Salud Cardiovascular en Habitantes de Atahualpa: Características y Correlatos

Translated title of the contribution: Cardiovascular health status in atahualpa residents: Characteristics and correlates

Oscar H.Del Brutto, Robertino M. Mera, Milton Santamaria, Pablo Castillo, Mauricio Zambrano, Scheny Feraud, Pedro Barberán, Jipson J. Montenegro, Ernesto Penãherrera, Freddy Pow-Chon-Long, Martha Montalván, Daniel Tettamanti, Roció Santibáñez, Victor J.Del Brutto

Research output: Contribution to journalArticlepeer-review

Abstract

Stroke and cardiovascular diseases will be the next epidemics in Latin America due to changes in lifestyle and increased life expectancy. Knowledge of cardiovascular health (CVH) status of the population is mandatory to implement cost-effective strategies directed to reduce the burden of vascular diseases in the region. In the Atahualpa Project, we assessed the CVH status of participants using the metrics proposed by the American Heart Association. The basal study included 616 subjects free of stroke and ischemic heart disease aged ≥40 years. Of these, 2.1% had ideal, 28.1% had intermediate and 69.8% had poor CVH status. Poorest metrics were blood pressure, fasting glucose, and BMI. The odds for having a poor CVH status were increased in persons aged ≥60 years and in those with only primary school education. Then, we compared our results with the Hispanic population of the Northern Manhattan Stroke Study (NOMAS), and found that Atahualpa residents had significantly better metrics than those enrolled in the NOMAS, with the exception of fasting glucose levels. Likewise, the odds for having 5 to 7 ideal metrics were also better in Atahualpa residents, irrespective of age. We also conducted a case-control study to assess the CVH status of Atahualpa residents according to their living arrangements, and found that social isolation was associated with a worse CVH status in this population. A couple of studies showed correlation between some sleep related disorders and poor CVH status. We have also started an ongoing program called gknown your numbersh, which, together with community talks, is directed to improve the CVH status and to reduce the burden of vascular diseases in the region.

Translated title of the contributionCardiovascular health status in atahualpa residents: Characteristics and correlates
Original languageSpanish
Pages (from-to)101-110
Number of pages10
JournalRevista Ecuatoriana de Neurologia
Volume26
Issue number2
StatePublished - 2017
Externally publishedYes

Keywords

  • Atahualpa
  • Cardiovascular Health
  • Community Support
  • Ecuador
  • Epidemiology
  • Metabolic Syndrome
  • Population-Based Study
  • Sleep Disorders

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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