Factores de riesgo asociados a hipertensión arterial en la población rural de Quingeo Ecuador

dc.contributor.authorOrtiz, Rina
dc.contributor.authorTorres, Maritza
dc.contributor.authorPeña Cordero, Susana
dc.contributor.authorAlcántara Lara, Víctor
dc.contributor.authorSupliguicha Torres, Martha
dc.contributor.authorVasquez Procel, Xavier
dc.contributor.authorAñez, Roberto J.
dc.contributor.authorRojas, Joselyn
dc.contributor.authorBermúdez, Valmore
dc.date.accessioned2018-03-09T14:23:03Z
dc.date.available2018-03-09T14:23:03Z
dc.date.issued2017
dc.description.abstractIntroducción: La hipertensión arterial (HTA) es un factor de riesgo modificable para la presencia de enfermedades vasculares, cardiacas y renales, con importantes repercusiones en la salud pública mundial. Los datos epidemiológicos de esta patología en poblaciones rurales de Ecuador son limitados, por lo que el objetivo de este estudio fue evaluar la prevalencia y factores asociados a HTA en la población rural de Quingeo, Ecuador. Materiales y Métodos: Se realizó un estudio analítico, transversal, con muestreo aleatorio multietápico que incluyó 530 individuos mayores de 18 años, de ambos sexos, a quienes se les aplicó una historia clínica completa. La presión arterial se clasificó según los criterios de la JNC7. Se construyó un modelo de regresión logística para determinar los factores asociados a HTA. Resultados: La prevalencia de HTA fue de 16,2% (n=86), siendo para las mujeres de 16,3% (n=51) y para los hombres de 16,1% (n=35). A su vez, la edad mostró asociación con la prevalencia de HTA (χ2=4,276; p<0,001), con porcentajes más altos a mayor grupo etario. Los principales factores asociados a la HTA fueron ser adulto medio (OR=3,41; IC95%:1,73-6,09; p<0,001), adulto mayor (OR=4,98; IC 95%:2,24-10,09; p<0,001), consumo de alcohol (OR=2,56; IC95%:1,02-6,44; p=0,044), estado civil divorciado (OR=5,16; IC95%:1,53-17,44; p=0,008) y la actividad física alta en la esfera de ocio (OR=0,20; IC95%:0,08-0,94; p=0,040). Conclusión: Existe una baja prevalencia de HTA en la población rural de Quingeo en comparación a otras latitudes. La edad, el estado civil divorciado, el consumo de alcohol y la actividad física alta en la esfera de ocio fueron los principales factores asociados a HTA, siendo necesario políticas en salud que disminuya su impacto en la población y la promoción de estilo de vida beneficioso.spa
dc.description.abstractIntroduction: Hypertension (HT) is a modifiable risk factor for the presence of vascular, cardiac and renal diseases, with important repercussions in the global public health. Epidemiological data of this pathology on rural populations in Ecuador are limited, so the objective of this study was to evaluate the prevalence and associated factors with HT in the rural population of Quingeo, Ecuador. Materials and Methods: A cross-sectional analytical study with multi-stage random sampling was conducted in 530 individuals over 18 years old of both sexes, who were applied a complete medical history. Blood pressure was classified according to JNC7 criteria. A logistic regression model was constructed to determine associated factors with HT. Results: The prevalence of HT was 16.2% (n=86), 16.3% (n= 51) in women and 16.1% (n= 35) in men. At the same time, age was associated with the prevalence of HT (χ2= 4.276; p<0.001), with higher percentages to older adults. The main associated factors with HT were the middle-age adults (OR= 3.41; 95%CI= 1.73-6.09, p<0.001), older adult (OR= 4.98; 95%CI: 2.24-10.09; p<0.001), alcohol consumption (OR= 2.56; 95%CI: 1.02-6.44, p=0.044), divorced civil status (OR=5.16; IC95%:1.53-17.44, p=0.008) and high level of leisure time physical activity (OR= 0.20; 95%CI:0.08-0.94, p=0.040). Conclusion: There is a low prevalence of HT in the rural population of Quingeo compared to other latitudes. Aging, divorced marital status, alcohol consumption and high physical activity in leisure-time were the main associated factors with HT, being necessary policies in health that diminish their impact on the population and promotion a beneficial lifestyle.eng
dc.identifier.issn18564550
dc.identifier.urihttp://hdl.handle.net/20.500.12442/1829
dc.language.isospaspa
dc.publisherCooperativa servicios y suministros 212518 RSspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.licenseLicencia de Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacionalspa
dc.sourceRevista Latinoamericana de Hipertensiónspa
dc.sourceVol. 12, No.3 (2017)spa
dc.source.urihttps://www.redalyc.org/articulo.oa?id=170252187004
dc.subjectHipertensión arterialspa
dc.subjectFactores de riesgospa
dc.subjectGrupos etariosspa
dc.subjectActividad físicaspa
dc.subjectArterial hypertensioneng
dc.subjectRisk factorseng
dc.subjectAgeeng
dc.subjectPhysical activityeng
dc.titleFactores de riesgo asociados a hipertensión arterial en la población rural de Quingeo Ecuadorspa
dc.title.alternativeAssociated risk factors for arterial hypertension in an adult population of the parish Quingeo, Cuenca-Ecuador.eng
dc.typearticlespa
dcterms.referencesFranklin SS, Wong ND. Hypertension and cardiovascular disease: contributions of the framingham heart study. Glob Heart. 2013;8(1):49-57.eng
dcterms.referencesKearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.eng
dcterms.referencesPeña MS, Abdala CV, Silva LC, Ordúñez P. Usefulness for surveillance of hypertension prevalence studies in Latin America and the Caribbean: the past 10 years. Rev Panam Salud Pública. 2012; 32(1):15-21.eng
dcterms.referencesFreire WB, Ramírez-Luzuriaga MJ, Belmont P, Mendieta MJ, Silva-Jaramillo MK, Romero N, Sáenz K, Piñeiros P, Gómez LF, Monge R. Tomo I: Encuesta Nacional de Salud y Nutrición de la población ecuatoriana de cero a 59 años. ENSANUTECU (2012). 2014. Ministerio de Salud Pública/Instituto Nacional de Estadísticas y Censos. Quito-Ecuador. Disponible en: http://www.ecuadorencifras.gob.ec/documentos/web-inec/Estadisticas_Sociales/ ENSANUT/MSP_ENSANUT-ECU_06-10-2014.pdfspa
dcterms.referencesYeates K, Lohfeld L, Sleeth J, Morales F Rajkotia Y, Ogedegbe O. A Global Perspective on Cardiovascular Disease in Vulnerable Populations. Can J Cardiol. 2015;31(9):1081-93.eng
dcterms.referencesG Antonakoudis, I Poulimenos, K Kifnidis, C Zouras, H Antonakoudis. Blood pressure control and cardiovascular risk reduction. Hippokratia. 2007;11(3):114–119.eng
dcterms.referencesMéndez-Castellano H, De Méndez MC. Estratificación social y biología humana: método de Graffar modificado. Arch Ven Pueric Pediatr 1986;49:93–104.eng
dcterms.referencesChobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure; National High Blood Pressure Education Program Coordinating Committee. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003;289(19):2560-72.eng
dcterms.referencesBerlin I, Lin S, Lima J, Bertoni A. Smoking Status and Metabolic Syndrome in the Multi-Ethnic Study of Atherosclerosis. A cross-sectional study. Tob Induc Dis. 2012; 10:9.eng
dcterms.referencesSjöström, M.; Ainsworth, B.; Bauman, A.; Bull, F.; Craig, C.; Sallis, J. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)– Short and Long Forms. IPAQ core group 2005.eng
dcterms.referencesStatistics. NHANES III reference manuals and reports (CDROM). Hyattsville, MD: Centers for Disease Control and Prevention, 1996. Available at: http://www.cdc. gov/nchs/data/nhanes/nhanes3/cdrom/NCHS/MANUALS/ANTHRO.PDFeng
dcterms.referencesTorres-Valdez M, Ortiz-Benavides R, Sigüenza-Cruz W, Ortiz-Benavides A, Añez R, Salazar J, Rojas J, Bermúdez V. Punto de corte de circunferencia abdominal para el agrupamiento de factores de riesgo metabólico: una propuesta para la población adulta de Cuenca, Ecuador. Rev Argent Endocrinol Metab 2016;53:59-66.spa
dcterms.referencesWorld Health Organization. The World Health Report 2003. Available at: http:// www.who.int/whr/2003/en/eng
dcterms.referencesGo AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Magid D, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER, Moy CS, Mussolino ME, Nichol G, Paynter NP, Schreiner PJ, Sorlie PD, Stein J, Turan TN, Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics—2013 update: a report from the American Heart Association. Circulation. 2013; 127:e6-e245.eng
dcterms.referencesStaessen JA, Wang J, Bianchi G, Birkenhäger WH. Essential hypertension. Lancet. 2003;361(9369):1629-41.eng
dcterms.referencesMills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, Chen J, He J. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population - Based Studies From 90 Countries. Circulation. 2016;134(6):441-50.eng
dcterms.referencesHernández-Hernández R, Silva H, Velasco M, Pellegrini F, Macchia A, Escobedo J, Vinueza R, Schargrodsky H, Champagne B, Pramparo P, Wilson E; CARMELA Study Investigators. Hypertension in seven Latin American cities: the Cardiovascular Risk Factor Multiple Evaluation in Latin America (CARMELA) study. J Hypertens. 2010;28(1):24-34.eng
dcterms.referencesNwankwo T, Yoon SS, Burt V, Gu Q. Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS Data Brief. 2013;(133):1-8.eng
dcterms.referencesOrtiz-Benavides R, Ortiz-Benavides A, Villalobos M, Rojas J, Torres Valdez M, Siguencia Cruz W, Añez R, Bermúdez V. Prevalencia de hipertensión arterial en individuos adultos de las parroquias urbanas de la ciudad de Cuenca, Ecuador. Sindrome Cardiometabólico. 2014;1:10-21.spa
dcterms.referencesRadovanovic CA, dos Santos LA, Carvalho MD, Marcon SS. Arterial Hypertension and other risk factors associated with cardiovascular diseases among adults. Rev Lat Am Enfermagem. 2014;22(4):547–553.eng
dcterms.referencesOrshal JM, Khalil RA. Gender, sex hormones, and vascular tone. Am J Physiol Regul Integr Comp Physiol. 2004;286:R233–49.eng
dcterms.referencesDoumas M, Papademetriou V, Faselis C, Kokkinos P. Gender differences in hypertension: myths and reality. Curr Hypertens Rep. 2013;15(4):321-30.eng
dcterms.referencesVara-González L, Muñoz P, Sanz de Castro S. Prevalencia, detección, tratamiento y control de la hipertensión arterial en Cantabria en 2002. Rev. Esp. Salud Pública. 2007;81(2): 210-219.spa
dcterms.referencesTaddei S, Virdis A, Ghiadoni L, Versari D, Salvetti A. Endothelium, aging, and hypertension. Curr Hypertens Rep. 2006;8(1):84-9.eng
dcterms.referencesHuang G, Shi X, Gibson CA, Huang SC, Coudret NA, Ehlman MC. Controlled aerobic exercise training reduces resting blood pressure in sedentary older adults. Blood Press. 2013;22(6):386-94.eng
dcterms.referencesCorrick KL, Hunter GR, Fisher G, Glasser SP. Changes in vascular hemodynamics in older women following 16 weeks of combined aerobic and resistance training. J Clin Hypertens (Greenwich). 2013;15(4):241-6.eng
dcterms.referencesPalatini P, Bratti P, Palomba D, Saladini F, Zanatta N, Maraglino G. Regular physical activity attenuates the blood pressure response to public speaking and delays the development of hypertension. J Hypertens. 2010;28(6):1186-93.eng
dcterms.referencesCarnethon MR, Evans NS, Church TS, Lewis CE, Schreiner PJ, Jacobs DR Jr, Sternfeld B, Sidney S. Joint associations of physical activity and aerobic fitness on the development of incident hypertension: coronary artery risk development in young adults. Hypertension. 2010;56(1):49-55.eng
dcterms.referencesSalman RA, Al-Rubeaan KA. Incidence and risk factors of hypertension among Saudi type 2 diabetes adult patients: an 11-year prospective randomized study. J Diabetes Complications. 2009 Mar-Apr;23(2):95-101.eng
dcterms.referencesBhadoria AS, Kasar PK,, Toppo NA,, Bhadoria P, Pradhan S, Kabirpanthi V. Prevalence of hypertension and associated cardiovascular risk factors in Central India. J Family Community Med. 2014 ;21(1):29-38.eng
dcterms.referencesWHO. Global recommendations on physical activity for health. (2010). 1st ed. Geneve: WHO. Disponible en: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdfeng
dcterms.referencesEckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, Lee IM, Lichtenstein AH, Loria CM, Millen BE, Nonas CA, Sacks FM, Smith SC Jr, Svetkey LP, Wadden TA, Yanovski SZ, Kendall KA, Morgan LC, Trisolini MG, Velasco G, Wnek J, Anderson JL, Halperin JL, Albert NM, Bozkurt B, Brindis RG, Curtis LH, DeMets D, Hochman JS, Kovacs RJ, Ohman EM, Pressler SJ, Sellke FW, Shen WK, Smith SC Jr, Tomaselli GF; American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014;129(25 Suppl 2):S76-99.eng
dcterms.referencesDhungana RR, Pandey AR, Bista B, Joshi S, Devkota S. Prevalence and Associated Factors of Hypertension: A Community-Based Cross-Sectional Study in Municipalities of Kathmandu, Nepal. Int J Hypertens. 2016;2016:1656938.eng
dcterms.referencesPerkins JM, Lee HY, James KS, Oh J, Krishna A, Heo J, Lee JK, Subramanian SV. Marital status, widowhood duration, gender and health outcomes: a cross-sectional study among older adults in India. BMC Public Health. 2016;16:1032.eng
dcterms.referencesDangroo S, Hamid S, Rafiq M, Ashfaq. The Role of Gender and Their Marital Status in the Prevalance of Hypertension in Kashmiri Population. Sch J App Med Sci. 2013;1(6):975-980.eng
dcterms.referencesWakabayashi I. Influence of gender on the association of alcohol drinking with blood pressure. Am J Hypertens. 2008;21(12):1310-7.eng
dcterms.referencesWakabayashi I, Araki Y. Influences of gender and age on relationships between alcohol drinking and atherosclerotic risk factors. Alcohol Clin Exp Res. 2010;34 Suppl1:S54-60.eng
dcterms.referencesBermúdez V, Martínez MS, Chávez-Castillo M, Olivar LC, Morillo J, Mejías JC, Rojas M, Salazar J, Rojas J, Añez R, Cabrera M. Relationship between Alcohol Consumption and Components of the Metabolic Syndrome in Adult Population from Maracaibo City, Venezuela. Adv Prev Med. 2015;2015:352547.eng
dcterms.referencesHusain K, Ansari RA, Ferder L. Alcohol-induced hypertension: Mechanism and prevention. World J Cardiol. 2014;6(5):245-52.eng
dcterms.referencesMohan V, Pradeepa R, Anjana R, Joshi S, Bhansali A, Deepa M et al. Prevalence of generalized & abdominal obesity in urban & rural India- the ICMR - INDIAB Study (Phase-I) [ICMR - INDIAB-3]. Indian J Med Res. 2015;142(2):139.eng
dcterms.referencesKotsis V, Stabouli S, Papakatsika S, Rizos Z, Parati G. Mechanisms of obesityinduced hypertension. Hypertens Res. 2010;33(5):386-93.eng
dcterms.referencesPan American Health Organization. Plan of Action for the Prevention and Control of Noncommunicable Diseases in the Americas 2013– 2019. Washington, DC: PAHO; 2014. Disponible en: http://www.paho.org/hq/index. php?option=com_ docman&task=doc_view&Itemid=270&gid=27517& lang=eneng
dcterms.referencesOrdunez P, Martinez R, Niebylski ML, Campbell NR. Hypertension Prevention and Control in Latin America and the Caribbean. J Clin Hypertens (Greenwich). 2015;17(7):499-502.eng

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