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Arterial hypertension in military young adults of the Brazilian Air Force

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Author(s):
Daniela Wenzel
Total Authors: 1
Document type: Master's Dissertation
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Faculdade de Saúde Pública (FSP/CIR)
Defense date:
Examining board members:
Sonia Buongermino de Souza; Paulo Andrade Lotufo; Carlos Augusto Monteiro
Advisor: Sonia Buongermino de Souza
Abstract

Introduction: The arterial hypertension is associated to larger risks of mortality and incapacity, influencing the life quality. Objective: To study the association of arterial hypertension with biological, socio economics and behavior variables in military young adults of an unit of the Brazilian Air Force placed in São Paulo. Methodology: 380 military men, with age among 20 - 35, were studied. The place of the study was a military unit of the aeronautics. For the collection of data an interview was accomplished; a questionnaire was applied with socioeconomic data, anthropometrical data, and value of the blood pressure. Arterial hypertension is defined as 140 mmHg or higher values for systolic blood pressure and 90 mmHg or higher for diastolic blood pressure. Initially, diastolic blood pressure and systolic blood pressure was studied on a separated way. To verify the association of these variables with the explanatory variables, it was used the model of linear regression and the model of logistic regression, being adopted a level of significance of =5%. To verify the association between the explanatory variables and arterial hypertepsion, a multivariate hierarchyal stepwise backward modelling was used with a descriptive p of 15% or less, for a variable to remain in the model. Results: The frequency of the arterial hypertension was of 21,5%. When the frequency of each component of the blood pressure is verified separately, it was found that the frequency of the diastolic hypertension arterial was of 21,1 % and of the systolic arterial hypertension it was of 6,8%. In relation to the components of the blood pressure, it was verified that the variables associated positively to the diastolic blood pressure were: percentage of fat (collected through the bioelectrical impedance), tobacco, body mass index (BMI) and circumference of the waist, and associated negatively, physical activity and education. With respect to the systolic blood pressure, the variables that were associated positively were: ·percentage of fat, BMI and circumference of the waist, and the only variable that had negative association with the blood pressure was years of work in the aeronautics. The variables that associated with the arterial hypertension were BMI (p <0,001) and tobacco (p <0,02) with a positive association in relation to the arterial hypertension, and the physical activity (p <0,02), that associated in a negative way to the arterial hypertension. Conclusion: The variables associated with arterial hypertension were BMI, tobacco and physical activity. For tobacco, the group of larger risk was the form smokers; for physical activity, the group more protected in relation to the arterial hypertension was the military that practices physical activity exclusively in the barracks. In relation to the BMI, there is a positive association with arterial hypertension. (AU)