Browsing by Author "Kian, Kauhana Oliveira"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Item
    Excesso de peso e paridade em mulheres indígenas em Dourados, MS
    (2015) Kian, Kauhana Oliveira
    O excesso de peso tornou-se um problema de saúde pública mundial e as estimativas indicam expansão desse agravo em todos os grupos populacionais. Em relação à saúde da mulher, o sobrepeso e a obesidade influenciam de forma peculiar desde a pré-concepção, gravidez e puerpério. Acrescido a este fato, verifica-se a mudança do perfil epidemiológico da população indígena no Brasil, com diminuição de doenças infecciosas e incremento nas taxas de doenças crônicas. Assim, o objetivo desse estudo foi avaliar a associação entre excesso de peso e o número de filhos em mulheres indígenas no município de Dourados, MS. Realizado estudo transversal de base populacional, com amostragem aleatória simples de mulheres indígenas entre 15 e 49 anos na reserva indígena de Dourados. Foram excluídas gestantes. A coleta de dados ocorreu entre junho e outubro de 2013, totalizando 399 mulheres pesquisadas quanto a variáveis sóciodemograficas, estilo de vida, saúde e dados antropométricos. Constatou-se alta prevalência de excesso de peso (65,6%), sendo 37,3% de sobrepeso e 28,3% de obesidade. Contudo, não houve associação entre excesso de peso e paridade. Já o uso de contraceptivo hormonal e faixa etária mostraram associação com sobrepeso e obesidade quando controlados para fatores de confusão.
  • Thumbnail Image
    Item
    Total and abdominal adiposity and hypertension in indigenous women in midwest Brazil
    (Public Library of Science, 2016) Almeida, Juliana Barros; Kian, Kauhana Oliveira; Lima, Rosangela Costa; Souza, Maria Cristina Corrêa de
    Background 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. Objective 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. Methods 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. Results Data were collected between June and October 2013 with 362 women. Most of them were aged <40 years (66.3%) and had low educational level (≤4 years of schooling, 82.0%), had overweight/obesity (74.0%), WC ≥80 cm (83.7%), and family history of hypertension (60.5%). The prevalence of hypertension was 42.0% (CI 95%: 37.0–47.2). In the multivariable analysis, respondents with WC 80–87 cm and ≥88 cm showed approximately 2 times higher prevalence rates of hypertension compared with those with WC <80 cm after adjusting for confounding factors. There was no association between body mass index (BMI) and hypertension in this study. Conclusions The overall prevalence of hypertension was high and associated only with abdominal adiposity but not with BMI.