Total and Abdominal Adiposity and Hypertension in Indigenous Women in Midwest Brazil

• Published in: PloS one 2016-06, Vol.11 (6), p.e0155528-e0155528
• Main Authors: Almeida, Juliana Barros, Kian, Kauhana Oliveira, Lima, Rosangela Costa, Souza, Maria Cristina Corrêa de
• Format: Article
• Language: English
• Subjects: Abdomen - anatomy & histology; Adipose tissue; Adiposity; Adult; Anthropometry; Biology and Life Sciences; Blood pressure; Body mass; Body Mass Index; Body size; Body weight; Brazil - epidemiology; Cardiovascular diseases; Chronic illnesses; Complications and side effects; Cross-Sectional Studies; Demographic variables; Demographics; Female; Genetics; Global positioning systems; GPS; Health aspects; Health risk assessment; Heart diseases; Households; Humans; Hypertension; Hypertension - ethnology; Medicine and Health Sciences; Middle Aged; Native peoples; Obesity; Obesity, Abdominal - ethnology; Overweight; People and places; Population Groups - statistics & numerical data; Pregnancy; Prevalence; Prevalence studies (Epidemiology); Random sampling; Risk factors; Social Sciences; Socioeconomic factors; Waist Circumference - ethnology; Waist Circumference - physiology; Womens health; Young Adult
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0155528

Obesity is a major risk factor for hypertension, and abdominal fat in particular has been more strongly associated with cardiovascular diseases and its prevalence has increased in Brazilian indigenous populations. The objective of this study was to estimate the prevalence of hypertension among indigenous women and its association with total and abdominal obesity after adjustment for confounding factors. This cross-sectional study evaluated indigenous non-pregnant women aged 20-59 years living in two villages of the indigenous reserve of Dourados, state of Mato Grosso do Sul, Brazil. Data were collected by trained interviewers. Households were visited and were selected by simple random sampling using SPSS software version 21. The casting of lots was performed from a list of households located on a map of villages. To locate the selected households, a Global Positioning System device was used. A questionnaire was used to obtain data on socio-demographic, lifestyle and health-related variables and to obtain anthropometric data on weight, height, and waist circumference (WC). Blood pressure was measured twice during home visits. Data were collected between June and October 2013 with 362 women. Most of them were aged