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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | VELTEN, Ana Paula Costa | |
dc.contributor.author | BENSENOR, Isabela | |
dc.contributor.author | SOUZA, Juliana Bottoni de | |
dc.contributor.author | MILL, Jose Geraldo | |
dc.date.accessioned | 2019-11-06T18:45:45Z | |
dc.date.available | 2019-11-06T18:45:45Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | CADERNOS DE SAUDE PUBLICA, v.35, n.8, article ID e00123718, 12p, 2019 | |
dc.identifier.issn | 0102-311X | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/33943 | |
dc.description.abstract | This study aimed to investigate factors associated with orthostatic hypotension in 14,833 individuals 35-74 years of age. This was a cross-sectional study of baseline data (2008-2010) from the Longitudinal Study of Adult Health (ELSA-Brasil). Postural testing was performed after 20 minutes resting in supine position and active adoption of orthostatic posture. Blood pressure was measured in supine position and at 3 minutes in orthostatic position with an oscillometer (HEM 705 CP, Omron, Sao Paulo, Brazil). Orthostatic hypotension was defined as a drop of >= 20mmHg in systolic blood pressure and/or a drop of >= 10mmHg in diastolic blood pressure. The target covariates were sex, age bracket, race/color, schooling, nutritional status, waist circumference, alteration in the ankle-brachial index, pulse wave velocity, systolic and diastolic blood pressure, hypertension, diabetes, use of antihypertensives, cholesterol, triglycerides, Chagas disease serology, symptoms, and heart rate variation in the postural test, self-reported heart disease, acute myocardial infarction (AMI)/revascularization, and stroke. Orthostatic hypotension was significantly associated with higher age bracket, OR = 1.83 (95%CI: 1.14-295); alteration in the ankle-brachial index, OR = 2.8 (95%CI: 1.13-6.88); AMI/revascularization, OR = 1.70 (95%CI: 1.01-2.87); report of heart disease, OR = 3.03 (95%CI: 1.71-5.36); increased systolic blood pressure, OR = 1.012 (95%CI: 1.006-1.019); positive Chagas disease serology, OR = 2.29 (95%CI: 1.23-4.27); and occurrence of symptoms with postural change, OR = 20.81 (95%CI: 14.81-29.24). Presence of orthostatic hypotension can be a warning sign for cardiovascular disorders and thus a useful tool for screening and prevention. | eng |
dc.description.abstract | O objetivo foi investigar os fatores associados à presença de hipotensão ortostática em 14.833 indivíduos de 35-74 anos. Estudo transversal realizado com os dados da linha de base (2008-2010) do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). O teste postural foi realizado após repouso de 20 minutos na posição supina e adoção ativa da postura ortostática. A pressão arterial foi medida em supino e aos três minutos de ortostase com aparelho oscilométrico (HEM 705 CP, Omron, São Paulo, Brasil). A hipotensão ortostática foi definida por queda ≥ 20mmHg na pressão arterial sistólica e/ou queda ≥ 10mmHg na pressão arterial diastólica. As covariáveis analisadas foram sexo, faixa etária, raça/cor, escolaridade, estado nutricional, circunferência da cintura, alteração no índice tornozelo braquial, velocidade de onda de pulso, pressão arterial sistólica e diastólica, hipertensão, diabetes, uso de anti-hipertensivos, colesterol, triglicérides, sorologia para a doença de Chagas, ocorrência de sintomas e variação de frequência cardíaca no teste postural, relato de doença cardíaca, infarto agudo do miocárdio (IAM)/revascularização e acidente vascular cerebral. A hipotensão ortostática foi significativamente associada à maior faixa etária, OR = 1,83 (IC95%: 1,14-2,95); alteração no índice tornozelo braquial, OR = 2,8 (IC95%: 1,13-6,88), IAM/revascularização, OR = 1,70 (IC95%: 1,01-2,87); relato de doença cardíaca, OR = 3,03 (IC95%: 1,71-5,36); pressão arterial sistólica aumentada, OR = 1,012 (IC95%: 1,006-1,019); sorologia positiva para a doença de Chagas, OR = 2,29 (IC95%: 1,23-4,27) e ocorrência de sintomas na mudança postural, OR = 20,81 (IC95%: 14,81-29,24). A presença de hipotensão ortostática pode ser alerta de potencial comprometimento cardiovascular, e, portanto, uma ferramenta de rastreamento e prevenção | |
dc.description.abstract | El objetivo fue investigar los factores asociados a la presencia de hipotensión ortostática en 14.833 individuos de 35-74 años. Se realizó un estudio transversal con los datos de la línea de base (2008-2010) del Estudio Longitudinal de Salud del Adulto (ELSA-Brasil). El examen postural se realizó tras un reposo de 20 minutos en posición supina y la adopción activa de la postura ortostática. Se midió la presión arterial en supino y a los 3 minutos de ortostasis con aparato oscilométrico (HEM 705 CP, Omron, São Paulo, Brasil). La hipotensión ortostática se definió por la caída ≥ 20mmHg en la presión arterial sistólica y/o caída ≥ 10mmHg en la presión arterial diastólica. Las covariables analizadas fueron sexo, franja de edad, raza/color, escolaridad, estado nutricional, circunferencia de la cintura, alteración en el índice tobillo-brazo, velocidad de onda de pulso, presión arterial sistólica y diastólica, hipertensión, diabetes, uso de antihipertensivos, colesterol, triglicéridos, serología para a enfermedad de Chagas, ocurrencia de síntomas y variación de frecuencia cardíaca en el examen postural, informe de enfermedad cardíaca, infarto agudo de miocardio (IAM)/revascularización y accidente vascular cerebral. La hipotensión ortostática estuvo significativamente asociada a la mayor franja de edad, OR = 1,83 (IC95%: 1,14-2,95); alteración en el índice tobillo-brazo, OR = 2,8 (IC95%: 1,13-6,88), IAM/revascularización, OR = 1,70 (IC95%: 1,01-2,87); relato de enfermedad cardíaca, OR = 3,03 (IC95%: 1,71-5,36); presión arterial sistólica aumentada, OR = 1,012 (IC95%: 1,006-1,019); serología positiva para a enfermedad de Chagas, OR = 2,29 (IC95%: 1,23-4,27) y ocurrencia de síntomas en el cambio postural, OR = 20,81 (IC95%: 14,81-29,24). La presencia de hipotensión ortostática puede ser una alerta de potencial comprometimiento cardiovascular, y, por tanto una herramienta de seguimiento y prevención. | |
dc.language.iso | por | |
dc.publisher | CADERNOS SAUDE PUBLICA | eng |
dc.relation.ispartof | Cadernos de Saude Publica | |
dc.rights | openAccess | eng |
dc.subject | Orthostatic Hypotension | eng |
dc.subject | Cardiovascular Diseases | eng |
dc.subject | Adult Health | eng |
dc.subject | Hipotensão Ortostática | |
dc.subject | Doenças Cardiovasculares | |
dc.subject | Saúde do Adulto | |
dc.subject | Hipotensión Ortostática | |
dc.subject | Enfermedades Cardiovasculares | |
dc.subject | Salud del Adulto | |
dc.subject.other | incident heart-failure | eng |
dc.subject.other | atherosclerosis risk | eng |
dc.subject.other | blood-pressure | eng |
dc.subject.other | arterial stiffness | eng |
dc.subject.other | older-adults | eng |
dc.subject.other | population | eng |
dc.subject.other | disease | eng |
dc.subject.other | mortality | eng |
dc.subject.other | intolerance | eng |
dc.subject.other | prevalence | eng |
dc.title | Factores asociados a la hipotensión ortostática en adultos: estudio ELSA-Brasil | eng |
dc.title.alternative | Fatores associados à hipotensão ortostática em adultos: estudo ELSA-Brasil | |
dc.title.alternative | Factors associated with orthostatic hypotension in adults: the ELSA-Brasil study | |
dc.type | article | eng |
dc.rights.holder | Copyright CADERNOS SAUDE PUBLICA | eng |
dc.identifier.doi | 10.1590/0102-311X00123718 | |
dc.identifier.pmid | 31411271 | |
dc.subject.wos | Public, Environmental & Occupational Health | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | VELTEN, Ana Paula Costa:Univ Fed Espirito Santo, Sao Mateus, Brazil | |
hcfmusp.author.external | SOUZA, Juliana Bottoni de:Univ Fed Espirito Santo, Vitoria, ES, Brazil | |
hcfmusp.author.external | MILL, Jose Geraldo:Univ Fed Espirito Santo, Vitoria, ES, Brazil | |
hcfmusp.description.articlenumber | e00123718 | |
hcfmusp.description.issue | 8 | |
hcfmusp.description.volume | 35 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000481680600001 | |
hcfmusp.origem.id | 2-s2.0-85071281854 | |
hcfmusp.origem.id | SCIELO:S0102-311X2019001005002 | |
hcfmusp.publisher.city | RIO DE JANIERO | eng |
hcfmusp.publisher.country | BRAZIL | eng |
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dc.description.index | MEDLINE | eng |
dc.identifier.eissn | 1678-4464 | |
hcfmusp.citation.scopus | 2 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MCM Artigos e Materiais de Revistas Científicas - LIM/20 Artigos e Materiais de Revistas Científicas - ODS/03 |
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