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Socio‐Demographic, Clinical and Behavioral Characteristics of Brazilian Dyslipidemic Adults Enrolled in a Lifestyle Modification Program
Author(s) -
Kano Hugo T,
Vilches Gabriel Nogueira,
Barros Layene Peixoto,
Teixeira Okesley,
Manda Rodrigo Minoru,
Burini Roberto Carlos
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.639.45
Subject(s) - medicine , anthropometry , gerontology , demography , psychological intervention , physical activity , physical therapy , psychiatry , sociology
PURPOSE The study aimed to characterize higher triglycerides (TG), total cholesterol (tCHOL) and non‐HDL (nHDL) cholesterol and lower HDL‐cholesterol (HDL) in free‐living adults spontaneously demanding for a lifestyle modification program. METHODS The lifestyle changing program “Mexa‐se Pró‐Saúde [Move for Health]” is a community based project with spontaneous access to adults (>35 yrs old) from both genders that come to the clinic for preventive health examination and further interventions including nutrition re‐education, supervised physical exercise and other lifestyle factors. This cross sectional study used baseline data from 910 participants (from the years of 2005 to 2015) screened for physical activity level, socio‐demographic characteristics (IPAQ version 8 ‐ long form), dietary intake (24‐hour dietary recall and Healthy Eating Index‐HEI calculation), anthropometrics, cardio‐respiratory capacity (Balke's treadmill protocol) clinical and fasting‐plasma biochemistry. The statistics comparisons were performed (for p<0.05) using SAS, version 9.2. RESULTS The sample composition was 79.3% females, 2/3 between 35 to 60 years old, having uncompleted elementary grade, mostly married (2/3), living in a family with monthly income less than 5 minimum wage (< US $ 1250). However, they referred themselves as being in good state of health. The Inadequate HEI rate was 91.1%. The dyslipidemic rate reached 79.2% showing tCHOL as the most prevalent (48.5%) notwithstanding, altered TG and HDL were also at the levels of 40%. The proportion of non‐medicated dyslipidemics varied from 61.8% to 68.1%, similarly in all 4 plasma lipids. This similarity was found also for the proportions of medicated non‐controlled patients, varying from 14.4% to 17%. The dyslipidemic quartile (higher tCHOL and nHDL‐chol, lower HDL and higher TG) was similarly distributed among demographic and socioeconomic classes. They all presented a dietary ‐inadequate quality, low recommended physical activity and low aerobic capacity. Higher energy and CHO intakes discriminated top quartiles of both, tCHOL and TG along with saturated fat ‐low fiber for the total‐chol. and high CHO refined products for TG top quartile. Lower intake of MUFA was the food intake marker for the lower HDL quartile. The main plasma changes linked to dyslipidemia were in direction to pro inflammatory (hs‐CRP) and/or insulin resistance (HOMA‐IR) states. CONCLUSION The found high prevalent dyslipidemia was mostly in medicated but not controlled subjects regardless their socio‐demographic factors but, associated with higher body fatness (mainly abdominal), intake of low‐quality diet and lower aerobic fitness. Support or Funding Information Support CNPq, FAPESP