The adherence to therapy associated with the socio-demographic variables and the habits of patients with hypertension and/or diabetes mellitus were investigated in this study. The registration forms of 105 patients in the Hiperdia program in the municipality of Campina Grande-PB were used as a data collection instrument, applying the Morisky-Green test (MGT) and Batalla test (BT) to assess compliance treatment. For the MGT, there was a prevalence of non-adherent individuals (76.2%) and the type of predominant behavior was unintentional. The internal consistency of the responses obtained through the MGT presented good reliability, according to the value of 0.69 obtained by Cronbach’s alpha. For the BT, there was a predominance of adherence (68.6%) and the alpha value was 0.80, showing a high reliability level. It was found that a diet lacking in salt is a strong impact variable for determining the adherence to the BT. Given the representativity of the tests, there is a need to amend the interferences that facilitate the low adherence to drug treatment. The results of this study can be used to construct strategies that will address these difficulties and optimize the adherence level and quality of life of patients.

Objetivos El objetivo de este estudio fue correlacionar indicadores antropométricos de riesgo cardiovascular adicionales en una población de ancianos hipertensos registrados en el programa HIPERDIA, en Campiña Grande, Paraíba, Brasil, América del Sur. Métodos La muestra contó con 131 ancianos hipertensos, de 60 a 92 años (25,9 % masculino y 74,1 % femenino). Se utilizaron antropometría y encuesta por medio de un cuestionario con informaciones socioeconómicas, demográficas, hábitos de vida, y frecuencia de las enfermedades. En el análisis fue utilizada la correlación de Pearson, estadística descriptiva y para la comparación de las variables antropométricas por sexo Test t de Student y ANOVA One-Way para comparación por edad: 60 a 69, 70 a 79 y > 80. Resultados Los hombres presentaron frecuencias de 14,7 % de sobrepeso y 11,8 % de obesidad, y mujeres 24,7 % y 21,6 %, respectivamente. En el análisis de índice cintura-cadera, 57,0 % de las mujeres y 26,5 % de los hombres presentaron valores de riesgo. Analizando el perímetro de la cintura, 95,9 % de las mujeres y 52,9 % de los hombres presentaron riesgo, y 95,9 % de las mujeres y 38,2 % de los hombres presentaron elevados valores del perímetro abdominal. Despúes de una selección (n=40) para la corrección de posibles factores de confusión, 27 personas presentaron Proteína C Reactiva elevada. Conclusiones Los resultados muestran riesgo cardiovascular adicional, que se demuestra por la alta frecuencia del sobrepeso y obesidad central que se presentan en la población, asociados a inflamación subclínica en hipertensos.

Objectives This study was aimed at correlating anthropometric markers indicating additional cardiovascular risk in a hypertensive elderly population enrolled in the HIPERDIA programme in Campina Grande, Paraíba, Brazil, South America. Methods The sample consisted of 131 hypertensive elderly people aged60 to 92 (25.9 % males and 74.1 % females). A socioeconomic, demographic, life-style questionnaire was used in the assessment. Information about anthropometry measurements and pathology frequency were also recorded via this questionnaire. Pearson's correlation, descriptive statistics, comparison between anthropometric variables by gender using Student's t-test and one-way ANOVA were used in the analysis for comparing groups by age(60 to 69, 70 to 79 and > 80 years). Results 14.7 % of men and 24.7 % of women were overweight and 11.8 % of men and 21.6 % of women were obese. 57.0 % of women and 26.5 % of men had inadequate values in waist-to-hip ratio analysis. 95.9 % of women and 52.9 % of men had high risk and 95.9 % of women and 38.2 % of men had high abdominal circumference values regarding waistline measurement. After selection (n=40) for correcting potential confounders, it was found that 27 subjects had high C-reactive protein values, an additional cardiovascular risk factor. Conclusions The results suggested that additional cardiovascular risk could be demonstrated by the high prevalence of being overweight and central obesity presented by the population and the presence of subclinical inflammation amongst hypertensive ones.

Objectives This study was aimed at correlating anthropometric markers indicating additional cardiovascular risk in a hypertensive elderly population enrolled in the HIPERDIA programme in Campina Grande, Paraíba, Brazil, South America. Methods The sample consisted of 131 hypertensive elderly people aged60 to 92 (25.9 % males and 74.1 % females). A socioeconomic, demographic, life-style questionnaire was used in the assessment. Information about anthropometry measurements and pathology frequency were also recorded via this questionnaire. Pearson's correlation, descriptive statistics, comparison between anthropometric variables by gender using Student's t-test and one-way ANOVA were used in the analysis for comparing groups by age(60 to 69, 70 to 79 and > 80 years). Results 14.7 % of men and 24.7 % of women were overweight and 11.8 % of men and 21.6 % of women were obese. 57.0 % of women and 26.5 % of men had inadequate values in waist-to-hip ratio analysis. 95.9 % of women and 52.9 % of men had high risk and 95.9 % of women and 38.2 % of men had high abdominal circumference values regarding waistline measurement. After selection (n=40) for correcting potential confounders, it was found that 27 subjects had high C-reactive protein values, an additional cardiovascular risk factor. Conclusions The results suggested that additional cardiovascular risk could be demonstrated by the high prevalence of being overweight and central obesity presented by the population and the presence of subclinical inflammation amongst hypertensive ones.

Objetivos El objetivo de este estudio fue correlacionar indicadores antropométricos de riesgo cardiovascular adicionales en una población de ancianos hipertensos registrados en el programa HIPERDIA, en Campiña Grande, Paraíba, Brasil, América del Sur. Métodos La muestra contó con 131 ancianos hipertensos, de 60 a 92 años (25,9 % masculino y 74,1 % femenino). Se utilizaron antropometría y encuesta por medio de un cuestionario con informaciones socioeconómicas, demográficas, hábitos de vida, y frecuencia de las enfermedades. En el análisis fue utilizada la correlación de Pearson, estadística descriptiva y para la comparación de las variables antropométricas por sexo Test t de Student y ANOVA One-Way para comparación por edad: 60 a 69, 70 a 79 y > 80. Resultados Los hombres presentaron frecuencias de 14,7 % de sobrepeso y 11,8 % de obesidad, y mujeres 24,7 % y 21,6 %, respectivamente. En el análisis de índice cintura-cadera, 57,0 % de las mujeres y 26,5 % de los hombres presentaron valores de riesgo. Analizando el perímetro de la cintura, 95,9 % de las mujeres y 52,9 % de los hombres presentaron riesgo, y 95,9 % de las mujeres y 38,2 % de los hombres presentaron elevados valores del perímetro abdominal. Despúes de una selección (n=40) para la corrección de posibles factores de confusión, 27 personas presentaron Proteína C Reactiva elevada. Conclusiones Los resultados muestran riesgo cardiovascular adicional, que se demuestra por la alta frecuencia del sobrepeso y obesidad central que se presentan en la población, asociados a inflamación subclínica en hipertensos.

A suplementação da dieta com fibras solúveis pode ser considerada uma importante medida terapêutica no tratamento de pacientes diabéticos e obesos. Para avaliar o efeito da farinha da casca de maracujá amarelo rica em pectina, foi realizado um ensaio clínico fase II com 43 pacientes portadores de Diabetes Mellitus tipo 2. Estes receberam diariamente 30 g do produto testado durante 60 dias. Observou-se diferença estatística significante na glicemia de jejum (p = 0,000) acompanhada pela redução nos valores médios da hemoglobina glicada (p = 0,032). Em relação ao perfil lipídico, não foi verificado redução dos níveis de colesterol total e colesterol LDL nos pacientes ao longo deste estudo; entretanto, houve redução nos níveis de Triglicerídeos e aumento do colesterol HDL nos mesmos. Os níveis glicêmicos apresentados pelos pacientes antes e após o uso da farinha da casca do maracujá são compatíveis com uma ação positiva no controle da glicemia como adjuvante das terapias convencionais.

The supplementation of diet with soluble dietary fiber can be considered an important therapy measure in the treatment of diabetic and obese patients. In order to evaluate the effect of the flour of the yellow passion fruit peel which is rich in pectin, a phase II clinical trial with 43 patients with type 2 Diabetes Mellitus was performed. They received daily 30 g of the tested product for 60 days. Statistically significant difference was observed in fasting plasma glucose (p = 0.000) accompanied by a reduction in the average values of glycated hemoglobin (p = 0.032). In relation to the lipid profile, there were no reduced levels of total cholesterol and LDL-cholesterol in patients during this study; however, there were reduction in the levels of Triglycerides and increase in HDL cholesterol in them. The glycemic levels presented by the patients before and after the use of the passion fruit peel flour are compatible to a positive action to control blood glucose as an adjunct of conventional therapies.