Factores asociados al no tratamiento farmacológico en brasileños con presión arterial elevada

Maritza Muñoz-Pareja, Mathias Roberto Loch, Haydeé Vera-Jiménez, Ana Rigo Silva

Resumen


Introducción: Uno de los problemas de salud pública más importantes y con rápido aumento en los países en vías de desarrollo es la hipertensión. En este estudio se determinaron los factores asociados al no tratamiento farmacológico en personas con presión arterial elevada.
Material y Métodos: Estudio transversal realizado en 363 brasileños entre 40 y 98 años, pertenecientes al estudio VIGICARDIO, Brasil. Para asociar la presión arterial elevada a factores sociodemográficos y de salud de personas sin tratamiento farmacológico se utilizó regresión logística.
Resultados: La probabilidad de tener presión arterial elevada sin tratamiento farmacológico fue mayor en hombres (OR:3,3; IC95%:1,9–5,8), menores de 60 años (OR:1,9; IC95%:1,0–1,5), con buena percepción de la salud (OR:2,3; IC95%:1,3–3,9), con peso normal (OR:2,1; IC95%:1,2–3,8), no diabéticos (OR:21,4; IC95%:2,97–159,8), con consumo abusivo de alcohol (OR:2,9; IC95%:1,5–5,7), que comían verduras o legumbres 4 veces o menos a la semana (OR:2,26; IC95%:1,1–3,8), que consumían la carne con grasa (OR:2,1; IC95%:1,2–3,6), y que tenían una presión arterial sistólica ≥90mm/Hg (OR:3,1; IC95%:1,8–5,6). No obstante, aquellos con triglicéridos ≥150mm/dL (OR:0,6; IC95%:0,3–0,9), y con high density lipoprotein ≤45mm/dL (OR:0,5; IC95%:0,3–0,8) mostraron menor probabilidad de estar sin tratamiento.
Conclusiones: Aquellos sin tratamiento farmacológico tuvieron menos obesidad o diabetes, pero peor estilo de vida y conductas alimentarias. Los servicios sanitarios deben fortalecer capacidades diagnósticas.

Palabras clave


Presión Arterial; Tratamiento Farmacológico; Conducta Alimentaria; Estilo de Vida; Análisis Químico de la Sangre

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Referencias


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DOI: http://dx.doi.org/10.14306/renhyd.23.1.649

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Copyright (c) 2019 Maritza Muñoz-Pareja, Mathias Roberto Loch, Haydeé Vera-Jiménez, Ana Rigo Silva

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