Cardiovascular risk among health professionals working in pre-hospital care services

The objective of this study was to assess the cardiovascular risk factors among health professionals, particularly hypertension, and stratify them according to the Framingham Risk Score (FRS). The participants were 154 professionals working in pre-hospital care in Sao Paulo, Brazil, and on the Br-116 highway. Values were considered significant for p<0.05. The prevalence of hypertension was 33%, 20.1% were smokers, 47% consumed alcoholic beverages, 64% were sedentary, 66% were obese/overweight and 70% had an altered abdominal circumference. In terms of laboratory values: glucose >= 110mg/dL11%, total cholesterol >= 200mg/dL-36%, LDL-c >= 130mg/dL-33%, HDL-c<60mg/dL89%, triglycerides >= 150mg/dL-30% and C reactive protein >= 0.5mg/dL-16%. The FRS was average in 10.3% and high in 1.3%. In logistic regression analysis, it was verified that hypertension was associated with: HDL-c (odds ratio: 0.257,) and FRS (odds ratio: 23.159). There was strong correlation between hypertension and FRS. Data are noteworthy, as this is a relatively young sample of health professionals.

Avaliar os fatores de risco cardiovascular, com ênfase na hipertensão, e estratificá-los de acordo com o Escore de Risco de Framingham (ERF). Estudo com 154 profissionais que atuavam em aten-dimento pré-hospitalar na cidade de São Paulo e rodovia Br-116. Foi considerado significante o valor de p<0,05. A prevalência de hipertensão foi de 33%, sendo que 20,1% eram tabagistas, 47% ingeriam bebidas alcoólicas, 64% eram sedentários, 66% apresentaram obesidade/sobrepeso e 70% cintura abdominal alterada, glicemia>110mg/dL- 11%, colesterol total>200mg/dL- 36%, LDL-c>130mg/dL- 33%, HDL-c<60mg/dL- 89%, triglicérides>150mg/dL- 30% e proteína C reativa>0,5mg/dL- 16%. O ERF foi médio em 10,3% e alto em 1,3%. Na análise de regressão logística verificou-se que a hipertensão associou-se com as variáveis: HDL-c (odds ratio: 0,257) e ERF (odds ratio: 23,159). Houve forte associação entre ERF e hipertensão. Os dados chamam a atenção, por se tratar principalmente de profissionais da área da saúde relativamente jovens.

Evaluar los factores de riesgo cardiovascular con énfasis en hipertensión y estratificarlos de acuerdo a Score de Riesgo de Framingham (ERF). Estudio con 154 profesionales con actuación en atención prehospitalaria en ciudad de São Paulo y ruta Br-116. Se consideró significativo el valor p<0,05. La prevalencia de hipertensión fue 33%, 20,1% eran fumadores, 47% ingería bebidas alcohólicas, 64% sedentarios, 66% con obesidad/sobrepeso, 70% con cintura abdominal alterada, glucemia >110mg/dl-11%, colesterol total >200mg/dl-30%, LDL-c >130mg/dl-33%, HDL-c <60mg/dl-89%, triglicéridos >150mg/dl-30% y proteína C reactiva >0,5mg/dl-16%. El ERF fue medio en 10,3% y alto en 1,3%. En análisis de regresión logística se verificó que la hipertensión se asociaba a las variables: HDL-c (odds ratio: 0,257), y ERF (odds ratio: 23,159). Hubo fuerte asociación entre ERF e hipertensión. Los datos llaman la atención por tratarse principalmente de profesionales del área de la salud relativamente jóvenes.