ABC | Volume 113, Nº3, September 2019

Original Article Santos et al. Arterial hypertension in quilombola communities Arq Bras Cardiol. 2019; 113(3):383-390 Concerning the modifiable variables, increased BMI was one of the major predictors associated with arterial hypertension. Cross sectional studies have shown such association and the damage to the health of the quilombola population, 3 whose inadequate lifestyle choices may be a result of low income and education. 28 The prevalence of physical inactivity is this study was high. Probably, the idleness in rural areas promotes physical inactivity for most part of the months, when it is not harvest or planting time. This data corroborates with researches developed in rural 29 and quilombola 30 populations. This fact may have contributed for obesity and physical inactivity to foster the onset of arterial hypertension in the quilombola communities studied here. It should be stressed that, when salt consumption was measured, low salt intake in this population may not have been accurately asessed, since sodium intake through processed or ultra-processed foods consumed everyday was not taken into consideration. 31 The observed association between smoking and hypertension was significant in this study, which corroborates the results of other population-based studies. 27,32 Another important data was alcohol consumption, which showed a high prevalence. However, this factor was not associated with arterial hypertension, corroborating the results of other studies developed in the quilombola communities. 21,30 Among the limitations of this research, we can mention the fact that the participants were volunteers, that is, the communities were randomly selected and the sample size was determined in advance, but the the enrolment was voluntary. In addition, part of the male population was not accessible, because they were working in the fields or fishing when the visits took place. The presence of diabetes and dyslipidemia has not been investigated, since glucose and lipidmeasurements, respectively, were not performed and the mere response of the individuals enrolledwas avoided, because it could lead to biased information. Future research should adequately assess these risk factors among the quilombolas to obtain better comprehension, since, as far as we know, this is the first study to approach this issue in the quilombola communities of the State of Sergipe. Conclusion The prevalence of arterial hypertension among the quilombolas was higher than in the general population. Age and increased BMI were the major predictors. This finding sugests the need for greater health care for the quilombolas, and serves as a baseline for the Brazilian government’s development of health strategies in line with the the needs of ethnoracial communities. Author contributions Conception and design of the research: Santos DMS, Almeida‑Santos MA; Acquisition of data: Santos DMS, Prado BS, Oliveira CCC; Analysis and interpretation of the data and Statistical analysis: Almeida-Santos MA; Writing of the manuscript and Critical revision of the manuscript for intellectual content: Santos DMS, Prado BS, Oliveira CCC, Almeida-Santos MA. Potential Conflict of Interest No potential conflict of interest relevant to this article was reported. Sources of Funding This study was funded by CAPES e FAPITEC. Study Association This article is part of the thesis of master submitted by Deyse Mirelle Souza Santos, from Universidade Tiradentes. Ethics approval and consent to participate This study was approved by the Ethics Committee of the Universidade Tiradentes under the protocol number 1.685.357. All the procedures in this study were in accordance with the 1975 Helsinki Declaration, updated in 2013. Informed consent was obtained from all participants included in the study. 1. FundaçãoCulturalPalmares.[Internet].Certidõesexpedidasàscomunidades remanescentes de quilombos. 2017. [Citado 10 Jan 2019]. Disponível em: https://www.palmares.gov.br/wp-content/uploads/2015/07/ cCOMUNIDADES-CERTIFICADAS -23-11-2018-s ite.pdf 2. Brasil. Casa Civil, Presidência da República. [Internet]. Decreto n o 4887, de 20 de novembro de 2003. 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