Cardiovascular risk factors among women with over weight and obesity

Authors

  • Viviana Esquivel Solís Universidad de Costa Rica
  • Marco Vinicio Alvarado Universidad de Costa Rica
  • Gina Solano Quirós Universidad de Costa Rica
  • Adriana Ramírez Leandro Universidad de Costa Rica

DOI:

https://doi.org/10.51481/amc.v50i4.6

Keywords:

risk factors, cardiovascular disease, women

Abstract

Background and aim: Ischemic heart disease is defined by the World Health Organization as an acute and chronic cardiac disability that results from the reduction of blood flow to the myocardium. This is associated with pathological processes of the arterial coronary artery system and to the main cause of general mortality of adults in Costa Rica and the world. The present study describes the risk factors for cardiovascular disease found in a group of overweight and obese women, residents of the area under the Comprehensive Health Program (PAIS), a joint program of to the University of Costa Rica and the Social Security System.
Methods: We studied 90 overweight or obese women, aged 18-49 years, 30 women from each of the districts covered by PAIS (Curridabat, La Union and Montes de Oca), during 2007. The risk factors evaluated were all the ones recommended by ATPIII of the American Heart Association.
Results: Seventy four percent of women showed LDL cholesterol values off the acceptable range, 50% had non-desirable total cholesterol levels, 51.3% showed high blood pressure. More prevalent predisposing risk factors were obesity (64%), and 61% expended less than 2000 Kcal per week in physical activities, which classified them as sedentary. The only conditional risk factor that was evaluated was hypertrygliceridemia wich appeared in 25.3% of the women.
Conclusions: Women residents in the area covered by PAIS showed at least 2 cardiovascular risk factors. This group should be addressed with health promotion and preventive strategies in order to improve their own their family health and the community where they live.

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References

World Health Organization (WHO).Types of cardiovascular disease.

En:http://www.who.int/cardiovascular_diseases/en/cvd_atlas_01_ types.pdf. Consultado el 12 de septiembre de 2005

Ministerio de Salud. Memoria anual de 1993. Costa Rica: Departamento de publicaciones e impresos. 1994.

Organización Panamericana de la Salud [OPS] .Informe Salud de las Américas Costa Rica 2002. Consultado en: http//www.paho.org/. 2001. Citado el 1° de noviembre del 2005.

Meza, N. Hábitos alimentarios de la población costarricense. Programa CEN-CINAI. Seminario ""índice glicémico en salud y alimentación humana"". INCIENSA: Costa Rica. 2002.

American Herat Association (AHA). Risk Factors and Coronary Herat Disease AHA Scientific Position.

En: http://www.americanheat.org/presenter.jhtml?identifier=4726.2000. Consultado el 7 de marzo de 2006

Rodríguez N, Arauz A, Meza N, Rosell M. Factores aterogénicos de la dieta de la población costarricense, 1991. Arch Latinoam Nutr 1996; 46: 27-32.

Ministerio de Salud. Encuesta Nacional de Nutrición. Fascículo 1 Antropometría. Ministerio de Salud, INICIENSA. San José, Costa Rica. 1996.

Baylin A, Kabagambe E, Ascherio A, Spigelman D, Campos H. High 18:2 Trans-fatty acids in adipose tissue are associated with increased risk of nonfatal acute myocardial infarction in Costa Rican adults. J Nutr 2003;133: 1186-1191.

Roselló M, Guzmán S. Trends in mortality from ischemic herat disease and acute myocardial infarction in Costa Rica, 1970-2001. Rev Panam Salud Publica 2004; 16: 295-301.

Ministerio de Salud. Encuesta basal de factores de riesgo de enfermedades no transmisibles Cartago 2001. Modulo 1: Factores alimentario nutricionales. 1° ed. San José, Costa Rica. 2003.114p.

Paffenbarger R, Wing A, Hyde R. Physical activity as an index of heart and attack risk in college in alumni. Am J Epidemiol 1978; 108: 161-175.

Paffenbarger RS, Blair S.N, Lee I-M, Hyde R.T. Measurement of physical activity to asses health effects in free-living populations.

Med Sci Sports Exerc 1993 ; 25: 60-70.

Chinnok, A. Diario de consumo de alimentos: Instrumento para el registro de información. Universidad de Costa Rica. Escuela de Nutrición. San José, Costa Rica. 2005

American Diabetes Assosiation(ADA). Using the Diabetes Food Pyramid. En: http://www.diabetes.org/nutrition-and-recipes/nutrition/ foodpyramid.jsp. 2005. Consultado el 28 de junio de 2006

National Colesterol Program (NCEP). Evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel lll) final report. United States: NIH Publication. 2002; 02: 5215.

Frisancho, R. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am. J Clin Nutr 1981; 34: 25402545.

Organización Mundial de la Salud (OMS). La obesidad en la pobreza. Consultado en: http://www.paho.2000. Citado el 20 de agosto de 2005.

Ministerio de Salud. Guías alimentarias para la educación nutricional en Costa Rica. 3° edición. San José, Costa Rica. 2001

Jellinger P, Dickey R, Ganda O, Mehta, Nguyen T, Rodbard H., et al. The american association of clinical endocrinologists medical guidelines for clinical practice for the diagnosis and treatment of dyslipidemia and prevention of atherogenesis. Endocrine Practice 2000; 6: 162-213.

Krummel D. Nutrición en las enfermedades cardiovasculares. En Mahan, K & Scott-Stump, S (Eds.), Nutrición y Dietoterapia de Krause. 9na edición (pp.607-646). México, D.F.: Mc Graw Hill.2001

Bonora E, Formentini G, Calcaterra F, Lombardi S, Marini F, Zenari L, et al. HOMA-estimated insulin resistent is an independent predictor of cardiovascular disease in type 2 diabetic subjects. Diabetes Care 2002; 25: 1135-1141.

Wallace T, Levy J.C., Mathews D.R. Use and abuse of HOMA modeling. Diabetes Care 2004; 27: 1487-149.

Grundy S, Balady G, Criqui M, Fletcher G, Greenland P, Hiratzka L. Primary prevention of coronary heart disease: guidance from Framingham. A statement for heathcare professionals from the AHA task force on risk reduction. Circulation 1998; 97: 1876-1887.

Steiner G, Schwartz L, Shumak S, Poapst M. The association of increased levels of intermediate- density lipoproteins with smoking and with coronary artery disease. Circulation 1987; 75: 124-130.

Grundy S, Balady G, Criqui M, Fletcher G, Greenland P, Hiratzka L. Primary prevention conference V. Beyond secondary prevention: identifying the high risk patient for primary prevention: medical office assesment: writing group I. Circulation 2000; 101: e3-e11.

Suk Sh, Sacco RL, Boden-Albala B, Cheun JF, Pitmman JG, Elkind MS, et al. Abdominal obesity and risk of ischemic stroke. Stroke 2003;34: 1586-1592.

Cheun JF, Pittman JG, Elkind MS, Paik MC. Abdominal obesity and risk of ischemic stroke, the northern Manhattan. Stroke study. Stroke 2003; 34: 1586-1592.

Zhou B, Wu Y, Yang J, Li Y, Zhang H, Zhao L. Overweight is an idependent risk factor for cardiovascular disease in China populations. The international Association for the study of obesity. Obes Rev 2002; 3: 147-156.

Fung T. Rimm E.B, SpiegeIman D, Rifai N, Tofler GH, Wilett WC. et al. Association between dietary paterns and plasma biomakers of obesity and cardiovascular disease risk . Am J Clin Nutr 2001;73: 6167.

Jacobsen MU, Overvard K, Dyerberg J, Schroll M, Heitmann B. L. Dietary fat and risk of coronary heart disease: Possiblle effect modification by gender and age. Am J Epidemiol 2004; 160: 141149.

Cervera P, Clapes J, Rigolfas R. Alimentación y dietoterapia. España: Mc Graww Hill. 1999.

Wolk A, Manson JE, Stampfer MJ, Colditz GA, Hu FB, Speizer FE et al. Long term intake of dietary fiber and decreased risk of coronary heart disease among women. JAMA 1999; 281:1998-2004.

Wu H, Dwyer K, Fan Z, Shicore A, Fan J, Dwyer J. Dietary fiber and progression risk factor for atherosclerosis: The Los Angeles atherosclerosis study. Am J Clin Nutr 2003; 78:1085-1091.

Nicolosi RJ, Wilson TA, Lawton C, Handleman GJ. Dietary effects on cardiovascular disease risk factors: beyond saturated fatty acids and cholesterol. J Am Coll Nutr 2001;20: 421S-427S.

Jha P, Flather M, Lonn E, Farkouh M, Yusuf S. The antioxidant vitamins and cardiovascular disease. Ann Intern Med 1995; 123:860872.

Osganian S, Stampfer M, Rimm, Spiegelman D, Manson J, Willet, W. Dietary carotenoids and risk of coronary artery disease in women. A J Clin Nutr 2003; 77: 1390-1399.

Tribble D. Antioxidant consumption and risk of coronary disease: emphasis on vitamin C, vitamin E, and β-carotene: a statement for healthcare professionals from the american heart association.

Circulation 1999; 99:591-595.

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Published

2008-10-30

How to Cite

Cardiovascular risk factors among women with over weight and obesity. (2008). Acta Médica Costarricense , 50(4), 213-220. https://doi.org/10.51481/amc.v50i4.6