scholarly journals Wholegrain Consumption and Risk Factors for Cardiorenal Metabolic Diseases in Chile: A Cross-Sectional Analysis of 2016–2017 Health National Survey

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2815
Author(s):  
Fabian Lanuza ◽  
Raul Zamora-Ros ◽  
Nicole Hidalgo-Liberona ◽  
Cristina Andrés-Lacueva ◽  
Tomás Meroño

Wholegrain (WG) consumption has been associated with reduced risk factors for cardiorenal metabolic diseases (CRMD). In Latin-America. WG intake is low and scarce studies on this subject have been found. We aimed to evaluate the association between WG consumption and risk factors for CRMD in the 2016–2017 Chilean-National Health Survey. This cross-sectional study included 3110 participants representative of a total population of 11,810,647 subjects > 18 y, not taking insulin and with complete data on CRMD risk factors. Outcomes were metabolic syndrome and its components, albuminuria, and impaired glomerular filtration rate (GFR). WG consumption was categorized as regular (≥every two days), sporadic (≥once a month), and non-consumers. Associations were analyzed by multivariable logistic regressions adjusted for confounders taking into account the complex sample design of the survey. Regular WG consumers showed a lower risk of high blood pressure (OR: 0.61, 95%CI: 0.41–0.91) compared to non-consumers in fully-adjusted models. Although inverse associations were noticed with other metabolic syndrome components and impaired GFR, none was statistically significant. The association between WG and BP remained robust in the sensitivity analysis. In conclusion regular WG consumption was associated with a 39% lower risk of high blood pressure in Chilean adults.

Author(s):  
C. Dussaillant ◽  
G. Echeverría ◽  
L. Villarroel ◽  
C.B. Yu ◽  
A. Rigotti ◽  
...  

Objectives: To analyze the relationship between the prevalence of metabolic syndrome, food intake, and diet quality in elderly (≥65 years old) Chilean population. Design: Cross sectional analysis based on the last national health survey performed in the years 2009 and 2010 (ChNHS 2009-2010). Setting: Non-institutionalized individuals of 65 years or older were selected and visited at home. Participants: A subsample of 505 elderly adults from the ChNHS 2009-2010 who answered a food questionnaire and had appropriate information to diagnose metabolic syndrome following the ATPIII-NCEP guidelines. Measurements: Fasting blood samples were obtained in order to measure blood lipids and fasting blood glucose. Blood pressure, waist circumference, and body mass index (BMI) were also measured. A 5-item food frequency questionnaire was applied to all the participants of NHS 2009-2010. Results: The overall prevalence of metabolic syndrome in the Chilean adult population was 37.7%, increasing in frequency with advancing age. Among the elderly (≥65 years old), metabolic syndrome was found in 57.2% of the sample. Elevated blood pressure and increased waist circumference were the most prevalent metabolic syndrome components among this group (88% and 80%, respectively). Low intake of fruits, vegetables, whole cereals, fish, and dairy was seen among the elderly, and no association was found between food intake nor diet quality and metabolic syndrome prevalence. Conclusion: Metabolic syndrome is highly prevalent among the Chilean elderly population and its prevalence is not associated with food intake or diet quality in this age group.


2015 ◽  
Vol 1 (2) ◽  
pp. 13-19
Author(s):  
NC Ogu ◽  
AE Ladele ◽  
DO Afolabi ◽  
JO Sotunsa ◽  
FI Ani

Objectives: High blood pressure among adolescents is not as researched as it is among adults, notwithstanding that hypertension in adults is being tracked back to childhood. This study identied the prevalence of hypertension among adolescents, the age related pattern of prevalence and associated risk factors. Method: A cross sectional study was conducted among university students who presented for preadmission medical examination. Blood pressuremeasurement was conducted and cut off reading was based on JNC VII classication for hypertension.  Results: A total of 952 students had complete data. Participants were aged 14 – 19 years with a mean age of 16.6 ± 1.03 years. Prevalence of hypertensionamong the adolescents was 6.4%. High blood pressure (HBP) distribution was as follows; systolic HBP (54%), diastolic HBP (31.15%) and combinedsystolic and diastolic HBP (14.75%). The risk factors significantly associated with HBP were male gender, obesity, overweight, alcohol, smoking and high blood sugar (p values 0.001, 0.039, 0.001, 0.016, and 0.001 respectively). However family history of hypertension was not significantly associated with hypertension (p=0.053). The majority of the adolescents with hypertension were unaware of the morbidity. Conclusion: Hypertension is identifiable in adolescents  and it appears to increase with age. Notable risk factors for hypertension in adults are also associatedwith hypertension among adolescents. Regular screening will improve awareness and help mitigate the complications of this condition.


2015 ◽  
Vol 31 (2) ◽  
pp. 331-344 ◽  
Author(s):  
Deise Bresan ◽  
João Luiz Bastos ◽  
Maurício Soares Leite

This cross-sectional study describes the prevalence of high blood pressure (HBP; measured at one setting, and suggestive of a clinical diagnosis of arterial hypertension) and mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) and their associations with socio-demographic and anthropometric variables among 355 Kaingang adults (≥ 20 years) on the Xapecó Indigenous Land in Brazil. Weight, height, waist circumference (WC), SBP, and DBP were measured and socio-demographic data were collected. Prevalence of HBP was 53.2% (95%CI: 45.3; 61.1) in men and 40.7% (95%CI: 33.8; 47.6) in women. In women, age and WC were directly associated with HBP; age was associated with SBP and schooling with DBP. In men, HBP was statistically associated with high body mass index (BMI) and tile floor in the home (as a socioeconomic proxy); BMI and WC were associated with SBP; BMI and WC were associated with DBP. The study highlights the need for measures to control risk factors for HBP, especially due to its relevance for cardiovascular diseases and their consequences.


Author(s):  
M Saraei ◽  
A Najafi ◽  
E Heidarbagi ◽  
A Rahimi-Golkhandan

Introduction: Screening of risk factors for metabolic syndrome among commercial and train drivers that are considered safety sensitive jobs, is an important issue in safety of transportation system. Metabolic syndrome is consisted of disturbed lipid profile, high blood pressure, and high waist circumference. It can lead to decrease the quality of life and higher health associated costs for these patients. This study aimed to assess risk factors for metabolic syndrome among train drivers. Methods: This cross-sectional study was conducted on 281 train drivers referred to their annual health examinations to Occupational Medicine Clinic of Baharloo Hospital, Tehran University of Medical Sciences. Demographic characteristics of participants were recorded. Blood pressure, body mass index and waist circumference of drivers were measured. Participants’ blood sample for fasting blood sugar, triglyceride, high and low density lipoproteins were collected. Metabolic syndrome was defined according to the NCEP ATP III criteria. Results: All of the participants were males.  Their mean age and BMI was 43±10 year and 26.60±3.67 Kg/m2, respectively. Fifty three (21%) of the participants were diagnosed with metabolic syndrome. The more frequent risk factor for metabolic syndrome was triglyceride more than 150mg/dl. Conclusion: Findings of the present study revealed high prevalence of metabolic syndrome among train drivers. Further studies are needed for screening the metabolic syndrome in this occupational group as it is a sensitive occupation.


Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Susana Martins ◽  
Nuno Cortez-Dias ◽  
Manuela Fiuza

Context: There is general consensus that prevalence of metabolic syndrome (MS) increases with body mass index (BMI), but less is known in normal weight individuals. Objectives: To determine the prevalence and likelihood of MS and its components in normal weight (NW: 18.5–24.9 kg/m 2 ), overweight (OW: 25–29.9 kg/m 2 ) and obese individuals (OB: ≥30 kg/m 2 ). NW parameters were further divided in the following: 18.5–20.9; 21–22.9; 23–24.9 kg/m 2 . Methods: Descriptive cross-sectional study representative of all regions of Portugal. Individuals ≥18 years visiting their general practicioner, irrespective of their reason for consulting, were asked to participate after informed consent in the national registry of MS prevalence (VALSIM). MS was defined by NCEP-ATP III criteria. Overall MS, each of its components, as well as gender and age-specific prevalences were estimated. Multivariate regression analysis was used to estimate the odds ratio (OR) of MS by age, gender and BMI. Results: A total of 16333 adults was analysed (mean age: 59±14 years; 61% women). The overall prevalence of MS was 29.4%. Risk of MS was higher in women and rose with age. The OR for MS in OW and OB was three and nine times, respectively. However, even non-obese population had an unexpected high prevalence of MS, particularlly in upper NW and OW Individuals. The analysis of each MS-component according to BMI showed that high blood pressure is highly prevalent in these Individuals, with relevance for those in lower NW. The occurence of fasting hyperglicemia (>110mg/dL) in NW and OW Individuals was 13.6% and 25.1%, respectively. Conclusions: Individuals in the upper normal-weight and overweight BMI range have a high prevalence of high blood pressure, fasting hyperglicemia and MS. Therefore, screening individuals with normal or slightly elevated BMI is important in the prevention of diabetes mellitus and cardiovascular disease. Prevalence of MS and individual components according to BMI


2020 ◽  
Vol 4 (1) ◽  
pp. 059-066
Author(s):  
Hamza Nadjib Merad-Boudia ◽  
Majda Dali-Sahi ◽  
Nouria Medjati-Dennouni ◽  
Youcef Kachekouche

Objectives: The objective of this study was to evaluate the follow-up of hypertensive patients with or without associated cardiovascular risk factors in western Algeria. And to establish a biological and epidemiological profile. Methods: This is a descriptive cross-sectional study. Two hundred patients aged 40 years and over followed up for the HTA were collected among the population of patients seen in consultation at the hospital of Mascara and Saida (two cities in western Algeria) from November 15, 2017 to February 15. The questionnaire, anthropometric parameters, biological assessments and treatments were noted. Results: Among the 200 hypertensive subjects recorded, 60% were women and 40% men. The participants had been hypertensive for an average of 10 years. There were more men with diabetes than women: 71.25% vs. 65% for women. About a third of them were type 1 (30% of men and 12.5% of women, p=0.228). Both sexes were almost equally represented, with regard to dyslipidemia: 57.5% of women vs. 60% of men. Conclusion: High blood pressure is a disease that is progressing rapidly in Algeria. The risk factors associated with hypertension are: Age, BMI, diabetes and dyslipidemia... These data confirm the importance of this pathology in terms of public health.


2019 ◽  
Vol 1 (2) ◽  
pp. 44-51

Introduction: Metabolic Syndrome (MetS) is a cluster of risk factors including central obesity, insulin resistance, dyslipidemia, and high blood pressure (BP). It viewed as the main risk factor for cardiovascular disease (CVD) and diabetes mellitus (DM). We aim to determine the prevalence of MetS among Palestinian college students using the definition proposed by the international diabetes federation (IDF). Methods: This study was a cross-sectional. A total of 100 male students and 100 agematched female students were randomly selected. Personal, clinical, and lifestyle data of the students were gathered by questionnaire. Anthropometric and biochemical indices were measured. SPSS version 20 was used for data analysis. Results: Male students were more active in their lifestyle, more obese, hypertensive, hyperglycemia and hypertriglyceridemia than female students (p≤0.05). The most common MetS criteria among the students were low high density lipoprotein cholesterol (HDL-C) 31.0%, large waist circumference (WC) 14.0%, high Glucose 12.5%, high Triglycerides (TG) 8.5%, and high blood pressure (BP) 6.0%. MetS occurrence in the current study was 7.0% with 8% of women and 6% of men having MetS. Obese students had the greatest occurrence of high WC and elevated BP compared to those in other students (p≤0.05). Furthermore, obese students had a higher prevalence of MetS than found among other students. Conclusion: MetS is found among college students in Palestine. It also appears that obesity contributes to the high incidence of MetS. Early diagnosis and treatment of MetS risk factors and healthier lifestyle promotion lead to decrease the risk of MetS occurrence.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mussa K. Nsanya ◽  
Philip Ayieko ◽  
Ramadhan Hashim ◽  
Ezekiel Mgema ◽  
Daniel Fitzgerald ◽  
...  

AbstractEstimates for prevalence of high blood pressure (BP) among adolescents in Africa vary widely and few studies, if any, have documented the results of the recommended stepwise BP screening. In this cross-sectional study in Tanzania, we aimed to estimate prevalence of sustained high BP in 3 public secondary schools using the American Academy of Pediatrics BP screening strategy. On Day 1, one screening automated office BP (AOBP) measurement (Step 1) was followed by two more AOBP measurements (Step 2). Repeat AOBP measurements were obtained after about one month on adolescents with high AOBP measurements on Day 1 (Step 3). Participants with sustained high BP underwent 24-h ambulatory BP monitoring (step 4). Of all 500 enrolled participants, the prevalence of high blood pressure at each step in the process was 36.6% (183), 25.6% (128), 10.2% (51), and 2.6%(13) respectively for Steps 1–4. All except 6 students completed all 4 steps of the BP screening algorithm as indicated. We conclude that diagnosis of hypertension in African adolescents should use multiple AOBP measurements over multiple days followed by 24-h ABPM. Screening for high BP in school settings appears to be feasible and could provide a platform for cardiovascular disease education and health promotion.


2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
D Godoi Bernardes Da Silva ◽  
R Dias Santos ◽  
M Sommer Bittencourt ◽  
J.A.M Carvalho ◽  
M Franken ◽  
...  

Abstract Introduction The Finnish Diabetes Risk Score (FINDRISC) was developed in Europe to predict type 2 diabetes mellitus (T2DM) risk without need of laboratory tests. Small cross-sectional studies analyzed the association between RF with metabolic syndrome (MS) or hepatic steatosis (HS). Our objective was to test the association of FINDRISC with MS or HS, in a transversal and longitudinal way. Methods In 41,668 individuals (age 41.9±9.7 years; 30.8% women) who underwent health evaluation between 2008 and 2016 in a single centre in Brazil, we tested the transversal association between FINDRISC and MS or HS, in multivariate models. The same analyzes were performed longitudinally in non-diabetic subgroups, followed for 5±3 years, to test the predictive value of FINDRISC and the incidental risk of MS (n=10,075 individuals) or HS (n=7,097 individuals), using logistic regression. Models were adjusted for confounders such as sex, use of medications for dyslipidemia, smoking, and baseline plasma levels of glucose, creatinine and lipids. A receiver operating characteristic (ROC) curve was used to evaluate the discriminative and predictive values of FINDRISC for MS and HS. Results In the cross-sectional analysis, 2,252 (5%) individuals had MS and 14,176 (34%) HS. In the longitudinal analysis, there were 302 cases of incidental MS (2%) and 1,096 cases of HS (15%). FINDRISC was independently associated with MS and HS in the cross-sectional analysis (respectively, OR 1.27, 95% CI: 1.25–1.28, P<0.001; and OR 1.21, 95% CI: 1.20–1.22, P<0.001, per FINDRISC unit) and in longitudinal analysis (respectively, OR of 1.18, 95% CI: 1.15–1.21, P<0.001; and OR of 1.10, 95% CI: 1.08–1.11, P<0.001, per FINDRISC unit). In comparison with individuals with low FINDRISC, those with moderate, high and very high values showed significant and proportional increases of the 12 to 77 fold in the chance of current SM (P<0.001) and 3 to 10 fold in the chance of HS (P<0.001). During follow-up, these increases were 3 to 10 fold in the chance of incidental MS (P<0.001) and 1 to 3 fold in the chance of HS (P<0.001). The AUC from cross-sectional analysis for MS and HS were respectively 0.82 (95% CI 0.81–0.83) and 0.76 (95% CI 0.75–0.76), and in longitudinal analysis 0.73 (95% CI 0.70–0.76) and 0.63 (95% CI 0.61–0.65), respectively. Conclusion FINDRISC was associated with the presence and onset of MS and HS, but it predicted better metabolic syndrome risk than hepatic steatosis. Therefore, this simple, practical and low-cost score can be useful for population screening and identification of subgroups of individuals at higher risk future metabolic diseases. Funding Acknowledgement Type of funding source: None


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