Clustering of risk factors for cardiovascular disease among women in Southern Brazil: a population-based study

Agregação de fatores de risco para doenças cardiovasculares em mulheres no Sul do Brasil: um estudo de base populacional

Sandra Costa Fuchs Leila Beltrami Moreira Susi Alves Camey Marina Beltrami Moreira Flávio Danni Fuchs About the authors

The association between clustering of risk factors and self-reported cardiovascular disease among women was investigated in a cross-sectional study using a multistage population-based sample. Participants were interviewed at home about diabetes mellitus, physical activity, and diet pattern. Hypertension was defined as blood pressure > 140/90mmHg or use of anti-hypertensive medication. Cardiovascular disease included self-reported myocardial infarction, heart failure, coronary artery bypass surgery, and stroke. A sample of 1,007 women from Porto Alegre, Southern Brazil, mostly white (73%), 44.8 ± 0.8 years old, and with 9.3 ± 0.3 years of schooling was investigated. Hypertension, diabetes mellitus, obesity, low fruit and vegetable intake, and lack of vigorous or moderate physical activity were clustered into a combination of risk factors, which were independently associated with self-reported cardiovascular disease. The main cluster included hypertension and diabetes, accounting for an independent risk ratio of 8.5 (95%CI: 3.0-24.5). Clustering of cardiovascular risk factors is strongly associated with self-reported cardiovascular disease among women.

Nutritional Epidemiology; Cardiovascular Diseases; Women's Health

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