ABSTRACT Objective: To analyze the association between the time spent in sedentary behavior and physical activity of different intensities with cardiovascular health in men and women with peripheral artery disease. Methods: Two hundred and sixty patients with peripheral artery disease and claudication symptoms (65.7% men; 66±1 years; ankle brachial index 0.57±0.18) were evaluated. Physical activity and sedentary behavior were assessed using an accelerometer. Physical activity was classified into light and moderate-vigorous intensities. The cardiovascular outcomes included blood pressure (oscillometric method), cardiac autonomic modulation (heart rate variability), and arterial stiffness (pulse wave velocity). Results: Women spent more time engaged in light physical activity than men (341±14 min/day versus 306±9 min/day; p=0.040, respectively). There was no significant difference in the time spent on sedentary behavior and moderate-vigorous physical activity. Women had a higher systolic blood pressure (p=0.025), higher augmentation index (p<0.001), and lower sympathovagal balance (p=0.047) than men. Pulse wave velocity was only negatively associated with light physical activity (β= -4.66; 95%CI= -8.57; -0.76) in men. Light and moderate-vigorous physical activity and sedentary behavior were not associated with other cardiovascular outcomes. Conclusion: Higher levels of light physical activity were associated with lower arterial stiffness in men with peripheral artery disease. Objective Methods 65.7% 657 65 7 (65.7 661 66 1 66± years 0.57±0.18 057018 0 57 18 evaluated accelerometer moderatevigorous moderate vigorous oscillometric method, method , method) heart variability, variability variability) pulse velocity. . velocity) Results 341±14 34114 341 14 (341±1 minday min day 3069 306 9 306± p0040 p 040 p=0.040 respectively. respectively respectively) p=0.025, p0025 p=0.025 025 (p=0.025) p<0.001, p0001 p<0.001 001 (p<0.001) p=0.047 p0047 047 (p=0.047 β= β (β 4.66 466 4 -4.66 95CI CI 95 95%CI 8.57 857 8 -8.57 0.76 076 76 -0.76 Conclusion 65.7 6 (65. 0.57±0.1 05701 5 341±1 3411 34 (341± 30 p004 04 p=0.04 p002 p=0.02 02 (p=0.025 p000 p<0.00 00 (p<0.001 (p=0.04 4.6 46 -4.6 8.5 85 -8.5 0.7 07 -0.7 65. (65 0.57±0. 0570 341± 3 (341 p00 p=0.0 (p=0.02 p<0.0 (p<0.00 (p=0.0 4. -4. 8. -8. 0. -0. (6 0.57±0 057 (34 p0 p=0. p<0. (p<0.0 (p=0. -4 -8 -0 ( 0.57± 05 (3 p=0 p<0 (p<0. (p=0 - 0.57 p= p< (p<0 (p= 0.5 (p< (p

Abstract Background: relative fat mass (RFM) has been proposed recently, and the effectiveness in relation to other anthropometric indexes already consolidated regarding the predictive capacity of high blood pressure levels (HBPL) has not been investigated yet. Objectives: the objective was to analyze the predictive capacity of RFM for HBPL, and to compare it with others indexes. Methods: a cross-sectional study was conducted with 896 individuals. Weight, height, hip, waist circunference (WC), and neck circunference measurements were evaluated, and RFM, body mass index (BMI), body adiposity index, waist/hip ratio, and waist/height ratio were calculated. Systolic (SBP) and diastolic (DBP) blood pressures were measured on one occasion. Descriptive statistics, Pearson's correlation, a logistic regression model, and the analysis of the receiver operating characteristic (ROC) curves were used. Results: HBPL proportion was higher in men (34.68 %, p < 0.01). There was a positive correlation (p < 0.01) between all anthropometric measurements and SBP and DBP. WC in males (OR, 3.66; p < 0.01) and BMI in females (OR, 5.06; p < 0.01) showed the greatest associations with HBPL. There was no statistical difference (p > 0.05) in the area under the curve. Conclusions: the findings of our study suggest that RFM is not the best index for predicting HBPL, although it has shown positive associations.

Resumen Introducción: se ha propuesto recientemente la medida de la masa grasa relativa (RFM) como predictor de la hipertensión arterial (HBPL), aunque su valor predictivo y la comparación con otros índices antropométricos está por evaluar. Objetivos: el objetivo fue analizar la capacidad predictiva de la RFM para el HBPL y compararlo con otros índices. Métodos: se realizó un estudio transversal con 896 individuos. Se evaluaron las medidas de peso, talla, cadera, circunferencia de la cadera (CC) y circunferencia del cuello, y se calcularon la RFM, el índice de masa corporal (IMC), el índice de adiposidad corporal, la relación cintura/cadera y la relación cintura/estatura. En una ocasión se midió la presión arterial sistólica (PAS) y diastólica (PAD); se utilizaron la estadística descriptiva, la correlación de Pearson, un modelo de regresión logística y el análisis de las curvas Receiver Operating Characteristic (ROC). Resultados: la proporción de HBPL fue mayor en los hombres (34,68 %; p < 0,01). Hubo una correlación positiva (p < 0.01) entre todas las medidas antropométricas y PAS y PAD. La CC en los hombres (OR: 3,66; p < 0,01) y el IMC en las mujeres (OR: 5,06; p < 0,01) mostraron las mayores asociaciones con los HBPL. No hubo diferencia estadística (p > 0.05) en el área bajo la curva. Conclusiones: los hallazgos de nuestro estudio sugieren que la RFM no es el mejor índice para predecir el HBPL, aunque ha mostrado asociaciones positivas.

Resumo O objetivo deste estudo foi avaliar o consumo regular de bebidas açucaradas e sua associação com aspectos sociodemográficos e comportamentais de adultos de uma cidade do sudoeste brasileiro. Trata-se de um estudo de base populacional com 1226 adultos de 20 a 59 anos, residentes na zona urbana do município de Viçosa-MG. Foi aplicado um questionário estruturado para medir as condições sociodemográficas e comportamentais. O consumo de bebidas açucaradas foi classificado como regular quando a frequência de ingestão foi igual ou superior a cinco vezes por semana. O consumo regular de bebidas açucaradas foi superior em homens e mulheres com idade entre 20 e 29 anos (p < 0,01). Homens com hábito de realizar refeições em frente à televisão (p = 0,03) e mulheres insatisfeitas com seu peso (p = 0,03) apresentaram maior consumo regular de bebidas açucaradas. Conclui-se que os indivíduos de maior idade apresentaram menor consumo regular de bebidas açucaradas e este consumo esteve associado a comportamentos obesogênicos, como o hábito em realizar refeições em frente à televisão, e em indivíduos insatisfeitos com o peso corporal.

Abstract The aim of this study was to evaluate the regular consumption of sweetened beverages and its association with sociodemographic and behavioral aspects in a city in the southwest of Brazil. It involves is a population-based study of 1,226 adults aged 20 to 59 living in the urban area of the municipality of Viçosa in the state of Minas Gerais. A structured questionnaire to measure sociodemographic and behavioral conditions was applied. The consumption of sweetened beverages was considered regular when the frequency of consumption was five or more times a week. Regular consumption of sweetened beverages was higher in men and women aged between 20 and 29 years (p < 0.01). Men with the habit of eating meals in front of the television (p = 0.03) and women dissatisfied with their weight (p = 0.03) consumed greater regular amounts of sweetened beverages. The conclusion reached is that older individuals showed less regular consumption of sweetened beverages and that the consumption of same was associated with obesogenic behaviors, such as the habit of eating meals in front of the television and among individuals dissatisfied with their body weight.

Resumo O objetivo deste estudo foi avaliar o consumo regular de bebidas açucaradas e sua associação com aspectos sociodemográficos e comportamentais de adultos de uma cidade do sudoeste brasileiro. Trata-se de um estudo de base populacional com 1226 adultos de 20 a 59 anos, residentes na zona urbana do município de Viçosa-MG. Foi aplicado um questionário estruturado para medir as condições sociodemográficas e comportamentais. O consumo de bebidas açucaradas foi classificado como regular quando a frequência de ingestão foi igual ou superior a cinco vezes por semana. O consumo regular de bebidas açucaradas foi superior em homens e mulheres com idade entre 20 e 29 anos (p < 0,01). Homens com hábito de realizar refeições em frente à televisão (p = 0,03) e mulheres insatisfeitas com seu peso (p = 0,03) apresentaram maior consumo regular de bebidas açucaradas. Conclui-se que os indivíduos de maior idade apresentaram menor consumo regular de bebidas açucaradas e este consumo esteve associado a comportamentos obesogênicos, como o hábito em realizar refeições em frente à televisão, e em indivíduos insatisfeitos com o peso corporal.

Abstract The aim of this study was to evaluate the regular consumption of sweetened beverages and its association with sociodemographic and behavioral aspects in a city in the southwest of Brazil. It involves is a population-based study of 1,226 adults aged 20 to 59 living in the urban area of the municipality of Viçosa in the state of Minas Gerais. A structured questionnaire to measure sociodemographic and behavioral conditions was applied. The consumption of sweetened beverages was considered regular when the frequency of consumption was five or more times a week. Regular consumption of sweetened beverages was higher in men and women aged between 20 and 29 years (p < 0.01). Men with the habit of eating meals in front of the television (p = 0.03) and women dissatisfied with their weight (p = 0.03) consumed greater regular amounts of sweetened beverages. The conclusion reached is that older individuals showed less regular consumption of sweetened beverages and that the consumption of same was associated with obesogenic behaviors, such as the habit of eating meals in front of the television and among individuals dissatisfied with their body weight.

Abstract Introduction: the visceral adiposity index (VAI) is an indicator of fat distribution and function which is considered a predictor of cardiometabolic risk. Objective: analyze the factors associated with VAI in Brazilian adults. Methods: a cross-sectional population-based study was conducted with 854 adults, in Viçosa, MG, Brazil. A questionnaire was applied and anthropometric measurements, body composition and biochemical data were collected. Ordinal logistic regression was used to evaluate the factors associated with VAI. Results: the increase in percentage of fat, uric acid concentration and ultra-sensitive C reactive protein in the blood was positively associated with VAI in males. The level of physical activity in leisure was negatively associated. Among women, the increase in age, neck circumference, sitting time of more than 300 minutes, increased serum uric acid concentration and ultra-sensitive C reactive protein were associated with VAI. Conclusion: except for age, all other factors associated with VAI are modifiable, suggesting that adopting early intervention measures that promote changes in habits and alter the risk of increased visceral adiposity and consequently the appearance of comorbidities should be encouraged.

Resumen Introducción: el índice de adiposidad visceral (VAI) es un indicador de distribución y función de la grasa que se considera un predictor del riesgo cardiometabólico. Objetivo: analizar los factores asociados con el VAI en adultos brasileños. Métodos: se realizó un estudio transversal de población con 854 adultos, en Viçosa, MG, Brasil. Se aplicó un cuestionario y se analizaron las medidas antropométricas, la composición corporal y los datos bioquímicos. La regresión logística ordinal se utilizó para evaluar los factores asociados con VAI. Resultados: el aumento en el porcentaje de grasa, la concentración de ácido úrico y la proteína C reactiva ultrasensible en la sangre se asoció positivamente con VAI en varones. El nivel de actividad física en el ocio se asoció negativamente. Entre las mujeres, el aumento de la edad, la circunferencia del cuello, el tiempo en sedestación de más de 300 minutos, el aumento de la concentración sérica de ácido úrico y la proteína C reactiva ultrasensible se asociaron con VAI. Conclusión: con excepción de la edad, todos los otros factores asociados con el VAI son modificables, lo que sugiere que debe fomentarse la adopción de medidas de intervención temprana que promuevan cambios en los hábitos y alteren el riesgo de aumento de la adiposidad visceral y, consecuentemente, la aparición de comorbilidades.

Resumo Objetivou-se analisar os fatores associados ao índice de adiposidade corporal. Um estudo transversal de base populacional foi conduzido com 964 adultos, de 20 e 59 anos, em Viçosa, MG, Brasil. Aplicou-se questionários domiciliares e medidas antropométricas para se obter os dados. A análise múltipla foi realizada por meio de regressão linear, ajustada pelo efeito do desenho amostral. A prevalência de excesso de adiposidade corporal foi 36,89 (IC 30,81–43,43), sendo mais elevada nos homens (48,18% - IC 39,09–57,34). Associou-se positivamente com o índice de adiposidade corporal o sexo feminino (p = 0,002), idade em anos (p < 0,001), aqueles que viveram com companheiro (p = 0,022) e com insatisfação com a imagem corporal (p < 0,001). A autoavaliação da saúde positiva (p = 0,048) esteve associada negativamente com o índice de adiposidade corporal. A prevalência de excesso de adiposidade corporal foi elevada, sendo o sexo, a faixa etária, o estado civil, a autoavaliação da saúde e a insatisfação com a imagem corporal fatores determinantes para o aumento da adiposidade corporal, nesta população, indicando um forte risco para doenças crônicas não transmissíveis decorrentes do excesso de adiposidade.

Abstract The objective of this study was to analyze factors associated with the body adiposity index. A population-based, cross-sectional study was conducted with 964 adults between 20 and 59 years of age, in Viçosa, State of Minas Gerais, Brazil. Household questionnaires and anthropometric measurements were applied to obtain data. Multiple analysis was performed using linear regression, adjusted for the sampling design effect. The prevalence of excess body adiposity was 36.89 (CI 30.81 to 43.43), being higher among men (48.18% - CI 39.09 to 57.34). Factors positively associated with body adiposity index were: female sex (p = 0.002); age in years (p < 0.001); those living with a partner (p = 0.022). Self-evaluation of positive health (p = 0.048) was negatively associated with the body adiposity index. The prevalence of excess body fat was high and the sex, age, marital status, health self-evaluation and dissatisfaction with body image were determinant factors to the increase in body adiposity in this population, indicating a marked risk for chronic diseases resulting from excess body fat.

Resumo Objetivou-se analisar os fatores associados ao índice de adiposidade corporal. Um estudo transversal de base populacional foi conduzido com 964 adultos, de 20 e 59 anos, em Viçosa, MG, Brasil. Aplicou-se questionários domiciliares e medidas antropométricas para se obter os dados. A análise múltipla foi realizada por meio de regressão linear, ajustada pelo efeito do desenho amostral. A prevalência de excesso de adiposidade corporal foi 36,89 (IC 30,81–43,43), sendo mais elevada nos homens (48,18% - IC 39,09–57,34). Associou-se positivamente com o índice de adiposidade corporal o sexo feminino (p = 0,002), idade em anos (p < 0,001), aqueles que viveram com companheiro (p = 0,022) e com insatisfação com a imagem corporal (p < 0,001). A autoavaliação da saúde positiva (p = 0,048) esteve associada negativamente com o índice de adiposidade corporal. A prevalência de excesso de adiposidade corporal foi elevada, sendo o sexo, a faixa etária, o estado civil, a autoavaliação da saúde e a insatisfação com a imagem corporal fatores determinantes para o aumento da adiposidade corporal, nesta população, indicando um forte risco para doenças crônicas não transmissíveis decorrentes do excesso de adiposidade.

Abstract The objective of this study was to analyze factors associated with the body adiposity index. A population-based, cross-sectional study was conducted with 964 adults between 20 and 59 years of age, in Viçosa, State of Minas Gerais, Brazil. Household questionnaires and anthropometric measurements were applied to obtain data. Multiple analysis was performed using linear regression, adjusted for the sampling design effect. The prevalence of excess body adiposity was 36.89 (CI 30.81 to 43.43), being higher among men (48.18% - CI 39.09 to 57.34). Factors positively associated with body adiposity index were: female sex (p = 0.002); age in years (p < 0.001); those living with a partner (p = 0.022). Self-evaluation of positive health (p = 0.048) was negatively associated with the body adiposity index. The prevalence of excess body fat was high and the sex, age, marital status, health self-evaluation and dissatisfaction with body image were determinant factors to the increase in body adiposity in this population, indicating a marked risk for chronic diseases resulting from excess body fat.

Abstract Introduction: The identification of risk or protective behavioral patterns associated with abdominal adiposity may aid in prevention and health promotion measures. Objective: To identify and to associate behavioral patterns of risk and protection to abdominal adiposity in adults in a Brazilian city. Material and methods: A population-based cross-sectional study was carried out in Viçosa, Brazil, with 1,226 adults of both sexes. Information on social-demographic characteristics, food intake, level of physical activity, alcohol consumption and smoking were collected by using a questionnaire. The anthropometric measurement of waist circumference and anthropometric indices waist/hip ratio and waist/height ratio were indicators of abdominal adiposity. To identify behavioral patterns, exploratory factor analysis was applied for the variables considered as risk or protective factors. The association of the identified patterns with abdominal adiposity was estimated by multiple linear regression, adjusted for gender, age and social economical class. Results: Two patterns were obtained, "healthy" and "risk". The "healthy" pattern, comprised of the clustering of the variables food consumption, fruits, fresh fruit juices, raw and cooked vegetables and the appropriate level of physical activity, was negatively associated with abdominal adiposity identified by waist circumference (p = 0.048), waist/hip (p = 0.013) and waist/height (p = 0.018) indices. The "risk" pattern, composed of smoking, alcohol beverage abuse and habit of consuming visible fat in fat-rich red meat or poultry skin, was positively associated with abdominal adiposity identified by waist circumference (p = 0.002) and waist/hip (p = 0.007) and waist/height indices (p = 0.006). Conclusions: Two behavioral patterns were identified, a risk pattern and a protective pattern for abdominal adiposity in the assessed population. The study shows the importance of conducting clustering of multiple risk and protective factors to better explain the health conditions of a group.

Resumen Introducción: la identificación de los riesgos o los patrones de comportamiento de protección asociados con la adiposidad abdominal puede ayudar en las medidas de prevención y promoción de la salud. Objetivo: identificar y establecer la asociación entre los patrones de comportamiento de riesgo y de protección y la adiposidad abdominal en adultos en una ciudad brasileña. Material y métodos: se llevó a cabo un estudio transversal basado en la población en Viçosa, Brasil, con 1.226 adultos de ambos sexos. Se recogió información sobre las características sociodemográficas, la ingesta de alimentos, el nivel de actividad física, el consumo de bebidas alcohólicas y el hábito tabáquico mediante un cuestionario. La medición antropométrica de la circunferencia de la cintura y de los índices antropométricos cintura/cadera y cintura/altura fueron los indicadores de adiposidad abdominal. Para identificar los patrones de comportamiento, se aplicó un análisis factorial exploratorio de las variables de riesgo o factores de protección considerados. La asociación de los patrones identificados con la adiposidad abdominal se estimó por regresión lineal múltiple, ajustada por género, edad y nivel socioeconómico. Resultados: se establecieron dos patrones, "sano" y "riesgo". El patrón "sano", compuesto por la agrupación de las variables consumo de alimentos, frutas, zumos de fruta fresca, verdura cruda y cocida y el nivel apropiado de actividad física, se asoció negativamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,048) y los índices cintura/cadera (p = 0,013) y cintura/altura (p = 0,018). El patrón de "riesgo", compuesto por hábito tabáquico, abuso de alcohol y consumo de grasa visible en carnes rojas ricas en grasa o piel de las aves, se asoció positivamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,002) y las ratios cintura/cadera (p = 0,007) y cintura/altura (p = 0,006). Conclusiones: fueron identificados dos patrones de comportamiento, el patrón de riesgo y el patrón de protección, relacionados con la adiposidad abdominal en la población estudiada. El estudio muestra la importancia de agrupar múltiples factores de riesgo y de protección para explicar mejor las condiciones de salud de un grupo.

Resumo Este artigo descreve a frequência relativa de comportamentos de risco e de proteção para doenças crônicas não transmissíveis (DCNT) em adultos de Viçosa, Brasil. Foi realizado um estudo transversal de base populacional, incluindo 1226 adultos residentes do município. Utilizou-se um questionário estruturado, contendo questões sociodemográficas e comportamentais. Os fatores de risco/proteção avaliados foram: tabagismo, prática de atividade física, consumo abusivo de bebida alcóolica e consumo alimentar. A proporção dos fatores de risco/proteção foi calculada na população total, de acordo com sexo, escolaridade e nível socioeconômico. A população avaliada apresenta elevada frequência de fatores de risco para DCNT, como consumo abusivo de bebidas alcoólicas, hábito de consumir leite integral, ingerir carnes com gorduras visíveis, consumo regular de refrigerantes e 78,5% não atingiram a recomendação mínima para atividade física no lazer. Em relação aos fatores de proteção, 86,2% da população relataram consumir regularmente frutas e vegetais, e 73%, feijões. Verificou-se a maior frequência de fatores de riscos no sexo masculino, em indivíduos de menor idade e nível socioeconômico intermediário. Nesta população há urgência nas políticas públicas de planejamento municipal para mudar o atual cenário.

Abstract The article describes the relative frequency ok of risk and protective behaviors for chronic non-communicable diseases (NCDs) in adults residing in Viçosa, Brazil. A cross-section-al population-based study including 1,226 adults living in the municipality. We used a structured questionnaire containing questions sociodemographic and behavioral The risk and protection factors evaluated were: smoking, physical activity, excessive consumption of alcohol and food consumption. The proportion of risk and protection factors was calculated in the total population, according to gender, education and socioeconomic status. The studied population has a high frequency of risk factors for NCDs, such as excessive consumption of alcoholic beverages, habit of consuming whole milk, habit of eating meat with visible fat, regular consumption of soft drinks and 78.5% did not achieve the minimum recommendation for physical activity in leisure time. With regard to protective factors, 86.2% of the population reported regular consumption of fruits and vegetables, and 73%, of beans. It was found the highest frequency of risk factors in among males, in younger people and middle socioeconomic status. This population has an urgent need for public policy of municipal planning to change this current scenario.

Resumo Este artigo descreve a frequência relativa de comportamentos de risco e de proteção para doenças crônicas não transmissíveis (DCNT) em adultos de Viçosa, Brasil. Foi realizado um estudo transversal de base populacional, incluindo 1226 adultos residentes do município. Utilizou-se um questionário estruturado, contendo questões sociodemográficas e comportamentais. Os fatores de risco/proteção avaliados foram: tabagismo, prática de atividade física, consumo abusivo de bebida alcóolica e consumo alimentar. A proporção dos fatores de risco/proteção foi calculada na população total, de acordo com sexo, escolaridade e nível socioeconômico. A população avaliada apresenta elevada frequência de fatores de risco para DCNT, como consumo abusivo de bebidas alcoólicas, hábito de consumir leite integral, ingerir carnes com gorduras visíveis, consumo regular de refrigerantes e 78,5% não atingiram a recomendação mínima para atividade física no lazer. Em relação aos fatores de proteção, 86,2% da população relataram consumir regularmente frutas e vegetais, e 73%, feijões. Verificou-se a maior frequência de fatores de riscos no sexo masculino, em indivíduos de menor idade e nível socioeconômico intermediário. Nesta população há urgência nas políticas públicas de planejamento municipal para mudar o atual cenário.

Abstract The article describes the relative frequency ok of risk and protective behaviors for chronic non-communicable diseases (NCDs) in adults residing in Viçosa, Brazil. A cross-section-al population-based study including 1,226 adults living in the municipality. We used a structured questionnaire containing questions sociodemographic and behavioral The risk and protection factors evaluated were: smoking, physical activity, excessive consumption of alcohol and food consumption. The proportion of risk and protection factors was calculated in the total population, according to gender, education and socioeconomic status. The studied population has a high frequency of risk factors for NCDs, such as excessive consumption of alcoholic beverages, habit of consuming whole milk, habit of eating meat with visible fat, regular consumption of soft drinks and 78.5% did not achieve the minimum recommendation for physical activity in leisure time. With regard to protective factors, 86.2% of the population reported regular consumption of fruits and vegetables, and 73%, of beans. It was found the highest frequency of risk factors in among males, in younger people and middle socioeconomic status. This population has an urgent need for public policy of municipal planning to change this current scenario.

RESUMO Objetivo Explorar a relação entre padrões alimentares e a adiposidade abdominal entre adultos residentes na área urbana do município de Viçosa, Minas Gerais. Métodos Estudo transversal, de base populacional, realizado com 959 indivíduos adultos e de ambos os sexos. Foram coletadas informações sobre as características sociodemográficas e de consumo alimentar por meio de questionários. Para avaliação da adiposidade abdominal, avaliou-se o perímetro da cintura e os índices antropométricos relação cintura/quadril e relação cintura/estatura. Os padrões alimentares foram identificados por análise fatorial. Para análise multivariada, foi utilizada regressão de Poisson. Resultados A adiposidade abdominal identificada pela perímetro da cintura foi de 59,06% (IC95%=52,77–65,08), pela relação cintura/quadril foi de 54,65% (IC95%=47,92–61,21) e pela relação cintura/estatura de 62,09% (IC95%=54,61–69,03). Foram identificados dois padrões alimentares, nomeados de padrão “tradicional” e “bar”, sendo que somente o último padrão foi estatisticamente associado à adiposidade abdominal determinada pelos três parâmetros. Conclusão A população do estudo apresentou dois padrões alimentares, um considerado saudável e outro não saudável, o qual foi associado à maior chance de adiposidade abdominal. Sendo assim, medidas que revertam tais situações são importantes de serem adotadas.

ABSTRACT Objective To examine the relationship between dietary patterns and abdominal adiposity among adults living in the urban area of Viçosa, Minas Gerais, Brazil. Methods A population-based, cross-sectional study of 959 adults of both sexes. Information on sociodemographic characteristics and dietary intake was collected through questionnaires. Abdominal adiposity was evaluated using waist circumference and the anthropometric indices waist-to-hip ratio and waist-to-height ratio. Food patterns were identified by factor analysis. Poisson regression was used for multivariate analysis. Results Abdominal adiposity was identified by waist circumference in 59.06% (95%CI=52.77–65.08) of the sample, by waist-to-hip ratio in 54.65% (95%CI=47.92–61.21), and by waist-to-height ratio in 9% (95%CI=54.61–69.03). Two dietary patterns, named as traditional Brazilian and bar, were identified in the sample, but only the latter was statistically associated with abdominal adiposity determined by the three parameters. Conclusion The study identified two eating patterns in the population, a healthy and an unhealthy pattern, the latter being associated with greater odds of abdominal adiposity. Thus, it is important to take measures to reverse this trend.

Resumo Objetivo: Analisar os fatores associados aos sintomas articulares crônicos (SAC) em adultos. Método: Trata-se de um estudo transversal, de base populacional, com 1.217 adultos, na faixa etária de 20 a 59 anos, na cidade de Viçosa, MG, 2014. A amostragem foi realizada por conglomerados em duplo estágio, sendo as unidades de primeiro estágio os setores censitários, e, em seguida, os domicílios. Foram sorteados 30 setores dentre os 99 de Viçosa, por meio de amostragem casual simples, sem reposição. A coleta de dados foi composta por aplicação de questionário contendo questões relativas a variáveis de SAC, sociodemográficas, comportamentais e de saúde. Para verificar as associações, apresentaram-se proporções, razões de prevalência e seus respectivos intervalos de confiança de 95%. A análise múltipla foi realizada por meio da regressão de Poisson, utilizando o conjunto de comandos svy do software Stata, o qual considera o efeito da expansão da amostra na análise dos dados. Resultados: A prevalência estimada de SAC foi de 31,27%, maior nas mulheres (18,45%). Estiveram associadas ao SAC as mulheres (RP 1,49; IC95% 1,23-1,81); as idades de 40 e 49 (RP 1,50; IC95% 1,16-1,92) e 50 e 59 anos (RP 1,55; IC95% 1,07-2,25); o sobrepeso (RP 1,60; IC95% 1,28-2,00); a obesidade (RP 1,60; IC95% 1,11-2,29); e aqueles que autorreferiram realização de trabalho pesado (RP 1,27; IC95% 1,09-1,48). Conclusão: O sexo feminino, a faixa etária de 40 a 59 anos, o sobrepeso, a obesidade e a realização de trabalho pesado foram fatores de risco para SAC em adultos de Viçosa, MG.

Summary Objective: To analyze factors associated with chronic joint symptoms (CJS) in adults. Method: A population-based, cross-sectional study was performed with a sample of 1,217 adults aged between 20 and 59 years, in the city of Viçosa, in 2014. The sampling process was performed by conglomerates and sample was selected using a two-stage cluster-sampling scheme. First, 30 of the 99 census tracts of Viçosa were randomly selected using a random sampling scheme, without replacement. Household questionnaires were applied to obtain CJS data, sociodemographic conditions, behavioral factors and health status. Multivariable analysis was conducted using Poisson regression, adjusted for the sampling design effect, using the svy commands in Stata software. Results: Prevalence of CJS totaled 31.27%, significantly higher in women (18.45). Age ranges 40-49 (PR 1.50; 95CI 1.16-1.92) and 50-59 years (PR 1.55; 95CI 1.07-2.25); overweight (PR 1.60; 95CI 1.28-2.00); obesity (PR 1.60; 95CI 1.11-2.29); and those who self-reported performing heavy work (PR 1.27; 95CI 1.09-1.48) showed higher prevalences of CJS. Conclusion: Women and individuals who were older, overweight and performing heavy work had a higher risk of CJS in this adult population residing in Viçosa, MG, Brazil.

Aims: the present study aims to evaluate the prevalence of cardiometabolic changes according to the hypertriglyceridemic waist (HW) phenotype in Brazilian adults. Methods: it is a population based transversal study with 976 adults (n = 533 women) 20-59 years old. Phenotype was defined by triglycerides concentration (TGL) ≥150 mg/dl and waist circumference (WC) ≥80 cm in females and ≥90 cm in males. All the analyses were adjusted according to the study design and pondered by gender, age and schooling. A descriptive analysis was performed through averages and ratios; their respective confidence intervals were herein presented (CI 95%). The prevalence of cardiometabolic changes due to the presence of HW and to gender was calculated and compared by means of Pearson�fs chi-square test. Statistic significance level was 0.05. The probability of coronary event risk was estimated in 10 years and calculated from Framinghan score, using Kernel density graph. Results: no difference in phenotype prevalence between genders was observed. Higher averages in all the cardiometabolic risk factors analyzed and higher probability of evolving to a cardiovascular event in 10 years were observed in individuals with the HW phenotype. Lower HDL values were only verified in this group. Conclusion: the HW phenotype is an important cardiovascular risk sign and allows the premature identification of individuals with higher risk, so that its use in clinical practice must be encouraged, mainly because it is a simple low cost asset.

Objetivos: evaluar la prevalencia de alteraciones cardiometabólicas según el fenotipo cintura hipertrigliceridémica (CH) en adultos brasileños. Métodos: estudio transversal, de base poblacional, con 976 (n = 533 mujeres) individuos de 20 a 59 años. El CH fue definido por un aumento en las concentraciones de triglicéridos y en la circunferencia de la cintura (CC). Todos los análisis fueron ajustados por el efecto del diseño del estudio y ponderados por género, edad y escolaridad. Fue realizado un anaìlisis descriptivo de promedio y presentados sus respectivos intervalos de confianza (IC 95%). La prevalencia de las alteraciones cardiometabólicas según la presencia o no del fenotipo CH y según el sexo fue calculada y comparada a través del test chi-cuadrado de Pearson. El nivel de significancia estadística adoptado fue de 0,05. Se estimó la probabilidad de riesgo de evento coronario en 10 años, a partir del score de Framinghan a través del gráfico de densidad de Kernel. Resultados: la prevalencia del fenotipo CH en la muestra fue de 17,32% (IC 95% 13,54-21,89), no se observó diferencia entre sexos. Se observaron mayores promedios para todos los factores de riesgo cardiometabólico analizados en aquellos con CH. Sólo Se verificaron menores valores medianos para el HDL en este grupo. Los individuos con CH presentaban mayor probabilidad de evolucionar hacia un evento cardiovascular en 10 años que aquellos sin el fenotipo. Conclusión: el fenotipo CH constituye un importante marcador precoz del riesgo cardiovascular. Su utilización en la práctica clínica debe ser incentivada, ya que se trata de una herramienta sencilla y de bajo coste.

Introduction: regular exercise has been recommended as an important behavior in controlling blood pressure. In recent years it has been demonstrated that a single session of exercise can lower blood pressure levels compared to pre-exercise period, becoming an effective non-pharmacological therapy for the treatment of hypertension. Objective: the purpose of this study was to analyze the levels of blood pressure in post-exercise period of controlled hypertension women after an aerobics session and a hydrogymnastics session. Methods: twelve elderly (65 ± 3.6 years) who practice regular physical activity for at least two months had their levels of blood pressure measured during 60 minutes after the end of each session. Blood pressure was measured every five minutes after the end of each session until the twentieth minute of recovery. Following, blood pressure was measured every ten minutes. T-student test was used to compare mean and the level of significance adopted was 5%. Results: the mean values of hypotension found during the recovery period after the hydrogymnastics session were not significantly different when compared to blood pressure levels of the pre-exercise period (p = 0.260). However, the result of the same comparison for the aerobics session was statistically significant (p < 0.001). The lowest values of systolic blood pressure reached in the recovery period for hydrogymnastics (120 mmHg) and aerobics (106 mmHg) were significantly different (p < 0.001). Conclusions: the aerobics session showed to be more effective in reducing post-exercise blood pressure compared to the hydrogymnastics. After practice aerobics, the participants presented lower blood pressure levels and longer duration of the hypotensive effect.

Introducción: la práctica regular de ejercicios ha sido recomendada como conducta importante en el control de la presión arterial. En los últimos años se ha demostrado que una sola sesión de ejercicio físico puede disminuir la presión arterial comparada a los niveles del periodo pre-ejercicio, convirtiéndose en una terapia no farmacológica efectiva para el tratamiento de la hipertensión. Objetivo: analizar el comportamiento de la presión arterial post-ejercicio en mujeres hipertensas controladas tras la realización de una sesión de gimnasia acuática y una sesión de gimnasia aeróbica. Métodos: participaron en el estudio 12 mujeres mayores con edad de 65 ± 3.6 años y practicantes de actividad física por un periodo superior a dos meses. La presión arterial fue medida durante 60 minutos tras el final de cada clase. Este procedimiento fue realizado cada 5 minutos tras el esfuerzo hasta el vigésimo minuto de la recuperación, seguido de mediciones cada 10 minutos hasta el sexagésimo minuto. Fue utilizado el test T-Student para la comparación de los promedios y fue adoptado un nivel de significación del 5%. Resultados: los promedios de hipotensión encontrados durante la recuperación tras la clase de gimnasia acuática no fueron significativamente diferentes comparados con los promedios obtenidos en el pre-ejercicio (p = 0,260). Sin embargo, en la sesión de gimnasia aeróbica la diferencia entre esos valores fue estadísticamente significativa (p < 0,001). Los menores valores de presión arterial sistólica alcanzados en la recuperación para gimnasia acuática (120 mmHg) y gimnasia aeróbica (106 mmHg) también fueron significativamente diferentes (p < 0,001). Conclusión: la gimnasia aeróbica se mostró más eficiente para la reducción de la presión arterial post-ejercicio con respecto a la gimnasia acuática, presentando menores valores y mayor duración del efecto hipotensor.

Objective: The aim of this study is to investigate the abdominal perimeter determinants in adults who live in the city of Lages, SC. Design: A population-based cross-sectional study in adults from 20 to 59 years-old of the urban area (n=2.022). The dependent variable is the abdominal perimeter, the independent variables are: age, skin color self-reported, marital status, number of children, per capita income, education, physical activity, smoking, nutrition, self-reported diabetes mellitus, high blood pressure, body weight index. The differences between the mean perimeters were tested using ANOVA test and multiple linear regression for confounding adjustment. Results: The response rate was 98.2%, 52.3% were women. The mean abdominal perimeter for men was 93.66 cm (SD 13.8) and for women 92.80 cm (SD 14.5). There was a positive association of abdominal circumference with age (p<0.001) and negative regarding education. The abdominal perimeter means were higher for those insufficiently active (p<0.001), for former smokers (p<0.001), for those who consumed meat without fat removal (p = 0.001), for those who consumed fruit less than 5 times a week (p<0.001) and for those who were overweight (p<0.001). Remained positively associated with changes in abdominal obesity, insufficient physical activity, smoking, former smoker and consumption of meat without fat removal. All proximal variables remained positively associated with abdominal perimeter. Conclusions: The results have confirmed that diet, lifestyle and sociodemographic conditions determine a different distribution in abdominal fat, it is needed actions to promote a healthy lifestyle.

Objetivo: El objetivo de este estudio fue investigar los determinantes del perímetro abdominal en adultos que viven en la ciudad de Lages, SC. Diseño: Estudio transversal de base poblacional en adultos 20-59 años de edad, de la zona urbana (n= 2022). La variable dependiente fue el perímetro abdominal y las variables independientes fueron: edad, color de la piel auto dicho, estado civil, número de hijos, renta per cápita, nivel educacional, actividad física, tabaquismo, nutrición, diabetes mellitus auto dicho, presión arterial alta e índice de masa corporal. Las diferencias entre los promedios de perímetros se probaron a través de la ANOVA y de la regresión lineal múltiple, ajustada para los factores de confusión. Resultados: La tasa de respuesta fue de un 98,2%, de los cuales un 52,3% eran mujeres. El perímetro abdominal promedio para los hombres fue 93,66 cm (SD= 13,8 cm) y para las mujeres 92,80 cm (SD= 14,5). Hubo asociación positiva entre la circunferencia abdominal y la edad (p<0,001) y negativa entre la circunferencia abdominal y el nivel educacional. El promedio de perímetro abdominal fue más grande en personas insuficientemente activas (p<0,001), en los ex fumadores (p<0,001), en los que consumen carne sin la eliminación de grasa (p=0,001), en aquellos que consumían frutos menos de 5 veces a la semana (p<0,001) y en los que tenían sobrepeso (p<0,001). Se mantuvo una asociación positiva con los cambios en la obesidad abdominal, la insuficiente actividad física, el tabaquismo, ex fumador y el consumo de carne sin la eliminación de grasa. Todas las variables proximales se mantuvieron asociadas positivamente con el perímetro abdominal. Conclusiones: Los resultados confirman que la dieta, el estilo de vida y las condiciones sociodemográficas determinan una distribución diferente de la grasa abdominal, siendo necesarias acciones para promover un estilo de vida saludable.