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de Souza dos Santos C, Aparecida de Oliveira Duarte Y, Maria Trevisan Zanetta D. Prevalence and incidence of decreased glomerular filtration rate and its variation over 6 years: Cohort study SABE 2010-2016. PLoS One 2024; 19:e0294660. [PMID: 38166084 PMCID: PMC10760849 DOI: 10.1371/journal.pone.0294660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Accepted: 11/06/2023] [Indexed: 01/04/2024] Open
Abstract
The aging process and the rising prevalence of Chronic Noncommunicable Diseases (NCDs) contribute to the decline in kidney function among elderly individuals. The aim of this research was to assess prevalence and incidence of decreased glomerular filtration rate (GFR) (GFR <60mL/min/1.73m2) over six-year period in elderly residents of São Paulo. This study relied on data from 2010 and 2016 waves of the cohort SABE Study - Health, Wellbeing, and Aging, with a probabilistic and representative sample of elderly individuals residing in São Paulo. GFR was calculated using the 2021 Chronic Kidney Disease Epidemiology Collaboration creatinine (CKD-EPI) equation. Categorical variables were analyzed using chi-square test with Rao-Scott correction, and weighted means and standard errors were calculated for continuous variables. Logistic and linear regression models were constructed to analyse the data. Statistical analyses accounted for sample weights to ensure population representativeness. The prevalence of decreased GFR in 2010 was 17.3%, with mean GFR of 75.6 mL/min/1.73m2 (SE = 0.5). The incidence of decreased GFR between 2010 and 2016 was 14.9%, equivalent to an annual incidence of 2.5%. This incidence was associated with older age, hypertension, self-perceived fair/poor/very poor health, and greater number of comorbidities associated. Over the study period, 68.1% of the elderly participants experienced deterioration in GFR, with an average decline of 1 mL/min/1.73m2 each year. Renal function decline often occurs without noticeable symptoms, and the high prevalence of comorbidities contributes to the worsening of GFR. Therefore, monitoring renal function in the elderly is crucial for effectively managing the health of this population.
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Oliveira-Dantas FF, Browne RAV, Oliveira RS, Cabral LLP, de Farias Junior LF, Costa EC. Effect of High-velocity Resistance Exercise on 24-h Blood Pressure in Hypertensive Older Women. Int J Sports Med 2020; 42:41-47. [PMID: 32785911 DOI: 10.1055/a-1202-1536] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study investigated the acute post-exercise effect of high-velocity resistance exercise on ambulatory blood pressure in hypertensive older women. Fourteen volunteers (67.9±5.1 years) performed a high-velocity resistance exercise session (8 exercises using Thera-Band, 3 sets of 6 repetitions as fast as possible in the concentric phase with moderate intensity) and a control session, separated by a 7-10-day period. Ambulatory blood pressure was monitored following 12-h post-sessions and compared between conditions at 1 to 4-h, 5 to 8-h, and 9 to 12-h. Average 24-h ambulatory blood pressure, awake, asleep periods, and blood pressure load were also analyzed. There was a condition by time interaction for systolic ambulatory blood pressure over 12-h post-sessions (P=0.043). It was observed a lower systolic ambulatory blood pressure in the first 4-h period following the high-velocity resistance exercise session compared to the control session (-6.7 mmHg, 95% CI - 11.6 to -1.8 mmHg; P=0.011). No changes were observed for diastolic ambulatory blood pressure over 12-h post-sessions as well as for the other variables analyzed (P>0.05). In summary, a single high-velocity resistance exercise session elicits a post-exercise antihypertensive effect and may be considered as a strategy to acutely improve blood pressure control in hypertensive older women.
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Souza NPD, Cesse EÂP, Souza WVD, Fontbonne A, Barreto MNSDC, Goff ML, Batista Filho M, Féart C, Lira PICD. Temporal variation in prevalence, awareness and control of hypertension in urban and rural areas in Northeast Brazil between 2006 and 2016. CAD SAUDE PUBLICA 2020; 36:e00027819. [PMID: 32321071 DOI: 10.1590/0102-311x00027819] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Accepted: 09/23/2019] [Indexed: 11/22/2022] Open
Abstract
To assess the evolution in prevalence, awareness and control of hypertension for over 10 years in Pernambuco State, Northeast Brazil, two cross-sectional studies were conducted based on random samples of households in urban and rural areas, in 2006 and 2015/2016, involving adults aged 20 years or older. Hypertension was defined as systolic blood pressure of at least 140mmHg or diastolic blood pressure of at least 90mmHg as well as the reported use of antihypertensive medication. A logistic regression analysis was conducted to estimate the influence of the social, behavioral and anthropometric determinants on hypertension. Although social and behavioral factors improved in this 10-year period, overweight and abdominal obesity increased. Approximately one third of the adult population of Pernambuco had hypertension in 2006 and this prevalence was maintained in 2015/2016. In rural areas, awareness concerning hypertension rose from 44.8% in 2006 to 67.3% in 2015/2016, and control from 5.3% to 27.1%, so that awareness and control were similar in urban and rural areas in 2015/2016. After an adjustment for potential confounding factors, the likelihood of having hypertension more than doubled among men (OR = 2.03; p < 0.001), middle (OR = 4.41; p < 0.001) and old-age subjects (OR = 14.44; p < 0.001), and those who had abdominal obesity (OR = 2.04; p < 0.001) in urban areas and among middle-aged (OR = 2.56; p < 0.001), less educated individuals (OR = 2.21; p = 0.006) and those who were overweight (OR = 2.23; p < 0.001) in rural areas. Despite the favorable evolution in the management of hypertension in Pernambuco, public health measures focused in vulnerable populations are still required, mainly in rural areas, to improve primary prevention and decrease the disease rate.
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Affiliation(s)
- Nathália Paula de Souza
- Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, Brasil.,Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, Brasil
| | | | | | - Annick Fontbonne
- Centre de Recherche en Epidémiologie et Santé des Populations, INSERM, Villejuif, France
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Oliveira-Dantas FF, Brasileiro-Santos MDS, Thomas SG, Silva AS, Silva DC, Browne RAV, Farias-Junior LF, Costa EC, Santos ADC. Short-Term Resistance Training Improves Cardiac Autonomic Modulation and Blood Pressure in Hypertensive Older Women: A Randomized Controlled Trial. J Strength Cond Res 2020; 34:37-45. [PMID: 31877119 DOI: 10.1519/jsc.0000000000003182] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Oliveira-Dantas, FF, Brasileiro-Santos, MdS, Thomas, SG, Silva, AS, Silva, DC, Browne, RAV, Farias-Junior, LF, Costa, EC, and Santos, AdC. Short-term resistance training improves cardiac autonomic modulation and blood pressure in hypertensive older women: a randomized controlled trial. J Strength Cond Res 34(1): 37-45, 2020-This randomized controlled trial investigated the efficacy of short-term resistance training (RT) on cardiac autonomic modulation and peripheral hemodynamic parameters in hypertensive older women. Twenty-five hypertensive older women who were insufficiently active (64.7 ± 4.7 years) participated in this study. Subjects were randomly allocated to a 10-week RT program (2 d·wk in the first 5 weeks; 3 d·wk in the last 5 weeks) or a nonexercise control group. Linear reverse periodization was used for the RT program. Cardiac autonomic modulation, mean blood pressure (MBP), peripheral vascular resistance (PVR), and resting heart rate (RHR) were measured before and after 10 weeks. The RT group reduced cardiac sympathetic modulation (0V%; B = -6.6; 95% confidence interval [CI]: -12.9 to -0.2; p = 0.045; Cohen's d = 0.88) and showed a trend for increased parasympathetic modulation (2V%; B = 12.5; 95% CI: 0-25; p = 0.050; Cohen's d = 0.87) compared with the control group. The RT group reduced MBP (B = -8.5 mm Hg; 95% CI: -13.6 to -3.4; p = 0.001; Cohen's d = 1.27), PVR (B = -14.1 units; 95% CI: -19.9 to -8.4; p < 0.001; Cohen's d = 1.86), and RHR (B = -8.8 b·min; 95% CI: -14.3 to -3.3; p = 0.002; Cohen's d = 1.20) compared with the control group. In the RT group, the changes in 2V% patterns and low-frequency components showed a correlation with changes in MBP (r = -0.60; p = 0.032) and RHR (r = 0.75; p = 0.0003). In conclusion, 10 weeks of RT improved cardiac autonomic modulation and reduced MBP and PVR in hypertensive older women. These results reinforce the importance of RT for this population.
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Affiliation(s)
- Filipe F Oliveira-Dantas
- Graduate Associate Program in Physical Education, Federal University of Paraiba/University of Pernambuco, João Pessoa, Paraiba, Brazil.,Research Laboratory for Physical Training Applied to Health, Federal University of Paraiba, João Pessoa, Paraiba, Brazil
| | - Maria do Socorro Brasileiro-Santos
- Graduate Associate Program in Physical Education, Federal University of Paraiba/University of Pernambuco, João Pessoa, Paraiba, Brazil.,Research Laboratory for Physical Training Applied to Health, Federal University of Paraiba, João Pessoa, Paraiba, Brazil
| | - Scott G Thomas
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada; and
| | - Alexandre S Silva
- Graduate Associate Program in Physical Education, Federal University of Paraiba/University of Pernambuco, João Pessoa, Paraiba, Brazil
| | - Douglas C Silva
- Graduate Associate Program in Physical Education, Federal University of Paraiba/University of Pernambuco, João Pessoa, Paraiba, Brazil
| | - Rodrigo A V Browne
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Luiz F Farias-Junior
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Eduardo C Costa
- Graduate Program in Health Sciences, Federal University of Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil
| | - Amilton da Cruz Santos
- Graduate Associate Program in Physical Education, Federal University of Paraiba/University of Pernambuco, João Pessoa, Paraiba, Brazil.,Research Laboratory for Physical Training Applied to Health, Federal University of Paraiba, João Pessoa, Paraiba, Brazil
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Sousa ALL, Batista SR, Sousa AC, Pacheco JAS, Vitorino PVDO, Pagotto V. Hypertension Prevalence, Treatment and Control in Older Adults in a Brazilian Capital City. Arq Bras Cardiol 2019; 112:271-278. [PMID: 30916203 PMCID: PMC6424046 DOI: 10.5935/abc.20180274] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2018] [Revised: 07/18/2018] [Accepted: 08/02/2018] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND The diagnosis, treatment and control of arterial hypertension are fundamental for a reduction in cardiovascular outcomes, especially in the elderly. In Brazil, there are few studies that specifically identified these rates in the elderly population. OBJECTIVE To verify rates of prevalence, treatment and control of hypertension in elderly people living in the urban area of a Brazilian capital city. METHODS A cross-sectional, population-based, randomized, cluster-based study with 912 non-institutionalized elderly individuals (≥ 60 years), living in urban areas in the city of Goiania, Midwest Brazil. Predictor variables were: age, gender, socioeconomic and lifestyle aspects. Blood pressure measurements were performed at home; patients were considered as having arterial hypertension when SBP and/or DBP ≥ 140/90 mmHg or when using antihypertensive drugs (dependent variable). Rates of hypertension treatment and control were evaluated. Variable association analyses were performed by multivariate logistic regression and level of significance was set at 5%. RESULTS The prevalence of arterial hypertension was 74.9%, being higher (78.6%) in men (OR 1.4, 95% CI: 1.04-1.92); the treatment rate was 72.6%, with higher rates being observed in smokers (OR 2.06, 95% CI: 1.28-3.33). The rate of hypertension control was 50.8%,being higher in women (OR 1.57, 95% CI: 1.19-2.08). CONCLUSION The prevalence rates were high. Treatment and control rates were low and associated with gender, age and lifestyle, indicating the need for early and individual interventions.
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Affiliation(s)
- Ana Luiza Lima Sousa
- Faculdade de Enfermagem, Universidade Federal de Goiás
(UFG), Goiânia, GO - Brazil
| | | | | | | | | | - Valéria Pagotto
- Faculdade de Enfermagem, Universidade Federal de Goiás
(UFG), Goiânia, GO - Brazil
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Minelli C, Cabral N, de Souza Leite A, Cicogna Neto P, Vichi MS, Carmo JL, Iwachima F, Martins Peres AD, Ribeiro Ferreira AA, Borsetti Neto F, Ujikawa LT, Borin LA, Reis GCD, Minelli DPC, Chiozzini EL. Matão Controlling Hypertension (MatCH) project: Rationale and design. Contemp Clin Trials Commun 2018; 8:234-240. [PMID: 29696214 PMCID: PMC5898479 DOI: 10.1016/j.conctc.2017.10.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 10/20/2017] [Accepted: 10/23/2017] [Indexed: 01/08/2023] Open
Abstract
Background Hypertension is the main risk factor for most cardiovascular diseases. A coordinated and organized system from the Brazilian Ministry of Healthy involving Family Health Strategy (FHS), a program for the prevention of chronic disease, and the Popular Pharmacy Program (PPP), which subsidizes medications for the population, could allow an earlier identification and better blood pressure (BP) control. Matão Controlling Hypertension (MatCH) is a community-based population project that aims to apply an organized, integrated and coordinated program in the city of Matão, Brazil, involving FHS and PPP in order to actively search, treat and follow-up hypertensive subjects. Method This is a population community-based, interventional, follow-up study where all subjects aged ≥ 40 years assisted by the FHS program in Matão will have BP assessed monthly by trained Community Health Agents (CHA) during a domiciliary visit. Identified hypertensive subjects will be referred to FHS physicians for nonpharmacological and pharmacological treatment. Most of the hypertensive drugs used will be available through the PPP. Prevalence of hypertension, awareness, demographics and risk factors will be correlated with BP control. The population study is expected to involve approximately 18.600 subjects. The study period will be four years. Discussion Considering that hypertension is asymptomatic in most cases, to reduce the population burden of BP-related deaths and diseases it is essential to detect and treat early all hypertensive patients. If we achieve our large-scale BP control, this program can be applied to other populations from developing countries.
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Affiliation(s)
- Cesar Minelli
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil.,Neurologic Center of Research and Rehabilitation, Rua Sete de Setembro, 568, Matão, SP, 15990-635, Brazil
| | - Norberto Cabral
- Universidade de Joinville, Joinville, Otto Boehm, 571, Joinville, SC, 89201700, Brazil
| | - Ariany de Souza Leite
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Paulo Cicogna Neto
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Maria Silvia Vichi
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - João Luiz Carmo
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Fumiu Iwachima
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | | | | | - Flavio Borsetti Neto
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Liliana Tiene Ujikawa
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Lucileni Aparecida Borin
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
| | - Geraldo Cassio Dos Reis
- Department of Neurosciences and Behavioral Sciences, Medical School, University of São Paulo, Ribeirão Preto, SP, 14049-900, Brazil
| | - Denise Paolinetti Camara Minelli
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil.,Neurologic Center of Research and Rehabilitation, Rua Sete de Setembro, 568, Matão, SP, 15990-635, Brazil
| | - Esther Langhi Chiozzini
- Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil
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Sgambato MR, Cunha DB, Henriques VT, Estima CCP, Souza BSN, Pereira RA, Yokoo EM, Paravidino VB, Sichieri R. PAAPPAS community trial protocol: a randomized study of obesity prevention for adolescents combining school with household intervention. BMC Public Health 2016; 16:809. [PMID: 27534742 PMCID: PMC4989464 DOI: 10.1186/s12889-016-3473-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2016] [Accepted: 08/09/2016] [Indexed: 01/20/2023] Open
Abstract
Background The prevalence of childhood obesity is increasing at a high rate in Brazil, making prevention a health priority. Schools are the central focus of interventions aiming the prevention and treatment of childhood obesity, however, randomized trials and cohort studies have not yet provided clear evidence of strategies to reduce prevalence of obesity. The aim of this study is to present a protocol to evaluate the efficacy of combining school and household level interventions to reduce excessive weight gain among students. Methods The intervention target fifth and sixth graders from 18 public schools (9 interventions and 9 controls) in the municipality of Duque de Caxias, metropolitan area of Rio de Janeiro, Brazil. A sample size of 2500 students will be evaluated at school for their weight status and those from the intervention group who are overweight or obese will be followed monthly at home by community health agents. Demographic, socioeconomic, anthropometric, eating behavior and food consumption data will be collected at school using a standardized questionnaire programmed in personal digital assistant. At school, all students from the intervention group will be encouraged to change eating habits and food consumption and to increase physical activity and reducing sedentary behavior. Discussion This study will provide evidence whether integration of school with primary health care can prevent excessive weight gain among adolescents. Positive results will inform a sustainable strategy to be disseminated in the health care system in Brazil. Trial registration ClinicalTrials.gov, NCT02711488. Date of registration: March 11, 2016.
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Affiliation(s)
- Michele R Sgambato
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil.
| | - Diana B Cunha
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil
| | - Viviana T Henriques
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil
| | - Camilla C P Estima
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil
| | - Bárbara S N Souza
- Department of Epidemiology, Fluminense Federal University, Marques de Paraná, 303 - 3° andar, Prédio anexo, Centro -Niterói, CEP: 24030-210, Rio de Janeiro, RJ, Brazil
| | - Rosangela A Pereira
- Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Av. Carlos Chagas Filho, 373 - 2° andar, Bloco J, Cidade Universitária, CEP: 21941-590, Rio de Janeiro, RJ, Brazil
| | - Edna M Yokoo
- Department of Epidemiology, Fluminense Federal University, Marques de Paraná, 303 - 3° andar, Prédio anexo, Centro -Niterói, CEP: 24030-210, Rio de Janeiro, RJ, Brazil
| | - Vitor B Paravidino
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil.,Department of Physical Education and Sports, Naval Academy - Brazilian Navy, Avenida Almirante Silvio de Noronha, s/n, Castelo, CEP: 20021-010, Rio de Janeiro, Brazil
| | - Rosely Sichieri
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, São Francisco Xavier, 524 - 7° andar, Bloco D, Maracanã, CEP: 20550-900, Rio de Janeiro, RJ, Brazil
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