Primary Prevention of Cardiovascular Disease at Community Clinics in the State of Sao Paulo, Brazil: Results from the Epidemiological Information Study of Communities

Primary prevention of cardiovascular disease (CVD) remains a major challenge, especially in communities of low- and middle-income countries with poor medical assistance influenced by distinct local, financial, infrastructural, and resource-related factors. This a community-based study aimed to deter...

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Published in:Global heart 2023-05, Vol.18 (1), p.24-24
Main Authors: Fonseca, Henrique Andrade R, Izar, Maria Cristina O, Drager, Luciano F, Pinto, Ibraim M, Saraiva, José Francisco K, Ferreira, João Fernando Monteiro, Avezum, Álvaro, Fonseca, Francisco Antonio, Berwanger, Otávio
Format: Article
Language:English
Subjects:
Adolescent
Blood Glucose
Blood Pressure
Brazil - epidemiology
Cardiovascular Diseases - complications
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Cholesterol, LDL
Cross-Sectional Studies
diabetes mellitus
dyslipidemia
Dyslipidemias - epidemiology
Female
health communities
Humans
hypertension
Hypertension - complications
Hypertension - epidemiology
Hypertension - prevention & control
Male
Middle Aged
Original Research
primary cardiovascular prevention
Primary Prevention - methods
Risk Factors
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Summary:Primary prevention of cardiovascular disease (CVD) remains a major challenge, especially in communities of low- and middle-income countries with poor medical assistance influenced by distinct local, financial, infrastructural, and resource-related factors. This a community-based study aimed to determine the proportion and prevalence of uncontrolled cardiovascular risk factors (CRF) in Brazilian communities. The EPICO study was an observational, cross-sectional, and community clinic-based study. Subjects were living in Brazilian communities and were of both sexes and ≥18 years old, without a history of a stroke or myocardial infarction but presenting at least one of the following cardiovascular risk factors: hypertension, diabetes mellitus and hypercholesterolemia. The study was carried out in Brazil, including 322 basic health units (BHU) in 32 cities. A total of 7,724 subjects with at least one CRF were evaluated, and one clinical visit was performed. Mean age was 59.2 years-old (53.7% were >60 years old). A total of 66.7% were women. Of the total, 96.2% had hypertension, 78.8% had diabetes mellitus type II, 71.1% had dyslipidemia, and 76.6% of patients were overweight/obese. Controlled hypertension (defined by
ISSN:2211-8179
2211-8160
2211-8179
DOI:10.5334/gh.1203