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Relationship between alcohol drinking and arterial hypertension in indigenous people of the Mura ethnics, Brazil.

Relationship between alcohol drinking and arterial hypertension in indigenous people of the Mura ethnics, Brazil.
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Ferreira AA, Souza-Filho ZA, Gonçalves MJF, Santos J, Pierin AMG,


Ferreira AA, Souza-Filho ZA, Gonçalves MJF, Santos J, Pierin AMG, (click to view)

Ferreira AA, Souza-Filho ZA, Gonçalves MJF, Santos J, Pierin AMG,

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PloS one 2017 08 0412(8) e0182352 doi 10.1371/journal.pone.0182352
Abstract
OBJECTIVE
To identify the consumption of alcoholic beverage and the relation with hypertension, their prevalence and associated factors, in indigenous Mura, Brazil.

METHODS
A cross-sectional population-based study was conducted with 455 adult indigenous aged 18 years or more of Mura ethnics in Amazonia, Brazil. Interview was conducted and the alcohol intake was assessed by the Alcohol Use Disorders Identification Test. Blood pressure was measured in three measurements and the mean of the last two measurements was used. Physical examination included the following data: weight, height, waist and neck circumference, bioimpedance, and capillary measurement of glucose, triglycerides and cholesterol. Through multivariate Logistic regression in stepwise, the odds ratios for alcohol consumption and associated factors were identified.

RESULTS
The prevalence of alcoholic beverage was 40.2%, with no significant difference for hypertension in those who drink (23.0%) and those who did not drink (29.0%). Referred hypertension in indigenous was associated to less use of alcoholic beverages (14.2% vs 24.3%, P = 0.009). After an adjusted analysis (Odds Ratio, 95% CI), there was a positive association between alcoholic drink intake and male sex (10.27, CI: 5.76-18.30), smoking (4.72, CI: 2.35-9.46) and live in rural areas (9.77, CI: 5.08-18.79). On the other hand, age (0.95, IC: 0.94-0.97), and absence of dyslipidemia (0.41, CI: 0.19-0.89) were associated to lower alcohol consumption.

CONCLUSION
The prevalence of alcoholic beverage was high and associated with referred hypertension, but this association was not maintained after adjusted analysis. Changes to habits and inappropriate lifestyles in indigenous populations and living in urban areas may contribute to increase risk for cardiovascular diseases. Therefore, health policies should be implemented to meet the uniqueness of indigenous people.

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