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Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León

2011, Number 4

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Rev Salud Publica Nutr 2011; 12 (4)

Cambios en las variables de riesgo cardiovascular en una cohorte de estudiantes Universitarios de la Ciudad de México

Namihira GD, Ruíz GG, Arellano MA, Preciado LA, Acevedo GA

Language: Spanish
References: 41
Page:
PDF size: 156.67 Kb.


ABSTRACT

Cardiovascular diseases are one of the main causes of death and disability in developed countries and it is currently increasing in developing countries too. Given that there are scarce cohort studies in -Latin America regarding cardiovascular risk factors, particularly in young population groups, the purpose of the this study was to follow up the behaviour of cardiovascular variables during a period of three and a half years. The study was conducted in a university student population ages 18 to 25 years old. Methodology. A prospective cohort study of 73 university students from Mexico City was performed. A self-assessment questionnaire was used to obtain demographic characteristics and cardiovascular risk factors. Anthropometric, clinical, and biochemical variables were measured every three months. In addition, weight, height, Body Mass Index (BMI), waist circumference (WC), percentage body fat, and blood pressure were measured. From blood samples, cholesterol, triglycerides, High Density Lipoproteins and glucose were measured. Low Density Lipoproteins were calculated using the Friedewald formula. Paired Student’s t-tests were performed in order to compare means and cases were expressed in graphical formats for lipid results. Results. Only 35 women and 15 men completed the three and a half years follow up. Of this total, 70% of students had diabetes background, 38% had hypertension, 12% had smoked and 58% had drank alcohol at least once a month. According to BMI measurements, 34% of women were overweight and 5.7% were obese compared with men where 27.7% were overweight. Men presented no cases of obesity. Conclusions. The behavior of cardiovascular variables over the three and a half- year period were different - between women and men. During this period, men increased significantly (0 .000) their weight, WC, BMI, and glucose levels. Women, only LDL levels increased significantly (0.18) while systole and diastole measures decrease significantly (0.23, 0.18). No subjects reported suffering from diabetes or hypertension during the period of study. The difference over the follow up did not have clinical relevance.


REFERENCES

  1. Beaglehole. R. y R. Horton 2010. Chronic diseases: global action must match global evidence.. The Lancet. 376. (9753):1619-1621

  2. WHO. World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva: World Health Organization. 80-90 [ Disponible enero 2011] World Health Organization. World Health Report 2002: Reducing Risks, Promoting Healthy Life. Geneva: World Health Organization.

  3. INEGI.[acceso enero 2010] disponible en:www.sinaris.salud.gob.mx/estadísticasportema.htlm

  4. Espinosa-Larrañaga. F. 2008. Factores de riesgo cardiovascular, epidemiología clínica y enfermedad Rev Med Inst Mex Seguro Soc 46 (3): 233-236.

  5. OMS. Prevención de las Enfermedades Cardiovasculares. Guía de bolsillo para la estimación y el manejo del riesgo cardiovascular [Acceso enero 2011] Disponible en: http://www.who.int/publications/list/PocketGL_spanish.pdf

  6. Institute for Health and Clinical Excellence (NICE). 2006 .Hypertension: management of hypertension in adults in primary care". NICE Clinical Guideline 34. London, England [Disponible enero 10 2011] en: http://www.nice.org.uk/nicemedia/pdf/CG034NICEguideline.pdf. Retrieved 2008-09-15

  7. Sritara P., S. Cheepudomwit, N. Chapman, M. Woodward, C. Kositchaiwat, S. Tunlayadechanont, T. Sura, B. Hengprasith, V.Tanphaichitr, S. Lochaya, B. Neal, S. Tanomsup y T. Yipintsoi. 2003. Twelve-year changes in vascular risk factors and their associations with mortality in a cohort of 3499 Thais: the Electricity Generating Authority of Thailand Study. Int J Epidemiol; 32: 461-468.

  8. Franklin. S. M. G., S. Larson, A. Khan, N. D. Wong, E. P. Leip, W.B. Kanne y D. Levy. 2001. Does the relation of blood pressure to coronary heart disease risk change with aging? The Framingham Heart Study. Circulation; 103: 1245-1249.

  9. Idem.

  10. Sritara P., et al, Op. cit.

  11. Posadas-Romero., C., J. Sepulveda, R. Tapia-Conyer, C. Magos, G. Caedoso-Saldaña, I. Zamora-González y J. Lerman-Gaber. 1992. Values of serum colesterol in the Mexican population. Salud Pública Mex. 34: 157-67

  12. SSA. Dirección General de Epidemiología: Encuesta Nacional de Enfermedades Crónicas. México, D.F. Secretaría de Salud; 1994. [Disponible en enero 10 2010] http://www.ssa.gob.mx

  13. Velázquez-Monroy. O., P. M. Rosas, A. Lara-Esqueda H. G. Pastelín. Attie. F y R. Tapia-Conyer. 2002. Hipertensión Arterial en México, resultados de la encuesta ENSA 2000. Arch Cardiol Mex; 72: 71-84.

  14. Meaney E. A., Lara-Esqueda, G. M. Ceballos-Reyes, J. Asbun, A. Vela. Y. Martinez-Marroquin, V. Lopez, A. Meaney, E de la Cabada, O. Velazquez-Monroy y R Tapia-Conyer. 2007. Cardiovascular risk factors in the urban Mexican population: The FRIMEX study. Public Health. 121, 378-384

  15. NIH. 2002. NCEP. ATP III. Third Report of the National Cholesterol Educational Program Expert Panel on Detection, treatment and evaluation cholesterol in adults. Publ No 02-5215 (Adult Treatment Panel III) [Acceso 10 Enero 2010]. Disponible en: http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3full.pdf

  16. Martín R P., A Lara-Esqueda, G. Pastelín-Hernández, O Velázquez-Monroy, J Martínez-Reding, A Méndez, J. A Lorenzo-Negrete, C Lomelí-Estrada, A González-Hermosillo, J Herrera-Acosta, R Tapia-Conyer y F Attie 2005. RENHATA. Re–encuesta Nacional de Hipertensión Arterial (RENAHTA): Consolidación Mexicana de los Factores de Riesgo Cardiovascular. Cohorte Nacional de Seguimiento. Arch. Cardiol. Méx. .Vol 75 No.1:.

  17. NIH.2002. NCEP. ATP III., Op. cit 13.

  18. OECD. Health: Obesity rising in developing countries, warns OECD.[Acceso 10 enero 2011] Disponible en: www.oecd.org/health/chronicdiseases.

  19. Arellano.M. S., R. A. S. Bastarrachea, H.R. Bourges, L.R. Calzada, A.I Dávalos, E.G. García, S.A.G. Godínez, J.G. Barranco, H.M.Laviada, J.C.A. López, N.S C. Mateos, J.F.B Ovalle,R.I.Quibrera, J. R. Guzmán, M.T.Torres, V.V. Vazquez, A.R. Villaseñor. R.O. Violante, R. C. Zacarías y S. G. Zuñiga. 2004. La Obesidad en México. Posición de la Sociedad Mexicana de Nutrición y Endocrinología. Grupo para el estudio y tratamiento de la Obesidad. Rev Endoc. Nutric 12(4) suppl 3: 580-587

  20. Aguilar. Y. A., I. M. Hess, P. Sánchez-Zárate, R.G. Rodríguez y L. M. Rodríguez- Guzmán 2007. Marcadores de riesgo cardiovascular en médicos internos de pregrado. Rev Fac Med UNAM 50(1): 6-9.

  21. Pouliot. M. C., J.P. Depres, S. Lemieux. S, Moorjani, C. Bouchard, A. Tremblay y cols. 1994. Waist circumference and abdominal sagital diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol;73:460-8.

  22. Ness-Abramof R. y C. M. Apovian. 2008. Waist circumference measurement in clinical practice. Nutr Clin Pract.

  23. 23(4):397-404.

  24. Jacobs E. J., C. C. Newton, Y Wang, A V. Patel, M L. McCullough, P. T. Campbell, M. J. Thun y S M. Gapstur, Waist Circumference and All-Cause Mortality in a Large US Cohort Arch Intern Med. 2010;170(15):1293-1301.

  25. NIH. 2002. NCEP. ATP III., op. cit. 13

  26. Shea J.L., MT King, Y Yi, W Gulliver y G Sun. Body fat percentage is associated with cardiometabolic dysregulation in BMI-defined normal weight subjects Nutr Metab Cardiovasc Dis ( En prensa enero 2011).

  27. Lara-Esqueda. A., E Meaney. M. G. Ceballos-Reyes, J. Asbun.-Bojalil, M. E. Ocharán-Hernández, M. Nuñez-Sanchez, A. Meaney, O. Velazquez-Monroy, J. Verdejo-Paris, P. Uribe y R. Tapia-Conyer. 2006. Factores de riesgo cardiovascular en la población femenina urbana de México. El estudio FRIMEX IIa. Med Int Mex. 22:484-92.

  28. Consejo Latinoamericano sobre Hipertensión Arterial 2001. J Hyperten 6(2): [ Disponible enero 17 2011] http://www.fundapres.org.ar/consenso.pdf

  29. González-Chavez O., S. A. Amansio-Chasin, S.A. Islas,Revilla-Monsalve, Q. Martín Hernández, A. Lara-Esqueda, S. Naranjo, M Rodriguez-Morán y F.Guerrero-Romero. 2008. Factores de riesgo cardiovascular asociados a obesidad abdominal en adultos aparentemente sanos.. Rev. Med. Inst. Mex Seguro Soc. 3: 273-279.

  30. Norma Oficial Mexicana NOM-030-SSA2-1999, Para la prevención, tratamiento y control de la hipertensión arterial.

  31. Fernández M.A.M. y D.D.A. Navarro. Adiposidad total, su distribución abdominal. Rev Cubana Obstet Ginecol 2010; 36(3):433-439

  32. Figueroa L.G.C. y B. Ramos del Rio. Factores de riesgo de la hipertensión arterial y la salud cardiovascular en estudiantes universitarios. 2006 Anales de psicología 22(2): 169-174

  33. Aguilar. Y.A., et al, Op. cit. 18

  34. Leal-Mateos. M. y T. Solano- Chinchilla. Tabaquismo como factor de riesgo del infarto agudo al miocardio Acta Médica Costarricense 2006 Vol 48 (2). [Acceso enero 10 2010.] Disponible en: [http://www.scielo.sa.cr/scielo.php?pid=S000160022006000200004&script=sci_arttext]

  35. WHO 1997. Tabbaco and health: a global status report. Tech Report Series. Geneve: WHO;.

  36. Palomo F. I, G.I.Torres, M.A. Alarcón, P.J. Maragaño, E. Leyva y V. Mujica 2006. Alta prevalencia de factores de riesgo cardiovascular clásicos en una población de estudiantes universitarios de la región centro-sur de Chile. Rev Esp de Cardiol.. 59:1-8 [disponible: enero 2010]). http:www.elsevier.es/cardio/ctl_servlet?_f=40&ident=13095778&

  37. Gyárfás I, M Keltai y Y Salim. 2006. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries in a case-control study based on the INTERHEART study. Orv Hetil.147(15):675-86

  38. Oalmann M.C., J.P Strong, R.E.Tracy y G.T Malcom. 1997. Atherosclerosis in youth: are hypertension and other coronary heart disease risk factors already at work? Pediatr Nephrol.11(1):99-107

  39. Feliciano-Alfonso JE., C.O. Mendivil, I.D. Ariza y C.E Pérez. 2010. Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia. Rev Assoc Med Bras. 56(3):293-8.

  40. Pesonen. E. y R Norio.1990. Hirvonen Intima thickening in the coronary arteries of infants and children as an indicator of risk factors of coronary heart disease. Eur Heart J 11; (suppl E):53-60

  41. Feliciano-Alfonso J. E., C. M. Olimpo, I. D. A. Sierra y C. E. Pérez. 2010. Cardiovascular risk factors and metabolic syndrome in a population of young students from the National University of Colombia. Rev.Assoc.Med.Bras 56(3):293-98




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