Riesgo cardiovascular y estilo de vida: comparación entre trabajadores docentes en Portugal y Brasil

Toledo, Noeli das Neves; Almeida, Gilsirene Scantelbury de; Silva, Nair Chase da; Coimbra, Luana; Monteiro, Sara Alves; Bitar, Anna Camily Oliveira; Homem, Filipa de Brito; Brito, Irma

Noeli das Neves Toledo Corresponding author: Noeli das Neves Toledo E-mail: nocaneves@ufam.edu.br

conception or design of the study/research

analysis and/or interpretation of the data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0000-0001-5624-1813

Gilsirene Scantelbury de Almeida

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0000-0003-2153-5330

Nair Chase da Silva

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0000-0002-5880-4138

Luana Coimbra

conception or design of the study/research

analysis and/or interpretation of the data

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0000-0001-5732-9593

Sara Alves Monteiro

conception or design of the study/research

analysis and/or interpretation of the data

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0000-0002-1360-7018

Anna Camily Oliveira Bitar

conception or design of the study/research

analysis and/or interpretation of the data

final review with critical and intellectual participation in the manuscript

Universidade Federal do Amazonas. Manaus, Amazonas, Brazil

https://orcid.org/0009-0009-6361-9349

Filipa de Brito Homem

conception or design of the study/research

final review with critical and intellectual participation in the manuscript

Centro Hospitalar e Universitário de Coimbra EPE, Unidade de Cuidados Intensivos Cardíacos. Coimbra, Portugal

https://orcid.org/0000-0003-1153-1686

Irma Brito

conception or design of the study/research

analysis and/or interpretation of the data

final review with critical and intellectual participation in the manuscript

Escola Superior de Enfermagem de Coimbra & UICISA. Coimbra, Portugal

https://orcid.org/0000-0002-8825-4923

Corresponding author: Noeli das Neves Toledo E-mail: nocaneves@ufam.edu.br

EDITOR IN CHIEF: Antonio José de Almeida Filho

ASSOCIATE EDITOR: Ana Fátima Fernandes

Variables	Country		Total 203(100)	p value
Variables	Portugal 110(54.2)	Brasil 93(45.8)	Total 203(100)	p value
Gender^n(%)				0.116
Male	48 (43.6)	32 (34.4)	80 (39.4)
Female	62 (56.4)	61 (65.6)	123 (60.6)
Age(Md/Max-Min)	42 (22-65)	44 (24-67)	0.142
Marital status^n(%)				0.108
Without a partner	28 (25.5)	32 (34.4)	60 (29.6)
With a partner	82 (74.5)	61 (65.6)	143 (70.4)
Children^n(%)				0.551
Yes	72 (65.5)	61 (65.6)	133 (65.5)
No	38 (34.5)	32 (34.4)	70 (34.5)
Number of children^(Md/Max-Min)	1 (0-4)	2 (0-4)	-	0.019
Religious person^n(%)
Yes	55 (50)	70 (24.7)	125 (61.6)	<0.001
No	55 (50)	23 (75.3)	78 (38.4)
Family in come^n(%)
1-3 Minimum Wages¹ 1 The minimum wage per month in Brazil corresponds to R$ 1.412,00 reais or U$ 291,65 American dollars according to the Central Bank of Brazil on December 29th, 2023.	88 (80)	9 (9.7)	97 (47.8)	<0.001
4-7 Minimum Wages	20 (18.2)	30 (32.3)	50 (24.6)
≥ 8 Minimum Wages	2 (1.8)	54 (58.1)	56 (27.6)
Dependentes da Renda (Md/Max-Min)	2 (1-6)	2 (1-6)	-	0.873

Variables	Country		Total 203(100)	p value
Variables	Portugal 110(100)	Brazil 93(100)	Total 203(100)	p value
Labor Activity^n(%)				0.002
Teacher	37 (33.6)	51 (54.8)	88 (43.3)
Not a teacher	73 (66.4)	42 (45.2)	115 (56.7)
Time at the Institution^(Md/Max-Min)	7 (1-44)	10 (1-43)	-	0.042
Means of transport^n(%)				0.481
Car/motorcycle	98 (89.1)	84 (90.3)	182 (89.7)
Bus or Van	8 (7.3)	8 (8.6)	16 (7.9)
Walking	4 (3.6)	1 (1.1)	5 (2.5)
Leave from work^n(%)				0.01
Yes	18 (16.4)	29 (31.2)	47 (23.2)
No	92 (83.6)	64 (68.8)	156 (76.8)
Reason for Leave^n(%)				0.003
Disease	7 (38.9)	24 (82.8)	31 (66)
Others	11 (61.1)	5 (17.2)	16 (34)

Variables	Country		Total 203(100)	p value
Variables	Portugal 110(100)	Brazil 93(100)	Total 203(100)	p value
Self-assessment of health condition^n(%)				0.031
Improving/Average	71 (64.5)	47 (50.5)	118 (58.1)
Very good/Excellent	39 (35.5)	46 (49.5)	85 (41.9)
Previous Illness^n(%)				0.014
Yes	29 (26.4)	39 (41.9)	68 (33.5)
No	81 (73.6)	54 (58.1)	135 (66.5)
Types of Illness^n(%)				0.277
Cardiovascular Disease	10 (34.5)	9 (47.4)	19 (39.6)
Other Chronic conditions	19 (65.5)	10 (52.6)	29 (60.4)
Tobacco Consumption^n(%)				<0.001
Yes	31 (28.2)	6 (6.5)	37 (18.2)
No	79 (71.8)	87 (95.5)	166 (81.8)
Casual Blood Glucose Measurement^n(%)				0.563
Normal	108 (98.2)	92 (98.9)	200 (98.5)
Increased	2 (1.8)	1 (1.1)	3 (1.5)
Self-Referred Diabetes^n(%)				0.063
Yes	3 (2.7)	8 (8.6)	192 (94.6)
No	107 (97.3)	85 (91.4)	11 (5.4)
Prevalence of Diabetes^n(%)	5 (4.5)	8 (8.6)	13 (6.4)	0.187
Casual Cholesterol Measurement^n(%)				0.008
Normal	71 (64.5)	75 (80.6)	146 (71.9)
Increased	39 (35.5)	18 (19.4)	57 (28.1)
Casual Blood Pressure Measurement^n(%)				0.471
Normal	80 (72.7)	69(74.2)	149(73.4)
Increased	30 (27.3)	24(25.8)	54(26.6)
Self-reported hypertension^n(%)				0.005
Yes	7 (6.4)	18 (19.4)	25 (12.3)
No	103 (93.6)	75 (80.6)	178 (87.7)
Prevalence of Hypertension^n(%)	31 (28.2)	35 (37.6)	66 (32.5)	0.1
Risk of Metabolic Disease^n(%)				0.017
No	74 (67.3)	48 (51.6)	122 (60.1)
Yes	36 (32.7)	48.4 (45)	81 (39.9)
Cardiovascular risk^n(%)				0.002
Low	59 (53.6)	65 (69.9)	124 (61.1)
Moderate	36 (32.7)	27 (29)	63 (31)
High/Very High	15 (13.6)	1 (1.1)	16 (7.9)
Habits that improve^n(%)
Food	42 (38.2)	48 (51.6)	90 (44.3)	0.038
Physical activities	46 (41.8)	6 (6.5)	52 (25.6)	<0.001
Sleep habits	21 (19.1)	6 (6.5)	27 (13.3)	0.006
Sexual habits	5 (4.5)	6 (6.5)	11 (5.4)	0.385
Alchool/drug consumption	6 (5.5)	12 (12.9)	18 (8.9)	0.053
None	24 (21.8)	78 (83.9)	102 (50.2)	<0.001
Habits that got worse^n(%)
Food	6 (5.5)	45 (48.4)	51 (25.1)	<0.001
Physicalactivities	18 (16.4)	45 (48.4)	63 (31)	<0.001
Sleep habits	42 (38.2)	45 (48.4)	87 (42.9)	0.093
Sexual habits	1 (0.9)	6 (6.5)	7 (3.4)	0.037
None	50 (45.5)	45 (48.4)	95 (46.8)	0.391
Lifestyle Score^{– FANTASTICM(DV)}	74.39 (9)	69.60 (9.2)	-	<0.001
Lifestyle Classification^{FANTASTIC n(%)}				0.005
Excellent to good^{(>69 points)}	82 (74.5)	52 (55.9)	134 (66)
Regular to Better^{(≤69 points)}	28 (25.5)	41 (44.1)	69 (34)
Common Mental Disorder Score^{Md (Max-Min)}	3 (0-15)	4 (0-17)	-	0.049
Yes n(%)	28 (25.5)	36 (38.7)	139 (68.5)	0.031
No n(%)	82 (74.5)	57 (61.3)	64 (31.5)

Variables	^#OR-^##RCV Moderate vs Low ^#OR adjusted ^[IC95%]	p value	^#OR ^##RCV High vs Low ^# OR adjusted ^[IC95%]	p value
Country(Portugal)	1.46 (0.797-2.706)	<0.217	16.525 (2.117-128.972)	<0.007
Gender^(Male)	9.968 (4.937-20.126)	<0.000	69.545 (20.723-554.459)	<0.000
Income^(SM)
1-3	2.560 (1.181-5.5450)	0.017	11.408 (1.433-90.840)	0.021
IncomeDependents	0.768 (0.593-0.996)	0.046	0.488 (0.282-0.844)	0.010
BMI*	1.075 (1.008-1.147)	<0.027	1.107 (1.004-1.221)	<0.042
AP**	1.047 (1.020-1.074)	<0.001	1.051 (1.010-1.093)	<0.014
AH(No)***	0.189 (0.097- 0.368)	<0.000	556 (0.177-1.745)	<0.314
SBP^▴	1.066 (1.041-1.092)	<0.000	1.067 (1.030-1.105)	<0.000
DBP^▴▴	1.063 (1.028-1.098)	<0.000	1.067 (1.014-1.122)	<0.012
Tobacco ^(No)	0.053 (0.015-0.188)	<0.000	0.004 (0.001-0.023)	<0.000
Worst Sleep	6.135 (0.610-0.114)	<0.689	233 (0.071-0.763)	<0.0016
EVF⁺	0.957 (0.925-0.989)	0.009	990 (0.935-1.048)	<0.0724
cholesterol	1.12 (1.002-1.022)	0.016	1.041 (1.025-1.057)	<0.0000

Variables	^#OR-^##RCV Moderate vs Low ^#OR adjusted ^[IC95%]	p value	^#OR ^##RCV High vs Low ^# OR adjusted ^[IC95%]	p value
Country^(Portugal)	1.882 (0.772-4.589)	<0.164	17.273 (1.538-193.951)	<0.021
Gender^(Male)	9.458 (3.877-23.077)	<0.000	61.577 (5.398-702.469)	<0.001
SBP^▴ ▴ Systolic Blood Pressure (SBP).	1.086 (1.051-1.122)	<0.000	1.126 (1.060-1.196)	<0.000
Tobacco ^(No)	50.594 (9.430-271.462)	<0.000	593.398(57.330-6142.020)	<0.000

[1] Corresponding author: Noeli das Neves Toledo E-mail: nocaneves@ufam.edu.br

Brasil

Brasil

Riesgo cardiovascular y estilo de vida: comparación entre trabajadores docentes en Portugal y Brasil

RESUMEN

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