Total and Abdominal Adiposity and Hypertension in Indigenous Women in Midwest Brazil.

BACKGROUND: Obesity is a major risk factor for hypertension, and abdominal fat in particular has been more strongly associated with cardiovascular diseases and its prevalence has increased in Brazilian indigenous populations. OBJECTIVE: The objective of this study was to estimate the prevalence of hypertension among indigenous women and its association with total and abdominal obesity after adjustment for confounding factors. METHODS: This cross-sectional study evaluated indigenous non-pregnant women aged 20-59 years living in two villages of the indigenous reserve of Dourados, state of Mato Grosso do Sul, Brazil. Data were collected by trained interviewers. Households were visited and were selected by simple random sampling using SPSS software version 21. The casting of lots was performed from a list of households located on a map of villages. To locate the selected households, a Global Positioning System device was used. A questionnaire was used to obtain data on socio-demographic, lifestyle and health-related variables and to obtain anthropometric data on weight, height, and waist circumference (WC). Blood pressure was measured twice during home visits. RESULTS: Data were collected between June and October 2013 with 362 women. Most of them were aged <40 years (66.3%) and had low educational level (≤4 years of schooling, 82.0%), had overweight/obesity (74.0%), WC ≥80 cm (83.7%), and family history of hypertension (60.5%). The prevalence of hypertension was 42.0% (CI 95%: 37.0-47.2). In the multivariable analysis, respondents with WC 80-87 cm and ≥88 cm showed approximately 2 times higher prevalence rates of hypertension compared with those with WC <80 cm after adjusting for confounding factors. There was no association between body mass index (BMI) and hypertension in this study. CONCLUSIONS: The overall prevalence of hypertension was high and associated only with abdominal adiposity but not with BMI.

Methodological aspects of the 1993 Pelotas (Brazil) birth cohort study

Descrever aspectos metodológicos do estudo da coorte de crianças que podem ser relevantes para pesquisadores que estejam planejando investigações semelhantes. Em 1993, uma coorte de base populacional foi recrutada em Pelotas, RS. Os 5.249 recém-nascidos nos hospitais da cidade foram acompanhados com um, três e seis meses, e com um e quatro anos de idade. Subestudos estão sendo realizados sobre saúde bucal, desenvolvimento psicológico e saúde mental, composição corporal e aspectos etnográficos. Em 2004-5 foi possível entrevistar 87,5 por cento da coorte inicial, com a idade de 10-12 anos. Estudos de coortes de nascimentos são essenciais para investigar os determinantes precoces da morbidade e estado nutricional de adultos. No entanto, há poucos estudos com esta metodologia em países de renda média e baixa, e alguns dos determinantes da situação de saúde podem ser distintos daqueles observados em países ricos.

Methodological aspects of the 1993 Pelotas (Brazil) Birth Cohort Study.

This paper describes the main methodological aspects of a cohort study, with emphasis on its recent phases, which may be relevant to investigators planning to carry out similar studies. In 1993, a population based study was launched in Pelotas, Southern Brazil. All 5,249 newborns delivered in the city's hospitals were enrolled, and sub-samples were visited at the ages of one, three and six months and of one and four years. In 2004-5 it was possible to trace 87.5% of the cohort at the age of 10-12 years. Sub-studies are addressing issues related to oral health, psychological development and mental health, body composition, and ethnography. Birth cohort studies are essential for investigating the early determinants of adult disease and nutritional status, yet few such studies are available from low and middle-income countries where these determinants may differ from those documented in more developed settings.

Physical inactivity: prevalence and associated variables in Brazilian adults.

PURPOSE: To measure the prevalence of physical inactivity, and variables associated with it, in an adult southern Brazilian population. METHODS: Population-based cross-sectional study covering a multiple-stage sample of 3182 subjects aged 20 yr or more. Physical activity was assessed through the short version of the International Physical Activity Questionnaire (IPAQ), using home interviews with last-week recall. The questionnaire covers leisure, occupation, transportation, and housework activities. Physical inactivity was defined as fewer than 150 min.wk(-1) spent in moderate or vigorous physical activities. The time spent in vigorous activities was multiplied by two. RESULTS: The prevalence of physical inactivity was 41.1%. After multivariate analyses, inactivity was positively associated with age and socioeconomic status, and inversely associated with self-reported health status. Those with white skin color and women who live alone rather than with a partner were more likely to have physical inactivity. Body mass index showed a significant U-shaped relationship with inactivity among men. CONCLUSION: The prevalence of physical inactivity in this Brazilian adult population is high, even though lower than reported in studies of leisure-time activity alone in other populations. Studies in developing countries may be seriously biased if activities during labor, transportation, and housework are not assessed.