 0140-6736. Available at: < >.

NACI, H.; IOANNIDIS, J. P. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. BMJ, v. 347, p. f5577, 2013. ISSN 1756-1833. Available at: < >.

NAKAMURA, P. M. et al. Health related quality of life is differently associated with leisure-time physical activity intensities according to gender: a cross-sectional approach. Health Qual Life Outcomes, v. 12, p. 98, 2014. ISSN 1477-7525. Available at: < >.

NORTHCOTT, J. M. et al. Adipokines and the cardiovascular system: mechanisms mediating health and disease. Can J Physiol Pharmacol, v. 90, n. 8, p. 1029-59, Aug 2012. ISSN 1205-7541. Available at: < >.

NUNES, A. P. et al. [Domains of physical activity and education in São Paulo, Brazil: a serial cross-sectional study in 2003 and 2008]. Cad Saude Publica, v. 31, n. 8, p. 1743-55, Aug 2015. ISSN 1678-4464. Available at: < >.

PATTYN, N. et al. The effect of exercise on the cardiovascular risk factors constituting the metabolic syndrome: a meta-analysis of controlled trials. Sports Med, v. 43, n. 2, p. 121-33, Feb 2013. ISSN 1179-2035. Available at: < >.

PILAV, A. et al. Cardiovascular risk factors in the Federation of Bosnia and Herzegovina. Eur J Public Health, v. 17, n. 1, p. 75-9, Feb 2007. ISSN 1101-1262. Available at: < >.

RASIAH, R. et al. The impact of physical activity on cumulative cardiovascular disease risk factors among Malaysian adults. BMC Public Health, v. 15, p. 1242, 2015. ISSN 1471-2458. Available at: < >.

RIBEIRO, A. G.; COTTA, R. M.; RIBEIRO, S. M. [The promotion of health and integrated prevention of risk factors for cardiovascular diseases]. Cien Saude Colet, v. 17, n. 1, p. 7-17, Jan 2012. ISSN 1678-4561. Available at: < >.

RITCHIE, S. A.; CONNELL, J. M. The link between abdominal obesity, metabolic syndrome and cardiovascular disease. Nutr Metab Cardiovasc Dis, v. 17, n. 4, p. 319-26, May 2007. ISSN 1590-3729. Available at: < >.

ROEVER, L. S. et al. Abdominal Obesity and Association With Atherosclerosis Risk Factors: The Uberlândia Heart Study. Medicine (Baltimore), v. 95, n. 11, p. e1357, Mar 2016. ISSN 1536-5964. Available at: < >.

SAMITZ, G.; EGGER, M.; ZWAHLEN, M. Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies. Int J Epidemiol, v. 40, n. 5, p. 1382-400, Oct 2011. ISSN 1464-3685. Available at: < >.

SARMA, S. et al. The effect of physical activity on adult obesity: evidence from the Canadian NPHS panel. Econ Hum Biol, v. 14, p. 1-21, Jul 2014. ISSN 1873-6130. Available at: < >.

SIMOES, E. J. et al. A priority health index identifies the top six priority risk and related factors for non-communicable diseases in Brazilian cities. BMC Public Health, v. 15, p. 443, 2015. ISSN 1471-2458. Available at: < >.

SKRYPNIK, D. et al. Effects of Endurance and Endurance Strength Training on Body Composition and Physical Capacity in Women with Abdominal Obesity. Obes Facts, v. 8, n. 3, p. 175-87, 2015. ISSN 1662-4033. Available at: < >.

STOCK, S. et al. Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school. Pediatrics, v. 120, n. 4, p. e1059-68, Oct 2007. ISSN 1098-4275. Available at: < >.

SUEMOTO, C. K. et al. Effects of body mass index, abdominal obesity, and type 2 diabetes on mortality in community-dwelling elderly in Sao Paulo, Brazil: analysis of prospective data from the SABE study. J Gerontol A Biol Sci Med Sci, v. 70, n. 4, p. 503-10, Apr 2015. ISSN 1758-535X. Available at: < >.

THOMSON, J. L. et al. Participant adherence indicators predict changes in blood pressure, anthropometric measures, and self-reported physical activity in a lifestyle intervention: HUB city steps. Health Educ Behav, v. 42, n. 1, p. 84-91, Feb 2015. ISSN 1552-6127. Available at: < >.

TUCKER, C. M. et al. The effects of a culturally sensitive, empowerment-focused, community-based health promotion program on health outcomes of adults with type 2 diabetes. J Health Care Poor Underserved, v. 25, n. 1, p. 292-307, Feb 2014. ISSN 1548-6869. Available at: < >.

VEDANTHAN, R. et al. Family-Based Approaches to Cardiovascular Health Promotion. J Am Coll Cardiol, v. 67, n. 14, p. 1725-37, Apr 2016. ISSN 1558-3597. Available at: < >.

VENTURELLI, M. et al. Effects of endurance, circuit, and relaxing training on cardiovascular risk factors in hypertensive elderly patients. Age (Dordr), v. 37, n. 5, p. 101, Oct 2015. ISSN 1574-4647. Available at: < >.

VÁZQUEZ, L. A. et al. Relationships between obesity, glycemic control, and cardiovascular risk factors: a pooled analysis of cross-sectional data from Spanish patients with type 2 diabetes in the preinsulin stage. BMC Cardiovasc Disord, v. 14, p. 153, 2014. ISSN 1471-2261. Available at: < >.

WANG, J. et al. The effectiveness of a community-based health promotion program for rural elders: a quasi-experimental design. Appl Nurs Res, v. 27, n. 3, p. 181-5, Aug 2014. ISSN 1532-8201. Available at: < >.

WESTERTERP, K. R. Assessment of physical activity: a critical appraisal. Eur J Appl Physiol, v. 105, n. 6, p. 823-8, Apr 2009. ISSN 1439-6327. Available at: < >.

WU, M. P. et al. Effectiveness of a community-based health promotion program targeting people with hypertension and high cholesterol. Nurs Health Sci, v. 14, n. 2, p. 173-81, Jun 2012. ISSN 1442-2018. Available at: < >.

YUSUF, S. et al. Obesity and the risk of myocardial infarction in 27,000 participants from 52 countries: a case-control study. Lancet, v. 366, n. 9497, p. 1640-9, Nov 2005. ISSN 1474-547X. Available at: < >.

ZHENG, W. et al. Association between body-mass index and risk of death in more than 1 million Asians. N Engl J Med, v. 364, n. 8, p. 719-29, Feb 2011. ISSN 1533-4406. Available at: < >.


Extensio: R. Eletr. de Extensão, Florianópolis, Santa Catarina, Brasil. ISSN 1807-0221.