ABC | Volume 112, Nº3, Março 2019

Artigo Original Muniz et al Saúde cardiovascular ideal e estresse no trabalho Arq Bras Cardiol. 2019; 112(3):260-268 Tabela 5 – Associação entre demanda ou controle com os fatores de saúde cardiovascular Demanda Controle n (%) Odds Ratio Ajustado (IC 95%) p n (%) Odds Ratio Ajustado (IC 95%)* p Sedentarismo Baixa Demanda 99 (39) Ref - Alto Controle 121 (49) Ref - Alta Demanda 141 (59) 1,34 (0,90-1,98) 0,15 Baixo Controle 126 (51) 1.03 (0.68-1.56) 0,88 Dieta Pobre Baixa Demanda 160 (61) Ref - Alto Controle 123 (47) Ref - Alta Demanda 103 (39) 1,21 (0,82-1,80) 0,34 Baixo Controle 140 (53) 1,70 (1,12-2,58) 0,012 IMC > 30 kg/m 2 Baixa Demanda 45 (44) Ref - Alto Controle 59 (58) Ref - Alta Demanda 58 (56) 1,49 (0,93-2,41) 0,1 Baixo Controle 43 (42) 1,50 (0,91-2,49) 0,12 Tabagismo Baixa Demanda 18 (55) Ref - Alto Controle 18 (54) Ref - Alta Demanda 15 (45) 1,98 (0,91-4,29) 0,085 Baixo Controle 15 (45) 1,17 (0,52-2,65) 0,71 Hipertensão Baixa Demanda 31 (61) Ref - Alto Controle 17 (32) Ref - Alta Demanda 20 (39) 0,70 (0,37-1,35) 0,29 Baixo Controle 36 (68) 0,78 (0,38-1,60) 0,5 Dislipidemia Baixa Demanda 74 (64) Ref - Alto Controle 62 (52) Ref - Alta Demanda 42 (36) 1,00 (0,62-1,59) 0,99 Baixo Controle 58 (48) 0,83 (0,51-1,34) 0,44 Diabetes Baixa Demanda 19 (63) Ref - Alto Controle 14 (44) Ref - Alta Demanda 11 (37) 1,01 (0,19-1,16) 0,98 Baixo Controle 18 (56) 1,21 (0,52-2,79) 0,66 OR: odds ratio; IC: intervalo de confiança; IMC: índice de massa corporal; *Ajustado para idade, sexo, renda, educação e profissão. 1. Pagidipati NJ, Gaziano TA. Estimating deaths from cardiovascular disease: a review of global methodologies of mortality measurement. Circulation. 2013;127(6):749-56. 2. Santulli G. Epidemiology of cardiovascular disease in the 21st century: updated numbers and updated facts. J Cardiovasc Dis. 2013;1(1):1-2. 3. Stevens G, Mascarenhas M, Mathers C. Global health risks: progress and challenges. Bull World Health Organ. 2009;87(9):646. 4. Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, VanHorn L, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association’s strategic impact goal through 2020 and beyond. Circulation. 2010;121(4):586-613. 5. Stamler J, Stamler R, Neaton JD,WentworthD, DaviglusML, GarsideD, et al. Low risk-factor profile and long-termcardiovascular and noncardiovascular mortality and life expectancy: findings for 5 large cohorts of young adult and middle-aged men and women. Jama. 1999;282(21):2012-8. 6. Yang Q, Cogswell ME, Flanders WD, Hong Y, Zhang Z, Loustalot F, et al. Trends in cardiovascular health metrics and associations with all-cause and CVDmortality among US adults. Jama. 2012;307(12):1273-83. 7. Karasek RA. Job demands, job decision latitude, and mental strain: Implications for job redesign. Adm Sci Q. 1979;24(2):285-308. 8. Karasek R, Baker D, Marxer F, Ahlbom A, Theorell T. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health. 1981;71(7):694-705. 9. Alves MG, Chor D, Faerstein E, Lopes CS, Werneck GL. Short version of the “job stress scale”: a portuguese-language adaptation. Rev Saude Publica. 2004;38(2):164-71. 10 Molina MC, Benseñor IM, Cardoso LO, Velasquez-Melendez G, Drehmer M, Pereira TS, et al. Reproducibility and relative validity of the Food Frequency Questionnaire used in the ELSA-Brasil. Cad Saude Publica. 2013;29(2):379-89. 11. FolsomAR, YatsuyaH, Nettleton JA, Lutsey PL, CushmanM, RosamondWD, et al. Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence. J Am Coll Cardiol. 2011;57(16):1690-6. 12. Wu S, Huang Z, Yang X, Zhou Y, Wang A, Chen L, et al. Prevalence of ideal cardiovascular health and its relationship with the 4-year cardiovascular events in a northern chinese industrial city. Circ CardiovascQual Outcomes. 2012;5(4):487-93. 13. Chou LP, Tsai CC, Li CY, Hu SC. Prevalence of cardiovascular health and its relationship with job strain: a cross-sectional study in taiwanese medical employees. BMJ Open. 2016;6(4):e010467. Referências 267