[ @entity854 and cardiovascular risk factors for XXXX in an adult population from S  o Paulo, Brazil].

@entity1 @entity1619 @entity101 @entity6 @entity301 @entity1674 @entity854 @entity4346 @entity741 @entity65 @entity165
OBJECTIVE: @entity741 is associated with high rates of mortality and it is the most prevalent among @entity65 . It is a multifactorial disease, and its prevention depends on control of risk factors. Resting electrocardiogram can be used to detect manifestations of @entity741 , since some electrocardiographic abnormalities are indicative of @entity301 in asymptomatic subjects. The aim of the study was to analyze the relationship between electrocardiographic abnormalities and risk factors for @entity741 in an adult population from the metropolitan area of S  o Paulo. METHODS: A cross-sectional study was carried out in an adult population (age 20 years and over) from Cotia, near S  o Paulo, southeastern of Brazil. The study population comprised 1067 subjects. The subjects were interviewed using a questionnaire. The variables studied were: gender, age, smoking behaviour, physical activity, body mass index, waist-to-hip ratio, blood pressure, @entity6 , blood lipids (total @entity165 , LDL- @entity165 , HDL- @entity165 and @entity1674 ) and electrocardiographic abnormalities. @entity854 were grouped according to the classification: @entity1619 changes, @entity4346 and abnormalities non related to @entity741 or without abnormalities. RESULTS: The population was relatively -young (79% younger than 50 years, mean age 39.8 +/- 13.2 years old), and 59.3% were female. The resting electrocardiogram showed @entity1619 changes in 9.5% of the subjects and @entity4346 in 3.3%. Female gender, age over 65 years for @entity1 and 55 years for @entity1 , @entity6 , @entity101 , total @entity165 >/= 200 mg/dl, LDL- @entity165 >/=130 mg/dl, @entity1674 >/=200 mg/dl, body mass index >/= 25 Kg/m2 and abnormal waist-to-hip ratio, were positively related to @entity1619 changes. Male gender, @entity6 , @entity101 and smoking behaviour were positively related to @entity4346 . In the presence of @entity1619 changes on the ECG, we observed an odds ratio of 3.54 for the diagnosis of @entity101 an of 1.83 for total @entity165 >/= 200 mg/dl. In the presence of @entity4346 on the ECG, we found an odds ratio of 5.92 for @entity101 diagnosis. Among the three most important risk factors correlated to electrocardiographic abnormalities indicative of @entity741 , two can be controlled by nutritional intervention ( @entity101 and total @entity165 >/= 200 mg/dl). This findings suggest the importance of its early detection. Future studies should determine the predictive value of the electrocardiogram, a simple and inexpensive method, suggesting the presence of cardiovascular risk factors in epidemiological and nutritional studies.
