Navegando por Autor "Vieira, Jallyne Nunes"

Agora exibindo 1 - 3 de 3

Avaliação do risco cardiovascular pelo indice lap em indivíduos usuários da atenção básica de saúde
(Universidade Federal do Rio Grande do Norte, 2016-05-31) Vieira, Jallyne Nunes; Fayh, Ana Paula Trussardi; Freitas, Fernanda; Rocha, Ilanna
Introdução: O índice de acúmulo lipídico (LAP) é um marcador de risco cardiovascular (RCV) amplamente associado com resistência à insulina, diabetes tipo 2 e mortalidade cardiovascular. Objetivos: Descrever o RCV de indivíduos usuários da atenção básica de saúde do Rio Grande do Norte por meio do índice LAP, e correlacionar com os indicadores antropométricos de risco cardiovascular. Métodos: Foi realizado um estudo transversal cuja população compreendeu pessoas de ambos os sexos, com idades entre 18 a 90 anos, residentes em duas cidades do estado do Rio Grande do Norte (Brasil) em atendimento na Atenção Primária à Saúde. A amostra compreendeu pacientes que tinham realizado exames bioquímicos, incluindo os níveis de triglicerídeos de jejum, em prazo inferior a 30 dias. Estes respondiam a um questionário estruturado e em seguida realizavam avaliação nutricional antropométrica. Resultados: Foram avaliados 437 indivíduos, onde 109 (25%) apresentavam índice LAP acima do percentil 75. Foram observadas diferenças estatisticamente significativas nos marcadores antropométricos e bioquímicos de risco cardiovascular nos indivíduos que tinham índice LAP mais elevados. Ao correlacionar o índice LAP com variáveis antropométricas, o indicador que apontou correlação para ambos os sexos foi a Razão cintura-quadril (r=0,512, p<0,00). Além disso, o índice LAP teve correlação mais forte com parâmetros antropométricos do que com os parâmetros bioquímicos. Conclusões: O índice LAP teve uma forte associação com excesso de peso e apresentou excelente correlação com outros marcadores de risco cardiovascular tradicionais, podendo ser usado como um método alternativo de identificação de risco na atenção primária.
Cardiovascular risk assessment using the lipid accumulation product index among primary healthcare users: a cross-sectional study
(Sao Paulo Medical Journal, 2019) Fayh, Ana Paula Trussardi; Vieira, Jallyne Nunes; Braz, Marina Augusta Dias; Gomes, Flayane Oliveira; Silva, Priscilla Rafaella da; Santos, Ohanna Thays de Medeiros; Rocha, Ilanna Marques Gomes da; Sousa, Iasmin Matias de
BACKGROUND: The lipid accumulation product (LAP) index is an abdominal adiposity marker. OBJECTIVE: The aim of this study was to describe the cardiovascular risk of primary healthcare users through the LAP index and correlate it with anthropometric and biochemical indicators. DESIGN AND SETTING: Cross-sectional study in primary care units in a city in northeastern Brazil. METHODS: The subjects responded to a structured questionnaire that contained questions about their sociodemographic condition, and then underwent an anthropometric nutritional assessment. The LAP index values were expressed as three degrees of cardiovascular risk intensity: high risk (above the 75th percentile), moderate risk (between the 25th and 75th percentiles) and low risk (below the 25th percentile). RESULTS: The median LAP index was 52.5 cm.mmol/l (range: 28.2-86.6), and there was no statistically significant difference between the sexes: 57.7 cm.mmol/l (24.5-91.1) and 49.5 cm.mmol/l (29.8-85.2) for females and males, respectively (P = 0.576). Among all the subjects, 67.2% were overweight and there was a statistically significant difference in mean LAP index between those who were and those who were not overweight. Statistically significant differences in anthropometric and biochemical markers for cardiovascular risk were observed among individuals who had higher LAP index values. There were significant correlations between the LAP index and all of the biochemical variables. CONCLUSIONS: These significant correlations between the LAP index and the traditional biochemical risk markers may be useful within conventional clinical practice, for cardiovascular risk screening in primary healthcare
Hypertriglyceridemic waist phenotype in primary health care: comparison of two cutoff points
(Diabetes, Metabolic Syndrome And Obesity: Targets and Therapy, 2017-09) Fayh, Ana Paula Trussardi; Braz, Marina Augusta Dias; Vieira, Jallyne Nunes; Gomes, Flayane Oliveira; Silva, Priscilla Rafaella da; Santos, Ohanna Thays de Medeiros; Rocha, Ilanna Marques Gomes da; Sousa, Iasmin Matias de
Objective: We aimed to evaluate the prevalence of hypertriglyceridemic waist (HTGW) phenotype among users of primary health care using two different cutoff points used in the literature. Methods: We evaluated adults and elderly individuals of both sexes who attended the same level of primary health care. HTGW phenotype was determined with measurements of waist circumference (WC) and triglyceride levels and compared using cutoff points proposed by the National Cholesterol Education Program – NCEP/ATP III (WC ≥102 cm for men and ≥88 cm for women; triglyceride levels ≥150 mg/dL for both sexes) and by Lemieux et al (WC ≥90 cm for men and ≥85 cm for women; triglyceride levels ≥177 mg/dL for both). Results: Within the sample of 437 individuals, 73.7% was female. The prevalence of HTGW phenotype was high and statistically different with the use of different cutoff points from the literature. The prevalence was higher using the NCEP/ATP III criteria compared to those proposed by Lemieux et al (36.2% and 32.5%, respectively, p<0.05). Individuals with the presence of the phenotype also presented alterations in other traditional cardiovascular risk markers. Conclusion: The HTGW phenotype identified high prevalence of cardiovascular risk in the population, with higher cutoff points from the NCEP/ATP III criteria. The difference in frequency of risk alerts us to the need to establish cutoff points for the Brazilian population

SIGAA

Navegando por Autor "Vieira, Jallyne Nunes"