| Author | Armstrong, Anderson da Costa | |
| Author | Souza, Carlos Dornels Freire de | |
| Author | Santos, Juracy Marques dos | |
| Author | Carmo, Rodrigo Feliciano do | |
| Author | Armstrong, Dinani Matoso Fialho de Oliveira | |
| Author | Pereira, Vanessa Cardoso | |
| Author | Ladeia, Ana Marice | |
| Author | Correia, Luis Claudio Lemos | |
| Author | Barral Netto, Manoel | |
| Author | Lima, Joao Augusto Costa | |
| Access date | 2023-10-05T14:55:45Z | |
| Available date | 2023-10-05T14:55:45Z | |
| Document date | 2023 | |
| Citation | ARMSTRONG, Anderson da Costa et al. Urbanization and cardiovascular health among Indigenous groups in Brazil. Communications Medicine, n.17, p. 1-7, 2023. | en_US |
| ISSN | 2730-664X | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/60718 | |
| Sponsorship | Programa Ciência sem Fronteiras.
Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq).
Ministério da Ciência, Tecnologia, Inovações e Comunicações do Brasil.
Fundação Maria Emília.
Universidade Federal do Vale do São Francisco. | en_US |
| Language | ing. | en_US |
| Publisher | Nature Research | en_US |
| Rights | open access | en_US |
| Subject in Portuguese | Povos indígenas | en_US |
| Subject in Portuguese | Obesidade | en_US |
| Subject in Portuguese | Hipertensão | en_US |
| Subject in Portuguese | Sistema cardiovascular | en_US |
| Title | Urbanization and cardiovascular health among Indigenous groups in Brazil | en_US |
| Type | Article | |
| DOI | 10.1038/s43856-023-00239-3 | |
| DOI | 10.1038/s43856-023-00239-3 | |
| Abstract | Background: We described the prevalence of cardiovascular risk factors in groups of Brazilian Indigenous people at different degrees of urbanization. Methods: The Project of Atherosclerosis among Indigenous populations (Projeto de Aterosclerose em Indígenas; PAI) is a cross-sectional study conducted in Northeast Brazil between August 2016–June 2017. It included three populations: Fulni-ô Indigenous people (lowest degree of urbanization), Truká Indigenous people (greater urbanization), and a highly urbanized non-Indigenous local cohort (control group). Participants were assessed to register sociodemographic, anthropometric, as well as clinical and laboratory-derived cardiovascular (CV) risk parameters. Age-adjusted prevalence of hypertension was also computed. Nonparametric tests were used for group comparisons. Results: Here we included 999 participants, with a predominance of females in all three groups (68.3% Control group, 65.0% Fulni-ô indigenous group, and 60.1% Truká indigenous group). Obesity was present in 45.6% of the urban non-Indigenous population, 37.7% Truká and in 27.6% Fulni-ô participants. The prevalence of hypertension was 29.1% (n = 297) with lower prevalence in the less urbanized Fulni-ô people (Fulni-ô – 18.2%; Truká – 33.9%; and Control – 33.8%; p < 0.001). In the elderly male population, the prevalence of hypertension was 18.7% in the Fulni-ô, 45.8% in the Truká, and 54.5% in the control group. Of the 342 participants that self-reported hypertension, 37.5% (n = 68) showed uncontrolled blood pressure (BP). Uncontrolled BP was more prevalent among Truká people when compared to Fulni-ô people and non-Indigenous participants (45.4%, 22.9%, and 40.7%, respectively; p < 0.001). Conclusions: We found a higher cardiovascular risk in communities with a higher degree of urbanization, suggesting that living in towns and cities may have a negative impact on these aspects of cardiovascular health. | en_US |
| Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil / Universidade do Estado da Bahia. Juazeiro, BA, Brasil. | en_US |
| Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil / Universidade Federal de Alagoas. Arapiraca, Al, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Juazeiro, BA, Brasil. | en_US |
| Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade Federal do Vale do São Francisco. Petrolina, PE, Brasil. | en_US |
| Affilliation | Universidade do Estado da Bahia. Juazeiro, BA, Brasil. | en_US |
| Affilliation | Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil. | en_US |
| Affilliation | Escola Bahiana de Medicina e Saúde Pública. Salvador, BA, Brasil / Johns Hopkins University. Baltimore, MD, USA. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, Brasil. | en_US |
| Affilliation | Johns Hopkins University. Baltimore, MD, USA. | en_US |
| Subject | Indigenous people | en_US |
| Subject | obesity | en_US |
| Subject | hypertension | en_US |
| Subject | Cardiovascular System | en_US |
| DeCS | Povos Indígenas | en_US |
| DeCS | Obesidade | en_US |
| DeCS | Hipertensão | en_US |
| DeCS | Sistema Cardiovascular | en_US |
| xmlui.metadata.dc.subject.ods | 16 Paz, Justiça e Instituições Eficazes | |
