Alterações lipídicas na população nipo-brasileira de Mombuca - Guatapará-SP / Lipid Abnormalities in the Japanese-Brazilian Population from Mombuca, Guatapará-SP

AUTOR(ES)
DATA DE PUBLICAÇÃO

2007

RESUMO

Epidemiological studies with migrant populations have promising results to the comprehension of the etiopathogenesis of non-communicable diseases. The observation that migrant populations have distinct patterns of morbidity and mortality when compared to residents of the original country, due to changes in their habits and customs, in the adap tation process to the new environment, has produced abundant literature about the theme. High prevalence rates of abdominal obesity, diabetes, dyslipidemia and arterial hypertension were already reported in a study carried out in adult Japanese-Brazilians from Bauru, SP. A population of Japanese ancestry that maintain most of their traditional life style would have a lower prevalence of dyslipidemia and diabetes? Trying to answer this question, this study was carried out among the Japanese-Brazilian community from Mombuca, Guatapará-SP that arrived in Brazil in 1962 and until now keep several of their traditional customs, including food habits. Objective: To analyze lipid abnormalities in adult Japanese-Brazilians from Mombuca, Guatapará-SP and their relationship with some clinical conditions. Casuistic and Methods: A total of 131 individuals, from both sexes, without miscegenation, participated in the cross-sectional study carried out in 2005. Socio-demographic, health and nutritional questionnaires were answered by the participants. Blood samples were collected for biochemical analysis. Results were considered abnormal when total cholesterol was >= 200 mg/dl, or HDL-cholesterol <40mg/dl for men and <50mg/dl for women, or LDL-cholesterol >= 130mg/dl, or triglycerides >= 150mg/dl. Those individuals with at least one abnormal lipid fraction, or in use of hypolipemic drugs, were considered as dyslipidemics. Results: The mean age of the total population was 56.7 years, with a predominance of individuals of the first generation (Issei), being 70.4% for men and 67.5% for women. Using the BMI classification for adult Asians, the observed rates for overweight and obesity were 21.4% and 42.0%, respectively. The mean values for abdominal circumference were 88.6 cm for men and 83.1 cm for women. In the total population, the prevalence of hypertension was 48.1% and for diabetes 13.7%. Metabolic syndrome was diagnosed in 20.4 % of men and in 32.5% of the women. Prevalence rates for dyslipidemia were high, being 76.3% for the total population, 68.5% for men and 81.8% for women. Conclusion: The results showed the high prevalence of dyslipidemia in this population, more frequent among women and individuals with obesity or abdominal obesity and highlighted their high risk for cardiovascular diseases and the necessity of intervention programs to prevent this group of diseases.

ASSUNTO(S)

diabetes dyslipidemia diabetes dislipidemia japanese - brazilians nipo-brasileiros metabolic syndrome síndrome metabólica

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