Projeto Bambuí. Prevalência e fatores associados à claudicaçäo intermitente na populaçäo idosa residente na comunidade / The Bambuí Health and Aging Study (BHAS). Prevalence of intermittent claudication in the aged population of the community of Bambuí and its associated factors

ABSTRACT

OBJECTIVE: To assess the prevalence of intermittent claudication in the aged population of Bambuí, Brazil, and to identify the factors associated with this disease. METHODS: Population-based cross-sectional study of the aged population ( > or = 60 years of age) of Bambuí. Participants were interviewed and examined, after written consent. Intermittent claudication was defined based on a standardized questionnaire. Analysis was performed using multiple logistic regression. RESULTS: Of the 1,742 elderly living in Bambuí, 1,485 (85.2 percent) were enrolled in the study. Thirty-seven individuals (2.5 percent) with intermittent claudication were identified 28 (1.9 percent) males and 9 (0.6 percent) females. Their age brackets were 16 (1.08 percent) individuals between 60 and 69 years of age, 17 (1.15 percent) between 70 and 79 years, and 4 (0.27 percent) > or = 80 years. A significant association between intermittent claudication and the following characteristics was found male sex (OR=5.1; CI 2.4-11.0), smokers (OR=3.1; CI 1.2-8.5), ex-smokers (OR=3.4; CI 1.3-8.7), and more than 2 hospital admissions in the last 12 months (OR=2.8; CI 1.1-7.2). CONCLUSION: Disease prevalence was similar to that of other countries. The association between intermittent claudication and smoking strengthens the significance of tobacco in peripheral artery disease pathogenesis. The association of intermittent claudication and a higher number of hospital admissions suggests greater morbidity in the elderly affected